Department Research & Innovation, OptiMedis AG, Hamburg, Germany.
PLoS One. 2021 Dec 1;16(12):e0259252. doi: 10.1371/journal.pone.0259252. eCollection 2021.
Routine measurement of patient safety from the patients' perspective receives increasing attention as an important component of safety measurement systems. The aim of this study was to examine patients' experience with patient safety in ambulatory care and the results' implications for routine patient safety measurement in ambulatory care.
Cross-sectional mixed-mode survey.
General practitioner and specialist practices.
Patients aged >18 years seeking care in ambulatory care practices between February and June 2020.
A 22-item-questionnaire was completed in the practice or at home either on paper or online. Multivariate logistic regression was used to analyse the influence of survey mode and patient characteristics on patient experience with patient safety.
The overall response rate was 71.1%. Most patients completed the questionnaire on site (76.6%) and on paper (96.1%). Between 30.1% to 68.5% of the respondents report the most positive option for patient experience with the main domains of patient safety. A total of 2.9% of patients reported having experienced a patient-safety event (PSE) during the last 12 months. Patients who filled in the questionnaire off site were more likely to report negative experiences for the scales communication & information (OR 1.2, 95% CI 1.0-1.5), rapport & participation (OR 1.4, 95% CI 1.1-1.7) and access (OR 1.3, 95% CI 0.9-1.4) than those who completed it on site. Those who chose a paper questionnaire were more likely to report negative experiences for all five scales compared to web responders.
Routine measurement of patient experience with factors contributing to the occurrence of PSEs can achieve high response rates by offering flexible participation options. Results gained from mixed-mode surveys need to take mode-effects into account when interpreting and using the results. Further research is needed in how to adequately assess number and type of experienced events in routine measurements.
从患者角度对患者安全进行常规测量，作为安全测量系统的重要组成部分，这一做法受到越来越多的关注。本研究旨在调查患者在门诊护理中对患者安全的体验，以及这些结果对门诊护理中常规患者安全测量的启示。
横断面混合模式调查。
全科医生和专科医生诊所。
2020 年 2 月至 6 月期间在门诊护理诊所寻求护理的年龄>18 岁的患者。
患者在诊所或家中通过纸质或在线填写一份 22 项问题的问卷。使用多变量逻辑回归分析调查模式和患者特征对患者安全体验的影响。
总体应答率为 71.1%。大多数患者在现场（76.6%）和纸质问卷上（96.1%）完成了问卷。在与患者安全主要领域相关的体验中，有 30.1%至 68.5%的受访者报告了最积极的选项。在过去 12 个月内，共有 2.9%的患者报告发生了患者安全事件（PSE）。在现场外填写问卷的患者更有可能报告沟通和信息（OR 1.2，95%CI 1.0-1.5）、融洽和参与（OR 1.4，95%CI 1.1-1.7）和就诊途径（OR 1.3，95%CI 0.9-1.4）等方面的负面体验，而在现场完成问卷的患者则较少报告这些负面体验。与网络应答者相比，选择纸质问卷的患者更有可能报告五个量表的所有负面体验。
通过提供灵活的参与选择，对导致 PSE 发生的因素进行患者安全体验的常规测量，可以获得较高的应答率。在解释和使用结果时，需要考虑混合模式调查的模式效应。还需要进一步研究如何在常规测量中充分评估经历事件的数量和类型。
