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 |
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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. |
doi_str_mv | 10.1093/annonc/mdq346 |
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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.</description><identifier>ISSN: 0923-7534</identifier><identifier>EISSN: 1569-8041</identifier><identifier>DOI: 10.1093/annonc/mdq346</identifier><identifier>PMID: 20616197</identifier><language>eng</language><publisher>Oxford: Elsevier Ltd</publisher><subject>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</subject><ispartof>Annals of oncology, 2011-02, Vol.22 (2), p.424-430</ispartof><rights>2010 European Society for Medical Oncology</rights><rights>2015 INIST-CNRS</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c409t-9f570094b28b98dc74cfd33e266689474e2c2d2acef31259ee84ad66f3cf96d93</citedby><cites>FETCH-LOGICAL-c409t-9f570094b28b98dc74cfd33e266689474e2c2d2acef31259ee84ad66f3cf96d93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><link.rule.ids>314,776,780,27901,27902</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=23871726$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/20616197$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Schwappach, D.L.B.</creatorcontrib><creatorcontrib>Wernli, M.</creatorcontrib><title>Barriers and facilitators to chemotherapy patients’ engagement in medical error prevention</title><title>Annals of oncology</title><addtitle>Ann Oncol</addtitle><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.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Antineoplastic agents</subject><subject>Antineoplastic Agents - therapeutic use</subject><subject>Biological and medical sciences</subject><subject>chemotherapy</subject><subject>Cross-Sectional Studies</subject><subject>Female</subject><subject>Humans</subject><subject>Male</subject><subject>medical errors</subject><subject>Medical sciences</subject><subject>Medication Errors - prevention & control</subject><subject>Middle Aged</subject><subject>Neoplasms - drug therapy</subject><subject>Neoplasms - psychology</subject><subject>oncology</subject><subject>Patient Participation</subject><subject>patient safety</subject><subject>Pharmacology. Drug treatments</subject><subject>survey</subject><subject>Young Adult</subject><issn>0923-7534</issn><issn>1569-8041</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNp1kLtuFTEQhi0EIodASYvcIKolvq3XLiHiJkWigQ7J8rHHidGuvbF9IqXjNXg9ngQf7QEqqtHMfPo18yH0nJLXlGh-YVPKyV0s_pYL-QDt6Cj1oIigD9GOaMaHaeTiDD2p9TshRGqmH6MzRiSVVE879O2tLSVCqdgmj4N1cY7NttwHLWN3A0tuN1Dseo9X2yKkVn_9-IkhXdtrWHqLY8IL-OjsjKGUXPBa4K4vYk5P0aNg5wrPTvUcfX3_7svlx-Hq84dPl2-uBieIboMO40SIFnum9lp5NwkXPOfApJRKi0kAc8wz6yBwykYNoIT1UgbugpZe83P0astdS749QG1midXBPNsE-VCNEkqqUfMjOWykK7nWAsGsJS623BtKzNGn2XyazWfnX5ySD_v-5V_6j8AOvDwBtnYFodjkYv3HcTXRiR2Dpo2D7uGuCzfVdZuumyvgmvE5_ueE3zThlo0</recordid><startdate>20110201</startdate><enddate>20110201</enddate><creator>Schwappach, D.L.B.</creator><creator>Wernli, M.</creator><general>Elsevier Ltd</general><general>Oxford University Press</general><scope>6I.</scope><scope>AAFTH</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>20110201</creationdate><title>Barriers and facilitators to chemotherapy patients’ engagement in medical error prevention</title><author>Schwappach, D.L.B. ; Wernli, M.</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c409t-9f570094b28b98dc74cfd33e266689474e2c2d2acef31259ee84ad66f3cf96d93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Antineoplastic agents</topic><topic>Antineoplastic Agents - therapeutic use</topic><topic>Biological and medical sciences</topic><topic>chemotherapy</topic><topic>Cross-Sectional Studies</topic><topic>Female</topic><topic>Humans</topic><topic>Male</topic><topic>medical errors</topic><topic>Medical sciences</topic><topic>Medication Errors - prevention & control</topic><topic>Middle Aged</topic><topic>Neoplasms - drug therapy</topic><topic>Neoplasms - psychology</topic><topic>oncology</topic><topic>Patient Participation</topic><topic>patient safety</topic><topic>Pharmacology. Drug treatments</topic><topic>survey</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Schwappach, D.L.B.</creatorcontrib><creatorcontrib>Wernli, M.</creatorcontrib><collection>ScienceDirect Open Access Titles</collection><collection>Elsevier:ScienceDirect:Open Access</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Annals of oncology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Schwappach, D.L.B.</au><au>Wernli, M.</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Barriers and facilitators to chemotherapy patients’ engagement in medical error prevention</atitle><jtitle>Annals of oncology</jtitle><addtitle>Ann Oncol</addtitle><date>2011-02-01</date><risdate>2011</risdate><volume>22</volume><issue>2</issue><spage>424</spage><epage>430</epage><pages>424-430</pages><issn>0923-7534</issn><eissn>1569-8041</eissn><abstract>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.</abstract><cop>Oxford</cop><pub>Elsevier Ltd</pub><pmid>20616197</pmid><doi>10.1093/annonc/mdq346</doi><tpages>7</tpages><oa>free_for_read</oa></addata></record> |
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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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