Haldar Shefali, Filipkowski Alex, Mishra Sonali R, Brown Cory S, Elera Rashmi G, Pollack Ari H, Pratt Wanda
University of Washington, Seattle, WA.
University of Washington, Seattle, WA; Seattle Children's Hospital, Seattle, WA.
AMIA Annu Symp Proc. 2017 Feb 10;2016:609-617. eCollection 2016.
Involving patients in healthcare safety practices has long been an area of priority and importance. However, we still need to understand how patients perceive undesirable events during their hospital stay, and what role patients play in the prevention of these events. To address this gap, we surveyed pediatric inpatients and caregivers to understand their perspectives on undesirable events. By giving them an opportunity to use their own words to describe their experiences, we found a diverse array of undesirable events. Our qualitative analysis revealed four major types of events that patients and caregivers experienced: mismanagement, communication, policy, and lack of care coordination. We also examined the information needs that patients and caregivers experienced during these situations, and learned how they would prefer to receive this information. Based on these results, we provide recommendations for inpatient technologies that could enable patients to identify and prevent such undesirable events.
让患者参与医疗安全实践长期以来一直是一个重点且重要的领域。然而,我们仍需了解患者在住院期间如何看待不良事件,以及患者在预防这些事件中扮演何种角色。为填补这一空白,我们对儿科住院患者及其护理人员进行了调查,以了解他们对不良事件的看法。通过让他们有机会用自己的话描述经历,我们发现了各种各样的不良事件。我们的定性分析揭示了患者和护理人员经历的四大类事件:管理不善、沟通、政策以及护理协调不足。我们还研究了患者和护理人员在这些情况下的信息需求,并了解了他们希望如何获取这些信息。基于这些结果,我们为住院技术提供了建议,以使患者能够识别并预防此类不良事件。