Mira José Joaquín, Guilabert Mercedes, Ortíz Lidia, Navarro Isabel María, Pérez-Jover María Virtudes, Aranaz Jesús María
Centro de Salud Hospital-Plá, Departamento de Salud 17, Alicante, España.
Gac Sanit. 2010 Jan-Feb;24(1):33-9. doi: 10.1016/j.gaceta.2009.05.011. Epub 2009 Aug 28.
To analyze how news items about clinical errors are treated by the press in Spain and their influence on patients.
We performed a quantitative and qualitative study. Firstly, news items published between April and November 2007 in six newspapers were analyzed. Secondly, 829 patients from five hospitals in four autonomous regions were surveyed.
We analyzed 90 cases generating 128 news items, representing a mean of 16 items per month. In 91 news items (71.1%) the source was checked. In 78 items (60.9%) the author could be identified. The impact of these news items was -4.86 points (95% confidence interval [95%CI]: -4.15-5.57). In 59 cases (57%) the error was attributed to the system, in 27 (21.3%) to health professionals, and in 41 (32.3%) to both. Neither the number of columns (p=0.702), nor the inclusion of a sub-header (p=0.195), nor a complementary image (p=0.9) were found to be related to the effect of the error on safety perceptions. Of the 829 patients, 515 (62.1%; 95%CI: 58.8-65.4%) claimed to have recently seen or heard news about clinical errors in the press, on the radio or on television. The perception of safety decreased when the same person was worried about being the victim of a clinical error and had seen a recent news item about such adverse events (chi(2)=15.17; p=0.001).
Every week news items about clinical errors are published or broadcast. The way in which newspapers report legal claims over alleged medical errors is similar to the way they report judicial sentences for negligence causing irreparable damage or harm. News about errors generates insecurity in patients. It is advisable to create interfaces between journalists and health professionals.
分析西班牙媒体对临床失误相关新闻的处理方式及其对患者的影响。
我们进行了一项定量和定性研究。首先，分析了2007年4月至11月间在六家报纸上发表的新闻。其次，对来自四个自治区五家医院的829名患者进行了调查。
我们分析了90起事件，产生了128篇新闻报道，平均每月16篇。在91篇新闻报道（71.1%）中核实了消息来源。在78篇报道（60.9%）中可以确定作者。这些新闻报道的影响为-4.86分（95%置信区间[95%CI]：-4.15-5.57）。在59起事件（57%）中，失误归因于系统，27起（21.3%）归因于医疗专业人员，41起（32.3%）归因于两者。未发现栏目数量（p=0.702）、是否包含副标题（p=0.195）或补充图片（p=0.9）与失误对安全认知的影响有关。在829名患者中，515名（62.1%；95%CI：58.8-65.4%）声称最近在报纸、广播或电视上看到或听到过关于临床失误的新闻。当同一个人担心自己成为临床失误的受害者并且最近看到过关于此类不良事件的新闻时，其安全认知会下降（χ²=15.17；p=0.001）。
每周都会发布或播报关于临床失误的新闻。报纸报道医疗失误相关法律索赔的方式与报道因疏忽导致不可挽回损害或伤害的司法判决的方式类似。失误新闻会使患者产生不安全感。建议在记者和医疗专业人员之间建立沟通渠道。
