RESUMEN
OBJECTIVE: Examine the effects of an educational intervention to improve patients' level of activation and promote their participation improving their safety during health system pathway. MATERIAL AND METHODS: Selection and study of the care process on which to apply the research. Design and edition the audiovisual educational material. Intentional sampling of patients on the waiting list for scheduled operation by the Traumatology Service. Telephone collection through study's explanatory script. Realization of two focus groups, with heterogeneous distribution by gender, age and level of studies. Visualization of the educational video and exploration of aspects of interest through semi-structured questions script, based on the research objectives. Recording and transcription of generated speeches. Qualitative analysis of resulting information. RESULTS: Patients are aware that failures and errors occur, and recognize the weaknesses of the system and professionals. The educational activity brings more value to people with less previous experience or less knowledge about the dynamics of the health system. The interaction between people with different experiences entails an exchange of knowledge, enhancing the educational effect of the intervention. The level of knowledge and the degree of activation increases in all participants, regardless of their starting situation. CONCLUSIONS: Strengthening the role of the patient as a safety barrier through an educational intervention of an audiovisual nature is feasible in real conditions and useful for the objective pursued.
Asunto(s)
Educación del Paciente como Asunto , Seguridad del Paciente , Adulto , Anciano , Recursos Audiovisuales , Comprensión , Escolaridad , Femenino , Grupos Focales , Humanos , Masculino , Persona de Mediana Edad , Participación del Paciente , Investigación Cualitativa , Adulto JovenRESUMEN
OBJECTIVE: To determine the prevalence and type of the clinical safety problems contained in the complaints made by patients and users in Primary Care. MATERIAL AND METHODS: An observational, descriptive, cross-sectional study was conducted by analysing both the complaint forms and the responses given to them in the period of one year. RESULTS: At least 4.6% of all claims analysed in this study contained clinical safety problems. The family physician is the professional who received the majority of the complaints (53.6%), and the main reason was the problems related to diagnosis (43%), mainly the delay in diagnosis. Other variables analysed were the severity of adverse events experienced by patients (in 68% of cases the patient suffered some harm), the subsequent impact on patient care, which was affected in 39% of cases (7% of cases even requiring hospital admission), and the level of preventability of adverse events (96% avoidable) described in the claims. Finally the type of response issued to each complaint was analysed, being purely bureaucratic in 64% of all cases. CONCLUSIONS: Complaints are a valuable source of information about the deficiencies identified by patients and healthcare users. There is considerable scope for improvement in the analysis and management of claims in general, and those containing clinical safety issues in particular. To date, in our area, there is a lack of appropriate procedures for processing these claims. Likewise, we believe that other pathways or channels should be opened to enable communication by patients and healthcare users.