Patient safety in emergency departments: a problem for health care systems? An international survey

Petrino, Roberta; Tuunainen, Eeva; Bruzzone, Giulia; Garcı́a-Castrillo, Luis

doi:10.1097/mej.0000000000001044

Cited by 12 publications

(6 citation statements)

References 28 publications

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“…This study found that medical insurance information disclosure can improve patients’ trust, reduce patients’ risk perceptions, and increase patients’ willingness to adopt DRGS. In practical application, the healthcare industry should use various social media to publicize the DRG payment policy and increase the publicity to make patients understand the DRG payment policy ( 52 ). In hospital management, hospital managers need to pay attention to the data needs of DRG grouping, organize and count the data sources of DRG grouping, and establish a good DRG-specific database, so as to improve the professionalism and scientificity of statistics, provide comprehensive information for patients, and continuously improve the management level of hospitals ( 71 ).…”

Section: Discussionmentioning

confidence: 99%

“…In healthcare, there is a relationship between patients’ risk perception and patients’ behavioral decisions ( 51 ). In studying the influence of risk perception on patients’ behavioral decisions to enroll in insurance, Sun Jiaxin et al ( 52 ) focused on patients’ risk perceptions of hospitals. It was found that the lower the patients’ risk perception of the hospital, the more patients participated in hospital decision making and actively cooperated with hospital medical behaviors.…”

Section: Literature Review and Research Hypothesismentioning

confidence: 99%

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Does the disclosure of medical insurance information affect patients’ willingness to adopt the diagnosis related groups system

Shi,

Zhang,

Wang

2023

Front. Public Health

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IntroductionMedical insurance information disclosure is not only a direct way for the public to understand and master social insurance information and resource use benefits, but also an important way for the public to participate in medical service governance and supervision. Some studies have shown that information disclosure can significantly reduce the risk perception of user groups, strengthen their trust and reduce the negative impact of information asymmetry.MethodsBased on risk perception and trust perception theories, this paper focuses on the mechanisms influencing patients’ attitudes in the process of implementing a Diagnosis Related Groups payment system. Using medical insurance information disclosure from a governance perspective as the research object, the impact of medical insurance information disclosure on patients’ willingness to adopt the Diagnosis Related Groups payment system was analyzed by means of a questionnaire survey, Data analysis and hypothesis testing via SPSS while the mechanism of the impact of medical insurance information disclosure on patients’ attitudes was explored in depth.ResultsIt was found that medical insurance information disclosure had a significant positive effect on patients’ trust perceptions and a significant negative effect on patients’ risk perceptions. The more comprehensive information patients received, the stronger their trust and the lower their perceived risk.DiscussionThis paper conducts an empirical study from patients’ perspective, broadens the scope of research on medical insurance Diagnosis related groups, enriches the application of risk perception and trust perception theories in the medical field, and provides management suggestions for medical institutions in the management of medical insurance information disclosure.

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Section: Discussionmentioning

confidence: 99%

Section: Literature Review and Research Hypothesismentioning

confidence: 99%

Does the disclosure of medical insurance information affect patients’ willingness to adopt the diagnosis related groups system

Shi,

Zhang,

Wang

2023

Front. Public Health

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“…In early 2023, a validated questionnaire [ 19 ] was distributed to healthcare professionals working in EDs to assess their perceptions of safety. The global results have been published elsewhere [ 20 ]. This study aimed to conduct a comparative analysis of the results among ED workers in most European countries and highlight the most critical aspects related to safety in each country.…”

Section: Introductionmentioning

confidence: 99%

Healthcare professionals’ perceptions of patient safety in European emergency departments: a comparative analysis of survey results

Petrino,

Biondi,

Castrillo

2024

Intern Emerg Med

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Patient safety is a significant concern worldwide. The Emergency Departments (EDs) are vulnerable to adverse events. Europe, with its diverse healthcare systems, differs in patient safety. This study aimed to identify safety challenges through a comparative analysis of healthcare professionals’ perceptions of patient safety in European EDs. In early 2023, a validated questionnaire was distributed to European ED professionals, meeting specific response rate criteria. The questionnaire included five safety domains and additional questions about infection control and team morale, with 36 ordinal scale questions. Responses ranged in five levels from “Never” to “Always,” and the scores were summed to calculate the total safety score (TSS). The study examined the impact of per capita healthcare expenditure on safety perceptions using descriptive statistics, correlation assessments and SPSS 17 used for the analysis. The analysis of 1048 valid responses from 24 European countries revealed significant variability in safety perceptions. Teamwork scored highest, signifying effective collaboration. Common safety issues included overcrowding, patient flow management, understaffing, limited training and facilities for mental illnesses. TSS showed correlation with team morale and infection control, but no correlation with per capita healthcare expenditure. This comparative study underlines the disparities in patient safety perceptions across European EDs. Each country displayed unique safety concerns. Safety perceptions did not align with per capita healthcare expenditure, indicating that addressing ED safety needs multifaceted strategies. Policymakers can leverage these findings to inform strategic planning, encouraging targeted interventions to enhance patient safety at both the national and European levels.

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“…By bridging this gap between research and practice, by accurately selecting patients and simplifying strategies to facilitate adherence, it seems possible to give clinicians the tools and knowledge they need to make informed decisions and improve the quality of care for patients with suspected pulmonary embolism [15]. Perspectives in emergency medicine underscore the need for a nuanced approach to pulmonary embolism diagnosis, one that transcends algorithmic adherence to encompass individualized patient care.…”

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confidence: 99%

Pulmonary embolism: pitfalls, unmet needs, and perspectives in emergency medicine

Roussel,

Bannelier

2024

European Journal of Emergency Medicine

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Patient safety in emergency departments: a problem for health care systems? An international survey

Cited by 12 publications

References 28 publications

Does the disclosure of medical insurance information affect patients’ willingness to adopt the diagnosis related groups system

Does the disclosure of medical insurance information affect patients’ willingness to adopt the diagnosis related groups system

Healthcare professionals’ perceptions of patient safety in European emergency departments: a comparative analysis of survey results

Pulmonary embolism: pitfalls, unmet needs, and perspectives in emergency medicine

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