DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20194312

Cornerstone of healthcare: awareness and compliance of patient safety measures in a large tertiary care hospital

Sonali Shamdasani, Gurpreet Kaur, R. K. Ganjoo

Abstract


Background: The study was done to assess the awareness and compliance of patient safety measures among healthcare providers and patients in a tertiary care hospital in India, ascertain the gap in both the aspects, if any and recommend the measures to improve the same.

Methods: Cross sectional study in which patient safety survey was administered to random sample of 400 healthcare providers and 200 inpatients. The awareness was assessed through predefined questionnaires and compliance was assessed by observation, demonstration of processes, audit of patient files and interview of patients. Descriptive statistics analyzed with SPSS. Data was analyzed using frequencies, percentages and using Chi-square test.

Results: The level of awareness was acceptable among healthcare providers, but the compliance was not satisfactory. Thus, gap was significant for certain parameters. The range of awareness among the patients was wide as study included patients of varying demographic and educational level. The range of compliance was also wide but was low. Thus, the gap was significant.

Conclusions: As a result of continuous training of the healthcare providers, the awareness was satisfactory but on the other hand, they were not complying which may be due to workload, forgetfulness, lack of resources etc. On the other hand, the level of awareness was found to be low among patients and compliance was further lower down the ladder which may be due to difference in education, socioeconomic status, hesitation to enquire etc.


Keywords


Awareness, Compliance, Patient safety

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References


Leape LL, Brennan TA, Laird N, Lawthers AG, Localio AR, Barnes BA, et al. The nature of adverse events in hospitalized patients: results of the Harvard Medical Practice Study II. New England J Med. 1991 Feb 7;324(6):377-84.

Tomlin J. The Deep Sleep: 6,000 will die or suffer brain damage. WLS-TV Chicago. 1982 Apr 22;20:20

Warner MA. ASA/APSF Ellison C. Pierce, Jr., Patient Safety Memorial Lecture-‘Anesthesia Patient Safety: Closing the Gap Between Perception and Reality’Robert K. Stoelting, MD. ASA Newsletter. 2017 Jul 1;81(7):32-3.

Anesthesia Patient Safety Foundation. Available at: http://www.apsf.org.

World Health Organization. The Conceptual Framework for the International Classification for Patient Safety 2009. Available at: http://www.who.int/patientsafety/taxonomy/icps_full_report.pdf.

Wachter RM. Patient safety at ten: unmistakable progress, troubling gaps. Health affairs. 2009 Dec 1;29(1):165-73.

Paul A, Gluck, MD: Medical Errors: Incidence, Theories, Myths and Solutions (Presentation at the Seminole County Patient Safety Summit, April 22, 2006).

Weingart SN, Wilson RM, Gibberd RW, Harrison B. Epidemiology of medical error. BMJ. 2000;320 (7237):774-7.

World Alliance for Patient Safety- World Health Organization. Available at: http://www.who.int>patientsafety>worldalliance.

World Health Organization. (‎2000)‎. Progress in essential drugs and medicines policy : 1998-1999. World Health Organization. Available at: https://apps.who.int/iris/handle/10665/66250.

Issakov, A. Health Care Equipment: A WHO Perspective. In Medical Devices: International Perspectives on Health and Safety, edited by C.W.G. Von Grutting, Amsterdam: Elsevier, 1994: 48-53.

Castle NG, Brown J, Hepner KA, Hays RD. Review of the literature on survey instruments used to collect data on hospital patients’ perceptions of care. Health Services Research. 2005;40:1996-2017.

Goldstein E, Farquar M, Crofton C, Darby C, Garfinkel S: Measuring hospital care from the patients' perspective. An overview of the CAHPS hospital survey development process. Health Services Research. 2005;40:1977-95.

Sofaer S, Crofton C, Goldstein E, Hoy E, Crabb J. What do consumers want to know about the quality of care in hospitals? Health Services Research. 2005;40:2018-36.

Hankins M, Fraser A, Hodson A, Hooley C, Smith H. Measuring patient satisfaction for the Quality and Outcomes Framework. British J General Practice. 2007;57:737-40.

Hendriks AA, Oort FJ, Vrielink MR, Smets EM. Reliability and validity of the satisfaction with Hospital Care Questionnaire. International Journal for Quality in Health Care. 2002;14:471-82.

Salgueiro-Oliveira A, Parreira P, Veiga P. Incidence of phlebitis in patients with peripheral intravenous catheters: The influence of some risk factors. Aus J Adv Nur. 2012 Dec;30(2):32-9.

Idvall E, Gunningberg L. Evidence for elective replacement of peripheral intravenous catheter to prevent thrombophlebitis: A systematic review. J Adv Nurs. 2006;55:715-22.