Cancer patients’ experiences of error and consequences during diagnosis and treatment

Abstract

The study objective was to investigate patient experienced error during diagnosis and treatment of cancer. included a nationwide patient survey on quality and safety in Danish cancer care. Responses regarding patient experienced error were separately analyzed, quan using systematic text analysis. Study participants included registered between May 1st and August 31st 2010 care received by general practitioners, specialist 10-25% of patients experienced error during diagnosis or treat consequences. Unexpected surgical errors/complications (27%), delay due to doctors' assessment errors (24%) and unavailable test results (21%) were the most frequent types of errors identified using closed questions. 819 qua responses supplemented this information and revealed errors related to cancer detection, planning & coordination, patient-provider communication, administrative processes and treatment & medication. Physical, psychological, social as well as organizational consequences of the errors were uncovered. related to informed consent, diagnostic reasoning as well as handling of test results, referrals and the medical chart should be further improved. In addition, safety aspects of the patient patients as an extra safety barrier merit further study.

When Patients Tell Their Own Stories: A Meta-Narrative Study of Web-Based Personalized Texts of 214 Melanoma Patients’ Journeys in Four Countries

“…Another significant area of supportive needs identified in the period leading up to diagnosis relates to the impact of misdiagnosis and lack of person-centric responses to patients’ requests for symptom appraisal. Just over a quarter of the personal accounts in our study described experiences of a missed clinical diagnosis, reflecting the quantitative evidence from Blum et al (2007) reporting between 20% and 33% of clinicians in first consultations giving a misdiagnosis, and findings of Lipczak, Dørflinger, Enevoldsen, Vinter, & Knudsen (2015) that up to 25% of reviewed cancer patients experienced diagnostic errors.…”

Automated compounding technology and workflow solutions for the preparation of chemotherapy: a systematic review

“…The current SR highlights a lack of data relating to the patient health consequences of chemotherapy accuracy and dose errors in studies investigating compounding technologies. However, research suggests that errors during the treatment of cancer can potentially lead to physical, psychological and social consequences for the patient 41…”

Nurses’ perceptions of open disclosure processes in cancer care: a cross-sectional study

“…In two recent Australian studies, 26% of 166 haematology patients reported an unexpected adverse event during their care (Bryant et al, 2017); while 13% of 1136 medical oncology outpatients reported experiencing a health care error (Carey et al, 2019). Among a sample of 4346 Danish cancer patients, 25% experienced an error during their hospital treatment and 61% of these patients experienced negative outcomes (Lipczak, Dørflinger, Enevoldsen, Vinter, & Knudsen, 2015).…”

“…Health care errors can result in pain, suffering, loss of independence, loss of productivity for patients and families and even death (Blignaut, Coetzee, Klopper, & Ellis, 2017;Lipczak et al, 2015). Patients and families can also experience physical, emotional and financial trauma following a health care error.…”

“…Patients and families can also experience physical, emotional and financial trauma following a health care error. Feelings of bitterness, anger, humiliation, anxiety and depression have been reported by patients and families as a consequence of experiencing a health care error during diagnosis or treatment (Lipczak et al, 2015). Furthermore, an estimated 10-50% of providers involved in errors will experience psychological trauma (Seys et al, 2013).…”