Patients and Health Workers’ Engagement in Patient Safety in Healthcare in Kitgum General Hospital

Download Article


Authors : Omona Kizito

Abstract:

Introduction: The delivery of health care is known to involve potential safety risks for the patients who are supposed to benefit from medical treatment and care. Over the years, efforts have been put in place to reduce the occurrence of safety risks and improve on patient quality of care. Both the health care providers and patients have their respective roles to play. Bringing on board patients in efforts to minimise safety risks, also known as patient engagement, proved effective.

Objectives: The objectives of the study were; to ascertain the level of awareness about patient safety in healthcare among patients and health workers, to determine the level of health workers engagement in patient safety in healthcare, assess the level of patient engagement in patient safety, as well as to determine the factors affecting patients and health workers engagement in patient safety in health care in Kitgum General Hospital.

Methods: This was a descriptive, cross sectional study of patients and health workers’ engagement in patient safety in healthcare in Kitgum General Hospital (KGH). The study took both qualitative and quantitative dimensions. A probability sample of 384 patients was interviewed using structured questionnaires and 103health workers were studied by observation and key informant interviews. Documentation review of previous patient files (50files) was carried out to assess the depth of patient identification, as a measure to minimize medical errors. Pre-testing of the questionnaires and training of research Assistants were done prior to the study to ensure quality of the research. Ethical considerations in research were strictly adhered to.

Results: The level of awareness about patient safety among patients and health workers was found to be 46.5% and 51% respectively.

The level of health workers engagement in patient safety was found to be 51.4% while engagement of patients in patient safety was at 52.1%

The factors affecting patients and health workers engagement were mainly demographic factors such as age and level of education, among others.

Conclusion: In conclusion, health workers in KGH were 4.5% more aware about patient safety than the patients. However, patients in KGH are 0.7% more engaged in patient safety than the health workers.

References:

7.1: Journal Article

[1] Bahadori, M., Ravangard, R., Aghili, A., Sadeghifar, J., Gharsi Manshadi, M. & Smaeilnejad, J. 2013. The factors affecting the refusal of reporting on medication errors from the nurses' viewpoints: a case study in a hospital in iran. ISRN nursing [Online], 2013. Available: http://downloads.hindawi.com/isrn/nursing/2013/876563.pdf http://www.ncbi.nlm.nih.gov/pmc/articles/PMC3649500/pdf/ISRN.NURSING2013-876563.pdf [Accessed 19/11/2013].

7.2: Journal Article

[2] Beckett, R. D., Sheehan, A. H. & Reddan, J. G. 2012. Factors associated with reported preventable adverse drug events: a retrospective, case-control study. The Annals of pharmacotherapy [Online], 46. Available: http://aop.sagepub.com/content/46/5/634 [Accessed 19/11/2013].

7.3: Journal Article

[3] Dennison, R. D. 2005. Creating an organizational culture for medication safety. The Nursing clinics of North America [Online], 40. Available: http://www.sciencedirect.com/science/article/pii/S0029646504001148 [Accessed 11/12/2013].

7.4: Newsletter

[4] EvidenceScan. 2013. Involving patients in improving safety. The Health Foundation [Online]. Available: www.health.org.uk/enewsletter [Accessed 06/12/2013].

7.5: Journal Article

[5]Forster, A. J., Asmis, T. R., Clark, H. D., Al Saied, G., Code, C. C., Caughey, S. C., Baker, K., Watters, J., Worthington, J. & van Walraven, C. 2004. Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 170, 1235-40.

7.6: Journal Article

[6] Friedman, B., Encinosa, W., Jiang, H. J. & Mutter, R. 2009. Do patient safety events increase readmissions? Medical care [Online], 47. [Accessed 19/11/2013].

7.7: Journal Article

Greenwald, J. L., Halasyamani, L., Greene, J., LaCivita, C., Stucky, E., Benjamin, B., Reid, W., Griffin, F. A., Vaida, A. J. & Williams, M. V. 2010. Making inpatient medication reconciliation patient centered, clinically relevant and implementable: a consensus statement on key principles and necessary first steps. Journal of hospital medicine : an official publication of the Society of Hospital Medicine [Online], 5. Available: http://onlinelibrary.wiley.com/store/10.1002/jhm.849/asset/849_ftp.pdf?v=1&t=hozpwm56&s=d8bb04c32db985ac78a56cac46f0bd60d839f964 [Accessed 9/12/2013].

7.8: Journal Article

[7] Gruman, J., M., H.-R., ME., F., D., J., S., S., D., S. & DC., P. 2010. A New Definition of Patient Engagement: What is Engagement and Why is it Important? Center For Advancing Health [Online], Vol. 78 Available: http://www.cfah.org/pdfs/CFAH_Engagement_Behavior_Framework_current.pdf [Accessed 9/12/2013].

7.9: Journal Article

[8] Helle, M. M. & Larsen., J. 2012. Patient involvement in Patient Safety: A literature review about European primary care. The Danish Institute for Health Services Research [Online]. Available: www.dsi.dk [Accessed 1/12/2013].

7.10: Newsletter

[9] NEHI. 2011. Preventing Medication Errors: A $21 Billion Opportunity. BEND THE CURVE [Online]. Available: http://www.nehi.net/bendthecurve/sup/documents/Medication_Errors_%20Brief.pdf [Accessed 7/12/2013].

7.11: Newsletter

[10] NPSF. 2010. Focus on Patient Safety. National Patient Safety Foundation [Online].

7.12: Project Report

[11] Parsons, S., Winterbottom, A., Cross, P. & D.Redding. 2010. The quality of patient engagement and involvement in primary care Ideas that change Healthcare [Online]. Available: http://www.pickereurope.org/assets/content/pdf/Project_Reports/Quality_Patient_Engagement_Primary_Care_Kings_Fund_July_2010.pdf [Accessed 31/12/2013].

7.13: Web page

[12] PSNet. 2007. Advancing Exellence in Health Care. Agency for Healthcare Research and Quality [Online]. Available: www.ahrq.gov, http://psnet.ahrq.gov/primer.aspx?primerID=17 [Accessed 2/12/2013].

7.14: Chapter in a Book

[13] Valentin, A., Capuzzo, M., Guidet, B., Moreno, R. P., Dolanski, L., Bauer, P. & Metnitz, P. G. 2006. Patient safety in intensive care: results from the multinational Sentinel Events Evaluation (SEE) study. Intensive Care Med, 32, 1591-8.

7.15: Chapter in a Book

[14] Valentin, A., Schiffinger, M., Steyrer, J., Huber, C. & Strunk, G. 2013. Safety climate reduces medication and dislodgement errors in routine intensive care practice. Intensive Care Med, 39, 391-8.

7.16: Presentation

[15] Vigar, D. 2009. Patient Safety and Required Organisational Practices. Accreditation Canada International [Online]. Available: http://www.moh.gov.bh/pdf/Conferences/MedicalError/Conference%20prsentation/day2/David%20Vigar.pdf [Accessed 1/12/2013].

 

 

 

7.17: Journal Article

[16] Weingart, S. N., Pagovich, O., Sands, D. Z., Li, J. M., Aronson, M. D., Davis, R. B., Bates, D. W. & Phillips, R. S. 2005. What can hospitalized patients tell us about adverse events? Learning from patient-reported incidents. J Gen Intern Med, 20, 830-6.

7.18: Book

[17] WHO. 2004. WHO patient safety. World Alliance for Patients Safety [Online]. Available: www.who.int/patientsafety [Accessed 1/12/2013].

7.19: Book

[18] WHO. 2013. Exploring patient participation in reducing Health care related safety risks. Patients' rights and patient Safety [Online]. Available: www.euro.who.int/__data/assets/pdf file/0010/185779/e96814.pdf [Accessed 19/11/2013].

7.20: Book

[19] Wolf, Z. R. & Hughes, R. G. 2008. Error Reporting and Disclosure. Patient Safety and Quality: An Evidence-Based Handbook for Nurses: Vol. 2 [Online]. Available: www.ahrq.gov/legacy/qual/nurseshdbk/ [Accessed 19/11/2013].

7.21: Journal Article

[20] Yu, H., Greenberg, M. D., Haviland, A. M. & Farley, D. O. 2012. Multiple patient safety events within a single hospitalization: a national profile in US hospitals. Am J Med Qual, 27, 472-9.

7.22: Journal Article

[21] Yves, L., S., H. & Pittet, D. 2010. Patient Participation: Current Knowledge and Applicability to Patient Safety. The Mayo Foundation for Medical Education and Research [Online]. Available: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2800278/ [Accessed 9/12/2013].

7.23: Journal Article

[22] Albolino, S., Tartaglia, R., Bellandi, T., Amicosante, A. M., Bianchini, E. & Biggeri, A. 2010. Patient safety and incident reporting: survey of Italian healthcare workers. Quality & safety in health care [Online], 19 Suppl 3. Available: http://qualitysafety.bmj.com/content/19/Suppl_3/i8.long [Accessed 11/12/2013].

7.24: Journal Article

Charles, C., Gauld, M., Chambers, L., O'Brien, B., Haynes, R. B. & Labelle, R. 1994. How was your hospital stay? Patients' reports about their care in Canadian hospitals. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne [Online], 150. Available: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1337056/pdf/cmaj00047-0075.pdf [Accessed 15/12/2013].

7.25: Journal Article

[24] Chiang, H. Y., Lin, S. Y., Hsiao, Y. C. & Chang, Y. 2012. Culture influence and predictors for behavioral involvement in patient safety among hospital nurses in Taiwan. Journal of nursing care quality [Online], 27. Available: http://www.ncbi.nlm.nih.gov/pubmed/?term=Culture+influence+and+predictors+for+behavioral+involvement+in+patient+safety+among+hospital+nurses+in+Taiwan [Accessed 11/19/2013].

7.26: Web Page

[25] Clarke, J. R. 2006. How a system for reporting medical errors can and cannot improve patient safety. The American surgeon [Online], 72. Available: http://www.ncbi.nlm.nih.gov/pubmed/17120952 [Accessed 11/12/2013].

 

7.27: Web Page

[26] Coulter, A. & Ellins, J. 2006. Patient-focused interventions A review of the evidence [Online]. Available: http://www.health.org.uk/publications/patient-focused-interventions/ [Accessed 31/12/2013].

7.28: Journal Article

Coulter, A. & Ellins, J. 2007. Effectiveness of strategies for informing, educating, and involving patients. BMJ [Online], 335. Available: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1910640/pdf/bmj-335-7609-ac-00024.pdf [Accessed 31/12/2013].

7.29: Journal Article

Davis, R., Anderson, O., Vincent, C., Miles, K. & Sevdalis, N. 2012. Predictors of hospitalized patients' intentions to prevent healthcare harm: a cross sectional survey. International journal of nursing studies [Online], 49. Available: www.ncbi.nlm.nih.gov/pubmed/22098924 [Accessed 9/12/2013].

7.30: Journal Article

[27] Davis, R. E., Jacklin, R., Sevdalis, N. & Vincent, C. A. 2007. Patient involvement in patient safety: what factors influence patient participation and engagement? Health expectations : an international journal of public participation in health care and health policy [Online], 10. Available: http://onlinelibrary.wiley.com/doi/10.1111/j.1369-7625.2007.00450.x/abstract [Accessed 9/12/2013].

7.31: Journal Article

Davis, R. E., Koutantji, M. & Vincent, C. A. 2008. How willing are patients to question healthcare staff on issues related to the quality and safety of their healthcare? An exploratory study. Quality & safety in health care [Online], 17. Available: http://qualitysafety.bmj.com/content/17/2/90 [Accessed 9/12/2013].

7.32: Journal Article

[28] Davis, R. E., Sevdalis, N. & Vincent, C. A. 2011. Patient involvement in patient safety: How willing are patients to participate? BMJ quality & safety [Online], 20. Available: http://qualitysafety.bmj.com/content/20/1/108 [Accessed 9/12/2013].

7.33: Journal Article

[29] Delbanco, T. L., Stokes, D. M., Cleary, P. D., Edgman-Levitan, S., Walker, J. D., Gerteis, M. & Daley, J. 2005. Medical patients' assessments of their care during hospitalization: insights for internists. Journal of general internal medicine [Online], 10. Available: http://www.ncbi.nlm.nih.gov/pubmed/8770720 [Accessed 14/12/2013].

7.34: Journal Article

[30] Elwyn, G., Edwards, A., Wensing, M., Hood, K., Atwell, C. & Grol, R. 2003. Shared decision making: developing the OPTION scale for measuring patient involvement. Quality & safety in health care [Online], 12. Available: http://qualitysafety.bmj.com/content/12/2/93.full.pdf [Accessed 9/12/2013].

7.35: Journal Article

[31] Entwistle, V. A., McCaughan, D., Watt, I. S., Birks, Y., Hall, J., Peat, M., Williams, B. & Wright, J. 2010. Speaking up about safety concerns: multi-setting qualitative study of patients' views and experiences. Quality & safety in health care [Online], 19. Available: http://qualitysafety.bmj.com/content/19/6/e33 [Accessed 31/12/2013].

 

7.36: Journal Article

[32] Entwistle, V. A. & Quick, O. 2006. Trust in the context of patient safety problems. Journal of health organization and management [Online], 20. Available: http://www.ncbi.nlm.nih.gov/pubmed/17087402 [Accessed 31/12/2013].

7.37: Journal Article

[33] Forster, A. J., Asmis, T. R., Clark, H. D., Al Saied, G., Code, C. C., Caughey, S. C., Baker, K., Watters, J., Worthington, J. & van Walraven, C. 2004. Ottawa Hospital Patient Safety Study: incidence and timing of adverse events in patients admitted to a Canadian teaching hospital. CMAJ : Canadian Medical Association journal = journal de l'Association medicale canadienne, 170, 1235-40.

7.38: Journal Article

[34] Frey, B., Ersch, J., Bernet, V., Baenziger, O., Enderli, L. & Doell, C. 2009. Involvement of parents in critical incidents in a neonatal-paediatric intensive care unit. Quality & safety in health care, 18, 446-9.

7.39: Journal article

[35] Hall, J., Peat, M., Birks, Y., Golder, S., Entwistle, V., Gilbody, S., Mansell, P., McCaughan, D., Sheldon, T., Watt, I., Williams, B. & Wright, J. 2010. Effectiveness of interventions designed to promote patient involvement to enhance safety: a systematic review. Quality & safety in health care [Online], 19. [Accessed 31/12/2013].

7.40: Journal Article

[36] Hibbard, J. H., Mahoney, E. R., Stock, R. & Tusler, M. 2007. Do Increases in Patient Activation Result in Improved Self-Management Behaviors? Health Services Research [Online], 42. Available: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1955271/pdf/hesr0042-1443.pdf [Accessed 16/12/2013].

7.41: Presentation

[37] Hibbard, J. H., Peters, E., Slovic, P. & Tusler, M. 2005. Can patients be part of the solution? Views on their role in preventing medical errors. Medical care research and review : MCRR [Online], 62. Available: http://mcr.sagepub.com/content/62/5/601 [Accessed 23/12/2013].

7.42: Journal Article

[38] Howe, A. 2006. Can the patient be on our team? An operational approach to patient involvement in interprofessional approaches to safe care. Journal of interprofessional care [Online], 20. Available: http://www.ncbi.nlm.nih.gov/pubmed/17000478 [Accessed 31/12/2013].

7.43: Web Page

Kingston-Riechers, J., Ospina, M., Jonsson, E., P. Childs, McLeod, L. & Maxted, J. 2009. Patient Safety In Primary Care. Canadian Patient Safety Institute & BC Patient Safety and Quality Council [Online]. Available: http://www.patientsafetyinstitute.ca/English/research/commissionedResearch/primaryCare/Documents/Primary%20Care%202010.pdf [Accessed 31/12/2013].

7.44:Report

[39] Kommune, K. 2010. The nursing professional response to living at home citizens who use multiple drugs simultaneously. A report on the achievements and challenges of medicine in home care. The Danish Institute for Health Services Research [Online]. Available: www.htk.dk/.../Byraad-Dagsorden-19-06-2012.pdf [Accessed 31/12/2013].

 

 

7.45: Journal Article

[40] Longtin, Y., S., H. & Pittet, D. 2010. Patient Participation: Current Knowledge and Applicability to Patient Safety. The Mayo Foundation for Medical Education and Research [Online]. Available: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC2800278/ [Accessed 9/12/2013].

7.46: Journal Article

Lu, C. Y. & Roughead, E. 2011. Determinants of patient-reported medication errors: a comparison among seven countries. International journal of clinical practice [Online], 65. Available: http://onlinelibrary.wiley.com/store/10.1111/j.1742-1241.2011.02671.x/asset/j.1742-1241.2011.02671.x.pdf?v=1&t=hp3wpau0&s=1f1e6bc9ec7208347e9265e9e9ce0be0470672a5 [Accessed 12/12/2013].

7.47: Journal Article

[41] Marella, W., Finley, E., Thomas, A. & Clarke, J. 2007. Health Care Consumers' Inclination to Engage in Selected Patient Safety Practices: A Survey of Adults in Pennsylvania. Journal of Patient Safety [Online], 3. Available: www.psnet.ahrq.gov/resource.aspx?resourceID 6438 [Accessed 16/12/2013].

7.48: Journal Article

[42] Ocloo, J. E. 2010. Harmed patients gaining voice: challenging dominant perspectives in the construction of medical harm and patient safety reforms. Social science & medicine (1982) [Online], 71. Available: http://www.sciencedirect.com/science/article/pii/S0277953610003369 [Accessed 31/12/2013].

7.49: Project Report

[43] Parsons, S., Winterbottom, A., Cross, P. & D.Redding. 2010. The quality of patient engagement and involvement in primary care Ideas that change Healthcare [Online]. Available: http://www.pickereurope.org/assets/content/pdf/Project_Reports/Quality_Patient_Engagement_Primary_Care_Kings_Fund_July_2010.pdf [Accessed 31/12/2013].

7.50: Chapter in a Book

[44] Pearson, A. & Aromataris, E. 2009. Patient Safety in Primary Healthcare: a review of the literature. Australian Commission on Safety and Quality in Health Care [Online]. Available: http://www.safetyandquality.gov.au/wp-content/uploads/2009/01/Patient-Safety-in-Primary-Health-Care-A-Review-of-the-Literature-2009.pdf [Accessed 31/12/2013].

7.51: Journal Article

[45] Sandars, J. 2007. Recent developments in patient safety in primary care. Quality in Primary Care [Online], Volume 15. Available: http://www.ingentaconnect.com/content/rmp/qpc/2007/00000015/00000003/art00008 [Accessed 31/12/2013].

7.52: Newsletter

[46] Schwappach, D. L. 2011. Frequency of and predictors for patient-reported medical and medication errors in Switzerland. Swiss medical weekly [Online], 141. Available: http://www.smw.ch/content/smw-2011-13262/ [Accessed 12/12/2013].

 

 

 

7.53: Journal Article

Schwappach, D. L. B. 2010. Review: Engaging Patients as Vigilant Partners in Safety: A Systematic Review. Swiss Patient Safety Foundation, Zurich, Switzerland, [Online]. Available: http://mcr.sagepub.com/content/67/2/119.abstract [Accessed 31/12/2013].

7.54: Journal Article

Waterman, A. D., Gallagher, T. H., Garbutt, J., Waterman, B. M., Fraser, V. & Burroughs, T. E. 2006. BRIEF REPORT: Hospitalized Patients' Attitudes About and Participation in Error Prevention. Journal of General Internal Medicine [Online], 21. Available: http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1484719/pdf/jgi021-0367.pdf [Accessed 13/12/2013].

7.55: Book

[47] MoH, 2009. Department of quality assurance. patients' charter. Kampala, MoH

7.56: Web Page

[48] Woodward, S. 2005. Seven Steps to Patient Safety for Primary Care. The Full Reference Guide. National Patient Safety Agency [Online]. Available: www.nrls.npsa.nhs.uk [Accessed 31/12/2013].