Clinical Safety Research Unit, Department of Surgery and Cancer, 10 floor, QEQM, St. Mary's Hospital, South Wharf road, London W2 1NY, UK.
BMJ Qual Saf. 2011 Jan;20(1):108-14. doi: 10.1136/bmjqs.2010.041871.
Despite growing recognition internationally that patients can help to promote their own safety, little evidence exists on how willing patients are to take on an active role.
To investigate medical and surgical patients' perceived willingness to participate in different safety-related behaviours and the potential impact of doctors'/nurses' encouragement on patients' willingness levels.
Cross-sectional exploratory study using a survey that addressed willingness to participate in different behaviours recommended by current patient safety initiatives. Interactional behaviours (asking factual or challenging questions, notifying doctors or nurses of errors or problems) and non-interactional behaviours (choosing a hospital based on the safety record, bringing medicines and a list of allergies into hospital, and reporting an error to a national reporting system) were assessed.
80 medical and surgical patients from an inner city London teaching hospital. Findings Patients' perceived willingness to participate was affected (p<0.05) by the action required by the patient and (for interactional behaviours) whether the patient was engaging in the specific action with a doctor or nurse. Patients were less willing to participate in challenging behaviours. Doctors' and nurses' encouragement appeared to increase patient-reported willingness to ask challenging questions, but no other consistent findings were observed.
Patients do not view involvement in a range of safety-related behaviours uniformly. Particular efforts are needed to encourage patients to participate in novel or challenging behaviours as these are behaviours where patients appear less inclined to take on an active role.
尽管国际上越来越认识到患者可以帮助促进自身安全，但几乎没有证据表明患者愿意在多大程度上发挥积极作用。
调查医疗和外科患者对参与不同安全相关行为的感知意愿，以及医生/护士的鼓励对患者意愿水平的潜在影响。
使用调查进行横断面探索性研究，该调查涉及参与当前患者安全倡议推荐的不同行为的意愿。评估了互动行为（提出事实或具有挑战性的问题、向医生或护士报告错误或问题）和非互动行为（根据安全记录选择医院、将药物和过敏清单带入医院以及向国家报告系统报告错误）。
来自伦敦市中心教学医院的 80 名医疗和外科患者。
患者感知的参与意愿受到患者所需行为（对于互动行为，还受到患者与医生或护士进行特定行为的影响）的影响。患者不太愿意参与具有挑战性的行为。医生和护士的鼓励似乎增加了患者报告的询问具有挑战性问题的意愿，但没有观察到其他一致的发现。
患者对参与一系列安全相关行为的看法不一致。需要特别努力鼓励患者参与新的或具有挑战性的行为，因为这些行为是患者不太愿意发挥积极作用的行为。
