Scientific Head, Swiss Patient Safety Foundation, Zurich, Switzerland and Professor of Patient Safety, Institute of Social and Preventive Medicine (ISPM), University of Bern, Bern, Switzerland Project Manager, Swiss Patient Safety Foundation, Zurich, Switzerland Research Associate, Imperial College London, Department of Surgery and Cancer, London, UK.
J Eval Clin Pract. 2013 Oct;19(5):840-8. doi: 10.1111/j.1365-2753.2012.01861.x. Epub 2012 May 29.
Various authorities recommend the participation of patients in promoting patient safety, but little is known about health care professionals' (HCPs') attitudes towards patients' involvement in safety-related behaviours.
To investigate how HCPs evaluate patients' behaviours and HCP responses to patient involvement in the behaviour, relative to different aspects of the patient, the involved HCP and the potential error.
Cross-sectional fractional factorial survey with seven factors embedded in two error scenarios (missed hand hygiene, medication error). Each survey included two randomized vignettes that described the potential error, a patient's reaction to that error and the HCP response to the patient.
Twelve hospitals in Switzerland.
A total of 1141 HCPs (response rate 45%).
Approval of patients' behaviour, HCP response to the patient, anticipated effects on the patient-HCP relationship, HCPs' support for being asked the question, affective response to the vignettes. Outcomes were measured on 7-point scales.
Approval of patients' safety-related interventions was generally high and largely affected by patients' behaviour and correct identification of error. Anticipated effects on the patient-HCP relationship were much less positive, little correlated with approval of patients' behaviour and were mainly determined by the HCP response to intervening patients. HCPs expressed more favourable attitudes towards patients intervening about a medication error than about hand sanitation.
This study provides the first insights into predictors of HCPs' attitudes towards patient engagement in safety. Future research is however required to assess the generalizability of the findings into practice before training can be designed to address critical issues.
不同的权威机构建议患者参与促进患者安全，但对于医疗保健专业人员（HCP）对患者参与与安全相关行为的态度知之甚少。
调查 HCP 如何评估患者的行为以及 HCP 对患者参与行为的反应，相对于患者、涉及的 HCP 和潜在错误的不同方面。
嵌入在两个错误情景（手部卫生遗漏、用药错误）中的七个因素的横断面分数阶调查。每个调查包括两个随机描述潜在错误、患者对该错误的反应以及 HCP 对患者的反应的情景。
瑞士的 12 家医院。
共有 1141 名 HCP（回应率为 45%）。
对患者行为的认可、HCP 对患者的反应、对患者-HCP 关系的预期影响、被问及问题的 HCP 支持、对情景的情感反应。结果以 7 点量表衡量。
对患者安全相关干预的认可普遍较高，主要受患者行为和正确识别错误的影响。对患者-HCP 关系的预期影响则不那么积极，与对患者行为的认可相关性较小，主要由 HCP 对干预患者的反应决定。HCP 对患者干预用药错误的态度比对手部卫生更有利。
本研究首次深入了解 HCP 对患者参与安全的态度的预测因素。然而，在设计培训以解决关键问题之前，需要进行更多的研究以评估研究结果在实践中的普遍性。
