Barriers and facilitators to chemotherapy patients’ engagement in medical error prevention

Medical errors are a serious threat to chemotherapy patients. Patients can make contributions to safety but little is known about the acceptability of error-preventing behaviors and its predictors. A cross-sectional survey study among chemotherapy patients treated at the oncology/hematology unit of...

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Veröffentlicht in:Annals of oncology 2011-02, Vol.22 (2), p.424-430
Hauptverfasser: Schwappach, D.L.B., Wernli, M.
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creator Schwappach, D.L.B.
Wernli, M.
description Medical errors are a serious threat to chemotherapy patients. Patients can make contributions to safety but little is known about the acceptability of error-preventing behaviors and its predictors. A cross-sectional survey study among chemotherapy patients treated at the oncology/hematology unit of a regional hospital was conducted. Patients were presented vignettes of errors and unsafe acts and responded to measures of attitudes, behavioral control, norms, barriers, and anticipated reaction. A total of 479 patients completed the survey (52% response rate). Patients reported a high level of anticipated activity but intentions to engage for safety varied considerably between the hypothetical scenarios (range: 57%–96%, χ2P < 0.001). Health, knowledge and staff time pressure were perceived as most important barriers. Instrumental [odds ratio (OR) = 1.3, P = 0.046] and experiential attitudes (OR = 1.4, P < 0.001), expectations attributed to clinical staff (OR = 1.2, P = 0.024) and behavioral control (OR = 1.8, P < 0.001) were predictors for patients’ behaviors. Patients are affirmative toward engaging for safety but perceive considerable barriers. Intentions to engage in error prevention vary by clinical context and are strongly influenced by attitudes, normative and control beliefs. To successfully involve patients in medical error, prevention clinicians need to address their patients’ beliefs and reduce barriers through education.
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Patients can make contributions to safety but little is known about the acceptability of error-preventing behaviors and its predictors. A cross-sectional survey study among chemotherapy patients treated at the oncology/hematology unit of a regional hospital was conducted. Patients were presented vignettes of errors and unsafe acts and responded to measures of attitudes, behavioral control, norms, barriers, and anticipated reaction. A total of 479 patients completed the survey (52% response rate). Patients reported a high level of anticipated activity but intentions to engage for safety varied considerably between the hypothetical scenarios (range: 57%–96%, χ2P &lt; 0.001). Health, knowledge and staff time pressure were perceived as most important barriers. Instrumental [odds ratio (OR) = 1.3, P = 0.046] and experiential attitudes (OR = 1.4, P &lt; 0.001), expectations attributed to clinical staff (OR = 1.2, P = 0.024) and behavioral control (OR = 1.8, P &lt; 0.001) were predictors for patients’ behaviors. Patients are affirmative toward engaging for safety but perceive considerable barriers. Intentions to engage in error prevention vary by clinical context and are strongly influenced by attitudes, normative and control beliefs. 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subjects Adolescent
Adult
Aged
Aged, 80 and over
Antineoplastic agents
Antineoplastic Agents - therapeutic use
Biological and medical sciences
chemotherapy
Cross-Sectional Studies
Female
Humans
Male
medical errors
Medical sciences
Medication Errors - prevention & control
Middle Aged
Neoplasms - drug therapy
Neoplasms - psychology
oncology
Patient Participation
patient safety
Pharmacology. Drug treatments
survey
Young Adult
title Barriers and facilitators to chemotherapy patients’ engagement in medical error prevention
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