Huerta Timothy R, Walker Curt, Murray Kelsey R, Hefner Jennifer L, McAlearney Ann Scheck, Moffatt-Bruce Susan
J Healthc Qual. 2016 Jan-Feb;38(1):17-23. doi: 10.1097/JHQ.0000000000000022.
Patient safety continues to be a national challenge not only for providers but for patients and families as well. In an attempt to standardize processes and systems, we have lost opportunities for improvement. For instance, current patient safety reporting systems tend to favor capturing details around events that are classified as highly clinically significant (i.e., sentinel-level and never events); yet little to no effort is spent on capturing information about less evident errors or near misses, nor simply about concerns that are more experiential in nature. As a result, patients' experiences and observations are relegated to the notion of satisfaction, real-time reporting remains illusive, and the ability to learn across incidents remains anecdotal rather than systematic. Herein we propose an alternative, real-time, innovative model that merges syndromic surveillance and patient engagement to embrace patient-initiated reporting of patient safety events and concerns. The result would be a patient safety system where patients are partners, in both the conduct of their care, and in the quality of the healthcare delivered.
患者安全不仅对医疗服务提供者而言仍是一项全国性挑战，对患者及其家属来说也是如此。为了使流程和系统标准化，我们失去了改进的机会。例如，当前的患者安全报告系统倾向于收集那些被归类为具有高度临床意义的事件（即警戒级别和不良事件）的详细信息；然而，在收集关于不太明显的错误或未遂事件的信息方面几乎没有投入精力，对于那些本质上更具体验性的担忧也几乎没有关注。结果，患者的体验和观察被归结为满意度的概念，实时报告仍然难以实现，跨事件学习的能力仍然只是轶事而非系统的。在此，我们提出一种替代性的、实时的、创新的模式，该模式将症状监测与患者参与相结合，以接受患者发起的关于患者安全事件和担忧的报告。其结果将是一个患者安全系统，在这个系统中，患者在接受治疗的过程以及所提供医疗服务的质量方面都是合作伙伴。
