Department of Family and Community Medicine, Faculty of Medicine, Public Health and Nursing, Universitas Gadjah Mada, Yogyakarta, Indonesia.
Department of Preventive Medicine, Ulsan University Hospital, University of Ulsan College of Medicine, Ulsan, Republic of Korea.
Medicine (Baltimore). 2022 Oct 28;101(43):e31284. doi: 10.1097/MD.0000000000031284.
This study aimed to explore the various types and frequency of patient safety incidents (PSIs) during a cancer screening health examination for the general public of Ulsan Metropolitan City, South Korea. Furthermore, the associated elements and responses to PSIs during a cancer screening were examined. The survey, conducted in the five districts of Ulsan, was completed by residents aged 19 years and older who agreed to participate. Descriptive analysis, Chi-square or Fisher exact test, and multivariable logistic regression were performed to analyze the data. A total of 620 participants completed the survey, with 11 (1.8%) individuals who experienced PSIs themselves and 11 (1.8%) by their family members. The highest type of PSIs was those related to procedures. The multivariable logistic regression analysis showed no significant variables associated with experiencing PSIs during cancer screening. However, there was a significant association between the judgment of medical error occurrence and level of patient harm both in experience by family members and total experience of PSIs (P < .05). There was also a significant difference between with and without an experience of PSIs disclosure (P < .001). This study comprehensively analyzed the types and extent of PSIs experienced by Korean individuals and their family members in Ulsan. These findings suggest that patient safety issues during cancer screening should not be overlooked. Furthermore, an investigation system to regularly monitor PSIs in cancer screening should be developed and established.
本研究旨在探讨韩国蔚山广域市普通民众癌症筛查体检期间各类患者安全事件(PSIs)的发生类型和频率,并分析癌症筛查期间 PSIs 的相关因素和应对措施。在蔚山的五个区进行了这项调查,参与者为同意参加的 19 岁及以上居民。采用描述性分析、卡方检验或 Fisher 确切检验以及多变量逻辑回归对数据进行分析。共有 620 名参与者完成了调查,其中 11 名(1.8%)自身经历过 PSIs,11 名(1.8%)的家属经历过 PSIs。PSIs 中发生率最高的类型与操作程序有关。多变量逻辑回归分析显示,癌症筛查期间经历 PSIs 与任何变量均无显著关联。然而,家属经历和总 PSIs 经验中,医疗错误发生的判断与患者伤害程度之间存在显著关联(P<.05)。有和没有经历过 PSIs 披露的患者之间也存在显著差异(P<.001)。本研究全面分析了韩国蔚山个体及其家属经历的 PSIs 的类型和程度。这些发现表明,癌症筛查期间的患者安全问题不容忽视。此外,应制定并建立定期监测癌症筛查中 PSIs 的调查系统。