Academic Track Intern Programme, Intern Network Executive, School of Medicine, University College Cork, Cork, Ireland.
Department of Surgery, Cork University Hospital, Wilton, Cork, Ireland; Cancer Research@UCC, College of Medicine and Health, University College Cork, Cork, Ireland.
Breast. 2024 Jun;75:103699. doi: 10.1016/j.breast.2024.103699. Epub 2024 Feb 29.
Successful breast cancer outcomes can be jeopardised by adverse events. Understanding and integrating patients' and doctors' perspectives into care trajectories could improve patient safety. This study assessed their views on, and experiences of, medical error and patient safety.
A cross-sectional, quantitative 20-40 item questionnaire for patients attending Cork University Hospital Cancer Centre and breast cancer doctors in the Republic of Ireland was developed. Domains included demographics, medical error experience, patient safety opinions and concerns.
184 patients and 116 doctors completed the survey. Of the doctors, 41.4% felt patient safety had deteriorated over the previous five years and 54.3% felt patient safety measures were inadequate compared to 13.0% and 27.7% of patients respectively. Of the 30 patients who experienced medical errors/negligence claims, 18 reported permanent or long-term physical and emotional effects. Forty-two of 48 (87.5%) doctors who experienced medical errors/negligence claims reported emotional health impacts. Almost half of doctors involved in negligence claims considered early retirement. Forty-four patients and 154 doctors didn't experience errors but reported their patient safety concerns. Doctors were more concerned about communication and administrative errors, staffing and organisational factors compared to patients. Multiple barriers to error reporting were highlighted.
This is the first study to assess patients' and doctors' patient safety views and medical error/negligence claims experiences in breast cancer care in Ireland. Experience of medical error/negligence claims had long-lasting implications for both groups. Doctors were concerned about a multitude of errors and causative factors. Failure to embed these findings is a missed opportunity to improve safety.
不良事件可能危及乳腺癌的治疗效果。了解并整合患者和医生的观点到护理轨迹中，可以提高患者安全性。本研究评估了他们对医疗差错和患者安全的看法和经验。
为爱尔兰科克大学医院癌症中心的患者和乳腺癌医生开发了一个横断面、定量的 20-40 项问卷，包括人口统计学、医疗差错经历、患者安全意见和关注点。
184 名患者和 116 名医生完成了调查。其中，41.4%的医生认为过去五年患者安全状况恶化，54.3%的医生认为与患者相比，患者安全措施不足，而分别只有 13.0%和 27.7%的患者有此看法。在经历过医疗差错/疏忽索赔的 30 名患者中，有 18 名报告了永久性或长期的身体和情绪影响。在经历过医疗差错/疏忽索赔的 48 名医生中，有 42 名报告了情绪健康受到影响。近一半涉及过失索赔的医生考虑提前退休。有 44 名患者和 154 名医生没有经历过错误，但报告了他们的患者安全问题。与患者相比，医生更关注沟通和行政错误、人员配备和组织因素。报告错误存在多种障碍。
这是第一项评估爱尔兰乳腺癌护理中患者和医生对患者安全看法和医疗差错/疏忽索赔经验的研究。医疗差错/疏忽索赔的经历对两组都有持久的影响。医生对多种错误和原因因素感到担忧。未能将这些发现纳入其中是错失提高安全性的机会。
