Structuring Patient And Family Involvement In Medical Error Event Disclosure And Analysis
Structuring Patient And Family Involvement In Medical Error Event Disclosure And Analysis
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DOI：
10.1377/hlthaff.2013.0831
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发表时间：
2014-01-01
期刊：
影响因子：
9.7
通讯作者：
Thomas, Eric J.
中科院分区：
文献类型：
--
作者：
Etchegaray, Jason M.;Ottosen, Madelene J.;Thomas, Eric J.
不良事件披露的研究通常集中在事件发生后对患者和家属说的话上。但是，人们也越来越有兴趣确定患者及其家属如何参与对伤害他们的不良事件的分析。我们进行了一项两阶段研究，以了解在医疗错误披露后，经历过不良事件的患者和家属是否应该参与事件后分析。我们首先对患者、家属、临床医生和管理人员进行了28次访谈，以确定患者和家属在事件分析过程中的参与程度，并了解如何改善他们的体验。然后，我们在2011年10月举行的为期一天的全国会议上回顾了我们与患者和医疗保健专家的访谈结果。在评估研究结果后，与会者得出结论，增加患者及其家属在事件分析过程中的参与是可取的，但需要以患者为中心的方式进行组织才能取得成功。最后，我们描述了何时以及如何将患者的信息纳入事件分析过程，并就如何实现这一点提供了建议。
The study of adverse event disclosure has typically focused on the words that are said to the patient and family members after an event. But there is also growing interest in determining how patients and their families can be involved in the analysis of the adverse events that harmed them. We conducted a two-phase study to understand whether patients and families who have experienced an adverse event should be involved in the postevent analysis following the disclosure of a medical error. We first conducted twenty-eight interviews with patients, family members, clinicians, and administrators to determine the extent to which patients and family members are included in event analysis processes and to learn how their experiences might be improved. Then we reviewed our interview findings with patients and health care experts at a one-day national conference in October 2011. After evaluating the findings, conference participants concluded that increasing the involvement of patients and their families in the event analysis process was desirable but needed to be structured in a patient-centered way to be successful. We conclude by describing when and how information from patients might be incorporated into the event analysis process and by offering recommendations on how this might be accomplished.