Patients for Patient Safety: A Systematic Review_Chinese Journal of Evidence-Based Medicine

Authors：

LI Yulin ^1,2 , NIE Yanli ¹ , HUANG Yan ¹ ,  ZHANG Mingming ¹ , LI Jing ¹

1. Chinese Evidence Based Medicine Center, West China Hopital, Sichuan University, Chengdu 610041, China;2. The Second Affiliated Hospital of Chengdu University of Traditional Chinese Medicine, Chengdu 610041, China;

Corresponding author：

ZHANG Mingming, Email: lijing68@hotmail.com

Keywords：

Patient participation; Patient safety; Systematic review

DOI：

10.7507/1672-2531.20110153

Video：

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Objective 　To systematically review the abroad studies on patients for patient safety, and compare them with the current status of domestic studies, so as to provide suggestions for evidence-based strategic decision about how to conduct the education of patients for patient safety and improve the medical quality.
Methods 　The databases of MEDLINE, EMbase and Chinese Biomedical Literature Database (CBM) were searched to identify the relevant studies and their references. Literatures were screened with data extraction in accordance with the predefined inclusive and exclusive criteria. The quality of literatures was assessed with the standard of Cochrane Handbook 5.0 and Critical Appraisal Skills Programme, and the data were comprehensively analyzed with qualitative research methods.
Results 　Among 28 included studies, 5 were Chinese literatures, 1 was RCT, and the others were cross-sectional studies. The results showed that: a) Generally, the patients at home and abroad were poor in the awareness of patient safety, but they were eager to participate in the patient safety; b) Factors affecting patients’ participation were their characteristics, disease-related, and emotional feelings; c) Three studies reported the methods of involving patients in patient safety from the aspects of infection, malpractice, and medication; d) Some studies showed that patients’ participation could effectively promote the standardized operation of medical staffs, prevent unsafe events, and reduce damages; and e) The research contents of the included Chinese literatures were just related to the patients’ awareness of patient safety, attitude to participation, and influencing factors.
Conclusion 　The limited studies relevant to patients for patient safety are short of high-quality RCTs for proving the effectiveness of patient participation methods, so it indicates that the stress should be laid on evaluating the effectiveness of patients for patient safety in future research.

Citation： LI Yulin,NIE Yanli,HUANG Yan,ZHANG Mingming,LI Jing. Patients for Patient Safety: A Systematic Review. Chinese Journal of Evidence-Based Medicine, 2011, 11(8): 903-909. doi: 10.7507/1672-2531.20110153 Copy

1.	2 Kennedy J. Special message to the Congress on protecting the consumer interest. Public Papers of the Presidents of the United States , 1962, 93: 236.
2.	段玉蓉, 艾昌林, 张鸣明. 病人安全基本理念及其沿革. 中华医史杂志, 2009, 39(5): 299-302.
3.	Higgins J, Green Se. Cochrane Handbook for Systematic Reviews of Interventions Version 5.0.1 [updated September 2008]. The Cochrane Collaboration, 2008. www.cochrane-handbook.org.
4.	CASP. 10 questions to help you make sense of qualitative research 2006.
5.	Noblit G, Hare R. Meta-ethnography: synthesising qualitative studies. Newbury Park CA: Sage, 1988.
6.	Weingart SN, Toth M, Eneman J, et al . Lessons from a patient partnership intervention to prevent adverse drug events. Int J Qual Health Care , 2004, 16(6): 499-507.
7.	Abbate R, Di GG, Marinelli P, et al . Patients’ knowledge, attitudes, and behavior toward hospital-associated infections in Italy. Am J Infect Control , 2008, 36(1): 39-47.
8.	Burroughs TE, Waterman AD, Gallagher TH, et al . Patient concerns about medical errors in emergency departments. Acad Emerg Med , 2005, 12(1): 57-64.
9.	吴娴波, 柯雪梅, 王冬, 等. 医院门诊就诊人群医院感染知晓率的调查. 广东医学. 2007, 28(5): 802-804.
10.	柯雪梅, 吴娴波, 陈清. 医院门诊就诊人群医院感染的知信行调查. 护理学报, 2009, 16(21): 13-15.
11.	Gallagher TH, Waterman AD, Ebers AG, et al . Patients' and Physicians' Attitudes Regarding the Disclosure of Medical Errors. JAMA , 2003, 289(8): 1001-1007.
12.	Bernstein M, Potvin D, Martin DK. A qualitative study of attitudes toward error in patients facing brain tumour surgery. Can J Neurol Sci , 2004, 31(2): 208-212.
13.	Mazor KM, Simon SR, Yood RA, et al . Health plan members' views on disclosure of medical errors. Manag Care Interface , 2004, 17(5): 47, 51.
14.	Hibbard JH, Peters E, Slovic P, et al . Can patients be part of the solution? Views on their role in preventing medical errors. Medical Care Research and Review , 2005, 62(5): 601-616.
15.	Itoh K, Andersen HB, Madsen MD, et al . Patient views of adverse events: Comparisons of self-reported healthcare staff attitudes with disclosure of accident information. Appl Ergon , 2006, 37(4): 513-523.
16.	Waterman AD, Gallagher TH, Garbutt J, et al . Brief report: Hospitalized patients' attitudes about and participation in error prevention. J Gen Intern Med , 2006, 21(4): 367-370.
17.	Northcott H, Vanderheyden L, Northcott J, et al . Perceptions of preventable medical errors in Alberta, Canada. Int J Qual Health Care , 2008, 20(2): 115-122.
18.	凌秋英, 张晋昕, 许璧瑜, 等. 住院患者参与患者安全建设的情况及其影响因素分析. 护理学报, 2010, 17(16): 16-18.
19.	许璧瑜, 韩丹, 梁雪莹, 等. 患者参与患者安全的现状调查. 中华现代护理杂志, 2010, (24): 2877-2880.
20.	李颖, 武迎宏, 张丽洁. 门诊患者手卫生知识认知现状的调查分析. 中华医院感染学杂志, 2007, 17(3): 305-307.
21.	Davis RE, Koutantji M, Vincent CA. How willing are patients to question healthcare staff on issues related to the quality and safety of their healthcare? An exploratory study. Qual Saf Health Care , 2008, 17(2): 90-96.
22.	Eldh AC, Ekman I, Ehnfors M. Considering patient non-participation in health care. Health Expect , 2008, 11(3): 263-271.
23.	Longtin Y, Sax H, Allegranzi B, et al . Patients' beliefs and perceptions of their participation to increase healthcare worker compliance with hand hygiene. Infect Control Hosp Epidemiol , 2009, 30(9): 830-839.
24.	McGuckin M, Waterman R, Shubin A. Consumer attitudes about health care-acquired infections and hand hygiene. Am J Med Qual , 2006, 21(5): 342-346.
25.	Duncan C. An exploratory study of patient’s feelings about asking healthcare professionals to wash their hands. J Ren Care , 2007, 33(1): 30-34.
26.	Luszczynska A, Gunson KS. Predictors of asking medical personnel about handwashing: The moderating role of patients’ age and MRSA infection status. Patient Educ Couns , 2007, 68(1): 79-85.
27.	Unruh KT, Pratt W. Patients as actors: the patient's role in detecting, preventing, and recovering from medical errors. Int J Med Inform , 2007, 76 Suppl 1: S236-44.
28.	McGuckin M, Waterman R, Storr IJ, et al . Evaluation of a patient-empowering hand hygiene programme in the UK. J Hosp Infect , 2001, 48(3): 222-227.
29.	McGuckin M, Taylor A, Martin V, et al . Evaluation of a patient education model for increasing hand hygiene compliance in an inpatient rehabilitation unit. Am J Infect Control , 2004, 32(4): 235-238.
30.	Lent V, Eckstein EC, Cameron AS, et al . Evaluation of patient participation in a patient empowerment initiative to improve hand hygiene practices in a Veterans Affairs medical center. Am J Infect Control , 2009, 37(2): 117-120.
31.	Bittle MJ, LaMarche S. Engaging the patient as observer to promote hand hygiene compliance in ambulatory care. Jt Comm J Qual Patient Saf , 2009, 35(10): 519-525.
32.	Burnett E, Lee K, Rushmer R, et al . Healthcare-associated infection and the patient experience: a qualitative study using patient interviews. J Hosp Infect , 2010, 74(1): 42-47.
33.	Cumbler E, Wald H, Kutner J. Lack of patient knowledge regarding hospital medications. J Hosp Med , 2010, 5(2): 83-86.
34.	WHO启动“病人安全九项措施”. http://www.patientsafety.net.cn.

1. 2 Kennedy J. Special message to the Congress on protecting the consumer interest. Public Papers of the Presidents of the United States , 1962, 93: 236.
2. 段玉蓉, 艾昌林, 张鸣明. 病人安全基本理念及其沿革. 中华医史杂志, 2009, 39(5): 299-302.
3. Higgins J, Green Se. Cochrane Handbook for Systematic Reviews of Interventions Version 5.0.1 [updated September 2008]. The Cochrane Collaboration, 2008. www.cochrane-handbook.org.
4. CASP. 10 questions to help you make sense of qualitative research 2006.
5. Noblit G, Hare R. Meta-ethnography: synthesising qualitative studies. Newbury Park CA: Sage, 1988.
6. Weingart SN, Toth M, Eneman J, et al . Lessons from a patient partnership intervention to prevent adverse drug events. Int J Qual Health Care , 2004, 16(6): 499-507.
7. Abbate R, Di GG, Marinelli P, et al . Patients’ knowledge, attitudes, and behavior toward hospital-associated infections in Italy. Am J Infect Control , 2008, 36(1): 39-47.
8. Burroughs TE, Waterman AD, Gallagher TH, et al . Patient concerns about medical errors in emergency departments. Acad Emerg Med , 2005, 12(1): 57-64.
9. 吴娴波, 柯雪梅, 王冬, 等. 医院门诊就诊人群医院感染知晓率的调查. 广东医学. 2007, 28(5): 802-804.
10. 柯雪梅, 吴娴波, 陈清. 医院门诊就诊人群医院感染的知信行调查. 护理学报, 2009, 16(21): 13-15.
11. Gallagher TH, Waterman AD, Ebers AG, et al . Patients' and Physicians' Attitudes Regarding the Disclosure of Medical Errors. JAMA , 2003, 289(8): 1001-1007.
12. Bernstein M, Potvin D, Martin DK. A qualitative study of attitudes toward error in patients facing brain tumour surgery. Can J Neurol Sci , 2004, 31(2): 208-212.
13. Mazor KM, Simon SR, Yood RA, et al . Health plan members' views on disclosure of medical errors. Manag Care Interface , 2004, 17(5): 47, 51.
14. Hibbard JH, Peters E, Slovic P, et al . Can patients be part of the solution? Views on their role in preventing medical errors. Medical Care Research and Review , 2005, 62(5): 601-616.
15. Itoh K, Andersen HB, Madsen MD, et al . Patient views of adverse events: Comparisons of self-reported healthcare staff attitudes with disclosure of accident information. Appl Ergon , 2006, 37(4): 513-523.
16. Waterman AD, Gallagher TH, Garbutt J, et al . Brief report: Hospitalized patients' attitudes about and participation in error prevention. J Gen Intern Med , 2006, 21(4): 367-370.
17. Northcott H, Vanderheyden L, Northcott J, et al . Perceptions of preventable medical errors in Alberta, Canada. Int J Qual Health Care , 2008, 20(2): 115-122.
18. 凌秋英, 张晋昕, 许璧瑜, 等. 住院患者参与患者安全建设的情况及其影响因素分析. 护理学报, 2010, 17(16): 16-18.
19. 许璧瑜, 韩丹, 梁雪莹, 等. 患者参与患者安全的现状调查. 中华现代护理杂志, 2010, (24): 2877-2880.
20. 李颖, 武迎宏, 张丽洁. 门诊患者手卫生知识认知现状的调查分析. 中华医院感染学杂志, 2007, 17(3): 305-307.
21. Davis RE, Koutantji M, Vincent CA. How willing are patients to question healthcare staff on issues related to the quality and safety of their healthcare? An exploratory study. Qual Saf Health Care , 2008, 17(2): 90-96.
22. Eldh AC, Ekman I, Ehnfors M. Considering patient non-participation in health care. Health Expect , 2008, 11(3): 263-271.
23. Longtin Y, Sax H, Allegranzi B, et al . Patients' beliefs and perceptions of their participation to increase healthcare worker compliance with hand hygiene. Infect Control Hosp Epidemiol , 2009, 30(9): 830-839.
24. McGuckin M, Waterman R, Shubin A. Consumer attitudes about health care-acquired infections and hand hygiene. Am J Med Qual , 2006, 21(5): 342-346.
25. Duncan C. An exploratory study of patient’s feelings about asking healthcare professionals to wash their hands. J Ren Care , 2007, 33(1): 30-34.
26. Luszczynska A, Gunson KS. Predictors of asking medical personnel about handwashing: The moderating role of patients’ age and MRSA infection status. Patient Educ Couns , 2007, 68(1): 79-85.
27. Unruh KT, Pratt W. Patients as actors: the patient's role in detecting, preventing, and recovering from medical errors. Int J Med Inform , 2007, 76 Suppl 1: S236-44.
28. McGuckin M, Waterman R, Storr IJ, et al . Evaluation of a patient-empowering hand hygiene programme in the UK. J Hosp Infect , 2001, 48(3): 222-227.
29. McGuckin M, Taylor A, Martin V, et al . Evaluation of a patient education model for increasing hand hygiene compliance in an inpatient rehabilitation unit. Am J Infect Control , 2004, 32(4): 235-238.
30. Lent V, Eckstein EC, Cameron AS, et al . Evaluation of patient participation in a patient empowerment initiative to improve hand hygiene practices in a Veterans Affairs medical center. Am J Infect Control , 2009, 37(2): 117-120.
31. Bittle MJ, LaMarche S. Engaging the patient as observer to promote hand hygiene compliance in ambulatory care. Jt Comm J Qual Patient Saf , 2009, 35(10): 519-525.
32. Burnett E, Lee K, Rushmer R, et al . Healthcare-associated infection and the patient experience: a qualitative study using patient interviews. J Hosp Infect , 2010, 74(1): 42-47.
33. Cumbler E, Wald H, Kutner J. Lack of patient knowledge regarding hospital medications. J Hosp Med , 2010, 5(2): 83-86.
34. WHO启动“病人安全九项措施”. http://www.patientsafety.net.cn.

Chinese Journal of Evidence-Based Medicine

Patients for Patient Safety: A Systematic Review

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