| A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. | |
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MedLine Citation:
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PMID: 22639922 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
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Background Various authorities recommend the participation of patients in promoting patient safety, but little is known about health care professionals' (HCPs') attitudes towards patients' involvement in safety-related behaviours. Objective To investigate how HCPs evaluate patients' behaviours and HCP responses to patient involvement in the behaviour, relative to different aspects of the patient, the involved HCP and the potential error. Design Cross-sectional fractional factorial survey with seven factors embedded in two error scenarios (missed hand hygiene, medication error). Each survey included two randomized vignettes that described the potential error, a patient's reaction to that error and the HCP response to the patient. Setting Twelve hospitals in Switzerland. Participants A total of 1141 HCPs (response rate 45%). Measurements Approval of patients' behaviour, HCP response to the patient, anticipated effects on the patient-HCP relationship, HCPs' support for being asked the question, affective response to the vignettes. Outcomes were measured on 7-point scales. Results Approval of patients' safety-related interventions was generally high and largely affected by patients' behaviour and correct identification of error. Anticipated effects on the patient-HCP relationship were much less positive, little correlated with approval of patients' behaviour and were mainly determined by the HCP response to intervening patients. HCPs expressed more favourable attitudes towards patients intervening about a medication error than about hand sanitation. Conclusions This study provides the first insights into predictors of HCPs' attitudes towards patient engagement in safety. Future research is however required to assess the generalizability of the findings into practice before training can be designed to address critical issues. |
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Authors:
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David L B Schwappach; Olga Frank; Rachel E Davis |
Publication Detail:
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Type: JOURNAL ARTICLE Date: 2012-5-29 |
Journal Detail:
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Title: Journal of evaluation in clinical practice Volume: - ISSN: 1365-2753 ISO Abbreviation: - Publication Date: 2012 May |
Date Detail:
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Created Date: 2012-5-29 Completed Date: - Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 9609066 Medline TA: J Eval Clin Pract Country: - |
Other Details:
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Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
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© 2012 Blackwell Publishing Ltd. |
Affiliation:
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Scientific Head, Swiss Patient Safety Foundation, Zurich, Switzerland and Professor of Patient Safety, Institute of Social and Preventive Medicine (ISPM), University of Bern, Bern, Switzerland Project Manager, Swiss Patient Safety Foundation, Zurich, Switzerland Research Associate, Imperial College London, Department of Surgery and Cancer, London, UK. |
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