From the Department of Preventive Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan.
Department of Preventive Medicine, University of Ulsan College of Medicine, Seoul, Republic of Korea.
J Patient Saf. 2020 Jun;16(2):e90-e96. doi: 10.1097/PTS.0000000000000509.
Previous studies have demonstrated that the general public can report various patient safety incidents (PSIs) that are not identified by other methods. In this study, we investigated the characteristics of PSIs that the general public experience in Korea.
In face-to-face surveys, participants were asked to report the frequency and type of PSIs, level of patient harm, and whether the PSIs were perceived as a medical error. We conducted logistic regression analysis to identify the sociodemographic factors of participants associated with their PSI experiences. Additionally, we analyzed relationships between the perception of PSIs as a medical error and both the type of PSIs and level of patient harm.
Among the 700 participants surveyed, 24 (3.4%) and 37 (5.3%) individuals reported that they or their family members experienced PSIs, respectively. Participants with at least a college degree were more likely to report PSI experiences than those with a lower educational level (odds ratio, 3.54; 95% confidence interval, 1.86-6.74). Whereas approximately half of participants (48.2%) involved in PSI experiences that caused no harm thought that there were medical errors in their PSIs, all participants (100%) who experienced PSIs with severe harm responded that medical errors occurred in their PSIs.
The general public can report their experiences with PSIs. Periodic surveys that target the general public will provide additional data that reflect the level of patient safety from the viewpoint of the general public.
先前的研究表明,普通公众可以报告其他方法未识别出的各种患者安全事件(PSIs)。在本研究中,我们调查了韩国普通公众经历的 PSIs 的特征。
在面对面的调查中,要求参与者报告 PSIs 的频率和类型、患者伤害程度以及 PSIs 是否被视为医疗差错。我们进行了逻辑回归分析,以确定与参与者 PSI 经历相关的社会人口统计学因素。此外,我们分析了将 PSIs 视为医疗差错与 PSIs 的类型和患者伤害程度之间的关系。
在接受调查的 700 名参与者中,分别有 24 名(3.4%)和 37 名(5.3%)参与者报告称他们或其家庭成员经历过 PSIs。至少具有大学学历的参与者比具有较低教育水平的参与者更有可能报告 PSI 经历(优势比,3.54;95%置信区间,1.86-6.74)。虽然大约一半(48.2%)参与无伤害 PSI 经历的参与者认为他们的 PSI 中存在医疗差错,但所有经历过严重伤害 PSI 的参与者(100%)都认为他们的 PSI 中发生了医疗差错。
普通公众可以报告他们的 PSI 经历。针对普通公众的定期调查将提供反映普通公众视角下的患者安全水平的额外数据。