PDF(Pubmed)
Abstract：
BACKGROUND: Successful breast cancer outcomes can be jeopardised by adverse events. Understanding and integrating patients\' and doctors\' perspectives into care trajectories could improve patient safety. This study assessed their views on, and experiences of, medical error and patient safety.
METHODS: A cross-sectional, quantitative 20-40 item questionnaire for patients attending Cork University Hospital Cancer Centre and breast cancer doctors in the Republic of Ireland was developed. Domains included demographics, medical error experience, patient safety opinions and concerns.
RESULTS: 184 patients and 116 doctors completed the survey. Of the doctors, 41.4% felt patient safety had deteriorated over the previous five years and 54.3% felt patient safety measures were inadequate compared to 13.0% and 27.7% of patients respectively. Of the 30 patients who experienced medical errors/negligence claims, 18 reported permanent or long-term physical and emotional effects. Forty-two of 48 (87.5%) doctors who experienced medical errors/negligence claims reported emotional health impacts. Almost half of doctors involved in negligence claims considered early retirement. Forty-four patients and 154 doctors didn\'t experience errors but reported their patient safety concerns. Doctors were more concerned about communication and administrative errors, staffing and organisational factors compared to patients. Multiple barriers to error reporting were highlighted.
CONCLUSIONS: This is the first study to assess patients\' and doctors\' patient safety views and medical error/negligence claims experiences in breast cancer care in Ireland. Experience of medical error/negligence claims had long-lasting implications for both groups. Doctors were concerned about a multitude of errors and causative factors. Failure to embed these findings is a missed opportunity to improve safety.
METHODS: A cross-sectional, quantitative 20-40 item questionnaire for patients attending Cork University Hospital Cancer Centre and breast cancer doctors in the Republic of Ireland was developed. Domains included demographics, medical error experience, patient safety opinions and concerns.
RESULTS: 184 patients and 116 doctors completed the survey. Of the doctors, 41.4% felt patient safety had deteriorated over the previous five years and 54.3% felt patient safety measures were inadequate compared to 13.0% and 27.7% of patients respectively. Of the 30 patients who experienced medical errors/negligence claims, 18 reported permanent or long-term physical and emotional effects. Forty-two of 48 (87.5%) doctors who experienced medical errors/negligence claims reported emotional health impacts. Almost half of doctors involved in negligence claims considered early retirement. Forty-four patients and 154 doctors didn\'t experience errors but reported their patient safety concerns. Doctors were more concerned about communication and administrative errors, staffing and organisational factors compared to patients. Multiple barriers to error reporting were highlighted.
CONCLUSIONS: This is the first study to assess patients\' and doctors\' patient safety views and medical error/negligence claims experiences in breast cancer care in Ireland. Experience of medical error/negligence claims had long-lasting implications for both groups. Doctors were concerned about a multitude of errors and causative factors. Failure to embed these findings is a missed opportunity to improve safety.
摘要：
背景：成功的乳腺癌预后可能会受到不良事件的威胁。了解患者和医生的观点并将其整合到护理轨迹中可以提高患者的安全性。这项研究评估了他们的观点，和经验，医疗错误和患者安全。
方法：横截面，为在科克大学医院癌症中心就诊的患者和爱尔兰共和国的乳腺癌医生制定了20-40项定量问卷。域包括人口统计，医疗错误经验，患者的安全意见和顾虑。
结果：184名患者和116名医生完成了调查。在医生中，41.4％的患者认为在过去的五年中，患者的安全性有所下降，54.3％的患者认为患者的安全措施不足，而分别为13.0％和27.7％的患者。在经历医疗错误/过失索赔的30名患者中，18人报告了永久或长期的身体和情绪影响。经历过医疗错误/过失索赔的48名医生中有42名（87.5％）报告了情绪健康影响。参与过失索赔的医生几乎有一半被认为提前退休。44名患者和154名医生没有出现错误，但报告了他们对患者安全的担忧。医生更关心沟通和管理错误，与患者相比，人员配备和组织因素。强调了错误报告的多重障碍。
结论：这是第一项评估患者和医生在爱尔兰乳腺癌护理中的患者安全观点和医疗错误/过失索赔经验的研究。医疗错误/过失索赔的经验对两组都有长期影响。医生担心许多错误和致病因素。未能嵌入这些发现是提高安全性的错失机会。
方法：横截面，为在科克大学医院癌症中心就诊的患者和爱尔兰共和国的乳腺癌医生制定了20-40项定量问卷。域包括人口统计，医疗错误经验，患者的安全意见和顾虑。
结果：184名患者和116名医生完成了调查。在医生中，41.4％的患者认为在过去的五年中，患者的安全性有所下降，54.3％的患者认为患者的安全措施不足，而分别为13.0％和27.7％的患者。在经历医疗错误/过失索赔的30名患者中，18人报告了永久或长期的身体和情绪影响。经历过医疗错误/过失索赔的48名医生中有42名（87.5％）报告了情绪健康影响。参与过失索赔的医生几乎有一半被认为提前退休。44名患者和154名医生没有出现错误，但报告了他们对患者安全的担忧。医生更关心沟通和管理错误，与患者相比，人员配备和组织因素。强调了错误报告的多重障碍。
结论：这是第一项评估患者和医生在爱尔兰乳腺癌护理中的患者安全观点和医疗错误/过失索赔经验的研究。医疗错误/过失索赔的经验对两组都有长期影响。医生担心许多错误和致病因素。未能嵌入这些发现是提高安全性的错失机会。
