RESEARCH PAPER
Occurrence of adverse events in the activity of hospital wards in the opinions of doctors and nursing management staff
 
More details
Hide details
1
Department of Emergency Medical Services, Faculty of Medicine Andrzej Frycz Modrzewski Krakow University, Poland
2
National Center for Quality Assessment in Health Care, Krakow, Poland
3
Department of Health Economics and Medical Law, Medical University of Warsaw, Warsaw, Poland
4
Department of Biophysics and Human Physiology, Medical University of Warsaw, Poland
CORRESPONDING AUTHOR
Marcin Mikos   

Department of Emergency Medical Services, Faculty of Medicine Andrzej Frycz Modrzewski Krakow University, Poland, G. Herlinga-Grudzińskiego 1, 30-705, Cracow, Poland
 
KEYWORDS
TOPICS
ABSTRACT
Introduction:
An adverse event is an incident induced while providing health care services or resulting from it, not related to the natural course of a given disease or health condition, which causes or is likely to cause negative consequences for the patient, including their death, a threat to life, the necessity of hospitalisation or its prolongation, permanent or considerable health detriment; or is a foetal disease, congenital defect or the result of foetal damage.

Objective:
The aim of this analysis is to explore the problem of the occurrence of adverse events from the perspective of doctors and ward nurses who manage wards.

Material and methods:
The research on the occurrence of adverse events among doctors and nurses (the management staff) was conducted with the use of a postal survey.

Results:
It was ascertained that 86.5% of the medical personnel had taken part in an adverse event, of which 20.2% took part in an occurrence associated with pharmacotherapy, 16.2% – in an event related to diagnostics and diagnosis, or an infection – 15.7%. 14.2% of respondents were involved in an occurrence linked to a medical device malfunction, and 14.1% – in an adverse event related to an operation.

Conclusions:
The adverse events most often identified in the nursing professional group are occurrences associated with pharmacotherapy, and in the doctors’ professional group – occurrences related to diagnostics and diagnosis. The research established that the most frequent reason for not informing patients about the occurrence of an adverse event is fear of their filing a complaint. Medical management staff show high acceptance of an adverse event reporting system as a tool for improving patient safety.

 
REFERENCES (12)
1.
Guidelines for the quality in health care and patient safety bill), source: www.legislacja.gov.pl accessed: 21.11.2017.
 
2.
National Center for Quality Assessment in Health Care, source: ww.cmj.org.pl accessed: 22.11.2017.
 
3.
The research was conducted within the framework of the ‘Safe Hospital – Safe Patient’ project co-ordinated by the National Center for Quality Assessment in Health Care.
 
4.
Explanatory memorandum of the Council of Europe, Committee of Experts on Management of Safety and Quality in Health Care – Prevention of adverse events in health care, a system approach (SP-SQS), Strasburg, 1 April 2005.
 
5.
A list of quality standards for hospitals) – source: National Center for Quality Assessment in Health Care, www.cmj.org.pl downloaded: 23.11.2017.
 
6.
Szczurek T. Using accreditation to ensure the quality and safety of medical services, Science Notebooks, UEK, 2015; 1(948): 65–80.
 
7.
A survey into the opinions of doctors and nursing personnel about adverse event reporting and requirements which should be fulfilled by reporting systems in health care), Polish Society for Quality Promotion in Health Care, commissioned by the National Center for Quality Assessment in Health Care, Kraków 2015.
 
8.
Lim SJ, Chung WJ, Cho WH. Economic burden of injuries in South Korea, Inj Prev. 2011 Oct; 17(5): 291–6. doi: 10.1136/ip.2010.028118. Epub 2011 May 27.
 
9.
Department of Health. An organisation with a memory. Report of an expert group on learning from adverse events in the NHS. London, Publisher: Crown, 2000.
 
10.
Research of the Public Opinion Research Centre (CBOS) commissioned by the National Center for Quality Assessment in Health Care – Adverse events and the perception of health care safety, 2015.
 
11.
Longtin Y. Patient participation: current knowledge and applicability to health care safety). Med Dypl. 2010; 19: 6.
 
12.
Jennings BM, Sandelowski M, Mark B. The nurse’s medication day. Qual Health Res. 2011; 21: 1441–51.
 
eISSN:1898-2263
ISSN:1232-1966