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J Gen Intern Med. 2005 Oct;20(10):922-8.

Patient reports of undesirable events during hospitalization.

Author information

1
Quality of Care Service, Geneva University Hospitals, Geneva, Switzerland.

Abstract

BACKGROUND:

Thus far, incident reporting in health care has relied on health professionals. However, patients too may be able to signal the occurrence of undesirable events.

OBJECTIVE:

To estimate the frequency of undesirable events reported by recently discharged patients, and to identify correlates of undesirable events.

DESIGN:

Mailed patient survey.

SETTING:

Swiss public teaching hospital.

PARTICIPANTS:

Adult patients (N=1,518) discharged from hospital.

MEASUREMENTS:

Self-reports of 27 undesirable events during hospitalization, including 9 medical complications, 9 interpersonal problems, and 9 incidents related to the health care process.

RESULTS:

Most survey respondents (1,433, 94.4%) completed the section about undesirable events, and 725 (50.6%) reported at least 1 event. The most frequent events were phlebitis (11.0%), unavailable medical record (9.5%), failure to respect confidentiality (8.4%), and hospital-acquired infection (8.2%). The odds of an unfavorable rating increased with each additional interpersonal problem (odds ratio [OR] 1.6, 95% confidence interval [CI] 1.3 to 1.8), each additional process-related problem (OR 1.5, 95% CI 1.3 to 1.9), but not with each additional medical complication (OR 1.0, 95% CI 0.9 to 1.2). Longer duration of stay, poor health, and depressed mood were all related to a greater reported frequency of undesirable events.

CONCLUSION:

Patients are able to report undesirable events that occur during hospital care. Such events occur in about a half of the hospitalizations, and have a negative impact on satisfaction with care.

PMID:
16191139
PMCID:
PMC1490233
DOI:
10.1111/j.1525-1497.2005.0225.x
[Indexed for MEDLINE]
Free PMC Article

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