Patients' and healthcare workers' perceptions of a patient safety advisory

Swiss Patient Safety Foundation, Asylstr. 77, 8032 Zuerich, Switzerland.
International Journal for Quality in Health Care (Impact Factor: 1.76). 09/2011; 23(6):713-20. DOI: 10.1093/intqhc/mzr062
Source: PubMed


To assess patients' and healthcare workers' (hcw) attitudes and experiences with a patient safety advisory, to investigate predictors for patients' safety-related behaviors and determinants for staff support for the advisory.
Cross-sectional surveys of patients (n= 1053) and hcw (n= 275).
Three Swiss hospitals.
Patients who received the safety advisory and hcw caring for these patients.
Patient safety advisory disseminated to patients at the study hospitals.
Attitudes towards and experiences with the advisory. Hcw support for the intervention and patients' intentions to apply the recommendations were modelled using regression analyses.
Patients (95%) and hcw (78%) agreed that hospitals should educate patients how to prevent errors. Hcw and patients' evaluations of the safety advisory were positive and followed a similar pattern. Patients' intentions to engage in safety were significantly predicted by behavioral control, subjective norms, attitudes, safety behaviors during hospitalization and experiences with taking action. Hcw support for the campaign was predicted by rating of the advisory (Odds ratio (OR) 3.4, confidence interval (CI) 1.8-6.1, P< 0.001), the belief that it prevents errors (OR 1.7, CI 1.2-2.5, P= 0.007), perceived increased vigilance of patients (OR 1.9, CI 1.1-3.3, P= 0.034) and experience of unpleasant situations (OR 0.6, CI 0.4-1.0, P= 0.035).
The safety advisory was well accepted by patients and hcw. To be successful, the advisory should be accompanied by measures that target norms and barriers in patients, and support staff in dealing with difficult situations.

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Available from: Beat Müller, Jan 18, 2014
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    • "A small but growing number of studies have aimed to understand the healthcare professionals’ perspective in relation to patient involvement in improving safety [40-45]. This recent literature provides very valuable and important insight into healthcare professionals’ attitudes towards patient involvement in the prevention of error [40,42-44], and interventions aiming to promote such a patient role [41,45]. This work suggests that healthcare professionals, like patients, generally view patient involvement positively. "
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    Full-text · Article · Feb 2012 · Journal of Evaluation in Clinical Practice
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