Patient Safety: Patient Involvement Matters

Hughes, Linda

doi:10.12927/hcq.2020.26039

Cited by 3 publications

(1 citation statement)

References 8 publications

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“…Das strategische Ziel 4 dieses Aktionsplans fordert explizit die aktive Patienteneinbeziehung (PE) in der Weiterentwicklung der Gesundheitsversorgung. Vor dem Hintergrund der auch in Deutschland weiterhin signifikanten Anzahl an vermeidbaren, unerwünschten Ereignissen im Rahmen medizinischer Gesundheitsversorgung wurde 2022 das zehnte Nationale Gesundheitsziel Patientensicherheit etabliert (Holtz & Jonitz, 2023) Eines der in der Literatur am häufigsten genannten Hindernisse ist die Finanzierung partizipativer oder kooperativer Maßnahmen (Herrin et al, 2016;Hughes, 2020;Zerbe et al, 2020). Zudem sind Ressourcen wie Zeit, organisationale Infrastrukturen, Ansprechpersonen und Erfahrungen relevant (APS e. V., 2022).…”

Section: Einbeziehung Von Patient:innen Zur Förderung Von Patientensi...unclassified

Einbeziehung von Patient:innen zur Förderung von Patientensicherheit in Gesund-heitseinrichtungen in Deutschland

Koch,

Gambashidze,

Weigl

2023

MVF

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Background: Proactive involvement of patients in the design of safe care is a WHO-defined goal of the current decade. This paper investigated (a) which patient involvement activities and measures are implemented in German health care facilities for patient safety, and (b) which recommendations for action can be derived for our health care facilities. Aim and method: A literature and Internet search was conducted on institutional practices and organizational activities in Germany to improve patient safety with the involvement of patients. Interviews with five experts were conducted who advised our approach. An agenda for future research projects and first recommendations for clinical practice was formulated afterwards. Results: The evidence base on established measures to incorporate patient perspectives into the strategic promotion of patient safety in healthcare facilities in Germany is scarce and inconsistent. Patient surveys and the use of patient advocates are common. It remains unclear how patient councils as well as self-help groups have the potential to contribute to the promotion of patient safety in practice. Conclusions and agenda: An agenda is proposed. A more in-depth empirical survey and description of the situation in Germany, taking into account the experience of experts from clinical practice, is necessary to obtain a complete picture of the currently established measures for patient involvement, to uncover potential for realization and to define necessary framework conditions.

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Section: Einbeziehung Von Patient:innen Zur Förderung Von Patientensi...unclassified

Einbeziehung von Patient:innen zur Förderung von Patientensicherheit in Gesund-heitseinrichtungen in Deutschland

Koch,

Gambashidze,

Weigl

2023

MVF

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Using patient feedback to predict effects of quality improvement initiatives

Han,

Liang

2024

Health Planning & Management

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BackgroundInternationally, continuous efforts have been put into developing patient complaint channels to understand patients' experience and expectation of care, which can guide the improvement of health service quality. Despite agreement among the value of patient feedback, limited attention has been paid to using patient feedback to predict and promote the actual quality improvement initiatives.ObjectiveTo determine whether patient feedback collected from a public feedback hotline can be used to predict the effect of hospital quality service improvement initiatives.MethodsA retrospective analysis of patient complaint data of a tertiary hospital from 2018 to 2021 was performed. Patient complaints were first coded by the standard classification method of the Australian Hospital Patient Experience Question Set. The characteristics of patients' complaints were then analysed by frequency and contingency table analysis. Finally, through Nonparametric Mann‐Kendall test and Joinpoint regression model, the trends of each complaint characteristics were tested.ResultsAmongst the 771 complaints received against clinicians, approximately 75% of them were concerning doctors. ‘Harm and distress’ was the key reason of complaints, followed by ‘not cared for’, ‘lack of confidence’, ‘needs unmet’ and ‘not informed’. In 2021, the number of complaints received in relation to moderate ‘harm and distress’ caused by doctors increased by 667% from 2020. The categories of ‘not informed’, ‘not cared for’ and ‘harm and distress’ were also on the rise with statistical significance. In addition, complaints related to the lack of respect, bad attitude and unprofessional behaviour demonstrated by nurses (n = 83) and doctors (n = 121) were also recorded.ConclusionPatient feedbacks collected via a public feedback hotline provides a useful platform to gain insight into patient experience of care which are valuable to guide quality care improvement. To improve the care quality, clinicians need to participate in quality improvement strategies development at an early stage. Efforts in improving communication and interaction between doctors and patients are needed to improve patients' experience of care and developing patients' trust in both of the clinicians and the medical services. The study highlights the value of using public feedback hotline to generate evidence that can guide hospital service improvement.

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A Study on Internet News for Patient Safety Campaigns: Focusing on Text Network Analysis and Topic Modeling

Shin,

Baek

2024

Healthcare

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Background/Objectives: This study aimed to identify the main issues related to public patient safety campaigns reflected in Korean online news. This study utilized a text-mining method to identify keywords and topics related to patient safety campaigns. Methods: The data collection period was from 1 January 2022 to 31 December 2023, and 4110 news articles were extracted. Through data preprocessing, 2661 duplicated news and 1213 unrelated news were removed, and 236 news were selected. Using the NetMiner program, keyword co-occurrence frequency calculation, keyword centrality analysis, and topic modeling analysis were performed. Results: The results showed that the most frequently mentioned keywords with high degree centrality, betweenness centrality, and closeness centrality in online news were “hospital”, “medical”, “medicine”, “project”, and “treatment”. The topics of online news related to the patient safety campaign were “patient-centered care for medical safety”, “health promotion projects at a regional institution”, “hand hygiene education to prevent infection”, “healthcare quality improvement through the Mint Festival”, and “safe use of medicines”. Conclusions: This study analyzed patient safety campaign news topics using text network analysis and topic modeling. It was confirmed that patient safety campaigns are essential for fostering a patient safety culture, improving medical quality, and encouraging patient participation in hospitals. Therefore, to build a safe medical environment, it is necessary to establish an effective patient safety campaign for not only medical staff providing medical care, but also patients and their caregivers, and for this, cooperation and participation from various professional occupations are necessary.

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Patient Safety: Patient Involvement Matters

Cited by 3 publications

References 8 publications

Einbeziehung von Patient:innen zur Förderung von Patientensicherheit in Gesund-heitseinrichtungen in Deutschland

Einbeziehung von Patient:innen zur Förderung von Patientensicherheit in Gesund-heitseinrichtungen in Deutschland

Using patient feedback to predict effects of quality improvement initiatives

A Study on Internet News for Patient Safety Campaigns: Focusing on Text Network Analysis and Topic Modeling

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