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一项基于人群的评估结果:我们需要更好的沟通以及患者更深入的参与。

Results of a population-based-assessment: we need better communication and more profound patient involvement.

作者信息

Sendlhofer Gerald, Pregartner Gudrun, Leitgeb Karina, Hoffmann Magdalena, Berghold Andrea, Smolle Christian, Brunner Gernot, Kamolz Lars Peter

机构信息

Executive Department for Quality and Risk Management, University Hospital Graz, Auenbruggerplatz 1, 8036, Graz, Austria.

Research Unit for Safety in Health, Division of Plastic, Aesthetic and Reconstructive Surgery, Department of Surgery, Medical University of Graz, Graz, Austria.

出版信息

Wien Klin Wochenschr. 2017 Apr;129(7-8):269-277. doi: 10.1007/s00508-016-1165-8. Epub 2017 Jan 18.

DOI:10.1007/s00508-016-1165-8
PMID:28101668
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5399065/
Abstract

BACKGROUND

In Austria several regulations were published in order to support initiatives to increase patient safety. Since then, many patient safety projects were implemented in Austrian hospitals; therefore, it was the aim of the current survey to examine the perceptions of Austrian citizens with respect to topics relevant to patient safety.

METHODS

Between 8 and 22 October 2015 a qualitative cross-sectional telephone interview study was performed. A sample of citizens above 14 years of age was randomly drawn. The survey contained 6 questions. In each of the nine states of Austria, a representative number of citizens were interviewed.

RESULTS

In total 1021(female: 52.3%) telephone interviews were performed and 249 (24.7%) citizens stated that trust/confidence in patient safety is very high, 571 (55.9%) assessed the reputation of a hospital as very important and 739 (72.4%) stated that a detailed explanation of the treatment as well as information on associated risk factors and possibilities of further treatments is very important. Of the respondents 722 (70.7%) stated that patient safety measures in a given hospital are very important, 807 (79.0%) stated that it is important to be informed about patient safety measures and 547 (53.6%) stated that if something did not satisfactorily function they would complain to the hospital. Significant differences occurred for states with and without university hospitals.

CONCLUSION

The results of the survey give cause for concern as the majority of interviewed citizens have medium or low trust/confidence in patient safety. Furthermore, more than two-thirds of Austrian citizens revealed that detailed explanation of treatment, information on associated risk factors, information about patient safety measures to predict medical errors and information about patient safety measures which are in place in a hospital are very important. The study showed that patient safety is an important topic for Austrian citizens and they want to be informed and involved. The study also indicated the need to promote patient safety aspects and to decrease the number of people who are not confident concerning patient safety in Austrian hospitals.

摘要

背景

在奥地利,已发布多项法规以支持提高患者安全的倡议。自那时起,奥地利医院实施了许多患者安全项目;因此,本次调查的目的是考察奥地利公民对与患者安全相关主题的看法。

方法

2015年10月8日至22日进行了一项定性横断面电话访谈研究。随机抽取了14岁以上的公民样本。该调查包含6个问题。在奥地利的九个州中,分别对一定数量具有代表性的公民进行了访谈。

结果

总共进行了1021次电话访谈(女性:52.3%),249名(24.7%)公民表示对患者安全的信任度/信心非常高,571名(55.9%)认为医院的声誉非常重要,739名(72.4%)表示对治疗的详细解释以及相关风险因素和进一步治疗可能性的信息非常重要。在受访者中,722名(70.7%)表示特定医院的患者安全措施非常重要,807名(79.0%)表示了解患者安全措施很重要,547名(53.6%)表示如果有不满意的情况会向医院投诉。有大学医院和没有大学医院的州之间存在显著差异。

结论

调查结果令人担忧,因为大多数受访公民对患者安全的信任度/信心处于中等或较低水平。此外,超过三分之二的奥地利公民表示,治疗的详细解释、相关风险因素的信息、预测医疗差错的患者安全措施信息以及医院现行患者安全措施的信息非常重要。该研究表明,患者安全是奥地利公民的一个重要话题,他们希望了解并参与其中。该研究还表明有必要宣传患者安全方面的内容,并减少对奥地利医院患者安全缺乏信心的人数。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c78/5399065/b00e84ab3d78/508_2016_1165_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c78/5399065/930b32a1b375/508_2016_1165_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c78/5399065/a03088bee312/508_2016_1165_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c78/5399065/d3e846dc867a/508_2016_1165_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c78/5399065/e9f7b679fd27/508_2016_1165_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c78/5399065/27ab9f26ddd5/508_2016_1165_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c78/5399065/b00e84ab3d78/508_2016_1165_Fig6_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c78/5399065/930b32a1b375/508_2016_1165_Fig1_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c78/5399065/a03088bee312/508_2016_1165_Fig2_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c78/5399065/d3e846dc867a/508_2016_1165_Fig3_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c78/5399065/e9f7b679fd27/508_2016_1165_Fig4_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c78/5399065/27ab9f26ddd5/508_2016_1165_Fig5_HTML.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0c78/5399065/b00e84ab3d78/508_2016_1165_Fig6_HTML.jpg

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