Table 5 'Patient's Experiences of Adverse Event Management'

PSI 5: Patients Experiences of Adverse Event Management
Origin: PSI by SimPatIE
Dimension Description
Description of Specific
Aspects of Patient Safety
Once a serious adverse event has happened it is important to identify it
and take adequately care of the patient and make the necessary
preventive improvements. All though it is a known fact within patient
safety experts that patients comprehend adverse events as errors,
patients experiences of adverse event management is considered
important as a source for identifying areas for improvement.
Thus patient’s impressions of adverse event management are an
important measure of patient safety and the related culture.
Aim of The Specific
Indicator
This PSI aims at surveillance of patient’s negative experiences with
adverse event management following an adverse event.
Level of Determination of
Patient Safety
Safety is assessed at the aggregated patient level.
Source(s) This PSI is derived from the section on patient safety of the Danish
national patient survey: Patient’s experiences in hospital, question 20
(9;11).
Extent of Clinically
Testing
Attitudes and responses to adverse events have been investigated from
Danish patient’s and the staff’s point of view, using a questionnaire
survey. Patients were asked about their experiences with adverse
events and staffs management of adverse events. Comparison of
responses to the same questions was made between the two groups.
The researchers concluded that healthcare staff should, to a larger
extent, inform openly about adverse events and their medical
consequences. Information should be communicated direct to the
patient and their relatives and written in the patient’s record (13).
This PSI has not been clinically applied.
Evidence of Clinically use
of Standards
No evidence of clinically use of standards was found.
Indicator category Theme Related PSI: “Medication Errors”.
Data definitions Patients experiencing an adverse event finding staff’s management of
the incident “bad” and “extremely bad” measured on a 5-point Likert
scale per 1000 discharges.
Numerator Description Number of patients, having experienced an adverse event, finding
staff’s incident management “bad” or “extremely bad” measured on a
5-point Likert scale ranging from excellent, good, and neutral to bad
and extremely bad.
Denominator Description Number of patients experiencing an adverse event during
hospitalisation.
Data Source Patient’s Experiences (Satisfaction) Survey.
SImPatIE WP4 – Catalogue of Patients Safety Indicators
15
Identifying the
institutional context
The impact of high quality patient safety management makes this
indicator important in cultural and clinical improvement policies.
Care Setting The indicator applies for high quality adverse event management.
Professionals Responsible
for Health Care
All authorised health care workers.
Lowest Level of Health
Care Delivery Addressed
Individual clinical department.
Allowance for Patient
Factors
No risk adjustment described.
Stratification by
Vulnerable Populations
No stratification.
Standard of Comparison No specific time standards given, but comparison every second year
has shown to be good.
Scoring Scores are obtained on a 5-point Likert scale ranging from excellent,
good, and neutral to bad and extremely bad. The numbers of scores of
“bad” and “extremely bad” are cumulated. Scoring according to the
manual of the Patient’s Experiences (Satisfaction) Survey.