Hospital patients' reports of medical errors and undesirable events in their health care.
OBJECTIVE
To investigate hospital patients' reports of undesirable events in their health care.


METHODS
Cross-sectional mixed methods design.


METHODS
A total of 80 medical and surgical patients (mean age 58, 56 male).


METHODS
Patients were interviewed post-discharge using a survey to assess patient reports of errors or problems in their care. Patients' medical records and notes were also reviewed.


METHODS
Frequency of health care process problems, medical complications and interpersonal problems, and patient willingness to report an undesirable event in their care.


RESULTS
In total, 258 undesirable events were reported (rate of 3.2 per person), including 136 interpersonal problems, 90 medical complications and 32 health care process problems. Patients identified a number of events that were reported in the medical records (30 out of 36). In addition, patients reported events that were not recorded in the medical records. Patients were more willing (P < 0.05) to report undesirable events to a researcher (as in the present case) than to a local or national reporting system.


CONCLUSIONS
Patients appear able to report undesirable events that occur in their health care management over and above those that are recorded in their medical records. However, patients appear more willing to report these incidents for the purpose of a study rather than to an established incident reporting system. Interventions aimed at educating and encouraging patients about incident reporting systems need to be developed in order to enhance this important contribution patients could make to improving patient safety.
Research Associate Senior Lecturer Emeritus Professor Clinical Research Fellow Professor of Patient Safety, Imperial College London, Clinical Safety Research Unit, Department of Bio-Surgery and Surgical Technology, St. Mary's Hospital, London, UK.
Rachel E
RE
Davis
Nick
N
Sevdalis
Graham
G
Neale
Rachel
R
Massey
Charles A
CA
Vincent
D003430:Cross-Sectional Studies; D005260:Female; D006760:Hospitalization / Q000706:statistics & numerical data*; D006801:Humans; D008131:London; D008297:Male; D019300:Medical Errors / Q000517:prevention & control / Q000523:psychology / Q000706:statistics & numerical data; D008501:Medical Records, Problem-Oriented / Q000706:statistics & numerical data*; D008875:Middle Aged; D017063:Outcome Assessment, Health Care / Q000706:statistics & numerical data; D010358:Patient Participation; D010361:Patients / Q000523:psychology / Q000706:statistics & numerical data; D058996:Quality Improvement; D012308:Risk Management / Q000592:standards / Q000706:statistics & numerical data