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The Patient Perspective on Errors in Cancer Care: Results of a Cross-Sectional Survey

OBJECTIVE: The objective of this study was to explore medical oncology outpatients' perceived experiences of errors in their cancer care. METHODS: A cross-sectional survey was conducted. English-speaking medical oncology outpatients aged 18 years or older were recruited from 9 Australian cancer...

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Autores principales: Carey, Mariko, Boyes, Allison W., Bryant, Jamie, Turon, Heidi, Clinton-McHarg, Tara, Sanson-Fisher, Robert
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Lippincott Williams & Wilkins 2019
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6903340/
https://www.ncbi.nlm.nih.gov/pubmed/28230580
http://dx.doi.org/10.1097/PTS.0000000000000368
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author Carey, Mariko
Boyes, Allison W.
Bryant, Jamie
Turon, Heidi
Clinton-McHarg, Tara
Sanson-Fisher, Robert
author_facet Carey, Mariko
Boyes, Allison W.
Bryant, Jamie
Turon, Heidi
Clinton-McHarg, Tara
Sanson-Fisher, Robert
author_sort Carey, Mariko
collection PubMed
description OBJECTIVE: The objective of this study was to explore medical oncology outpatients' perceived experiences of errors in their cancer care. METHODS: A cross-sectional survey was conducted. English-speaking medical oncology outpatients aged 18 years or older were recruited from 9 Australian cancer treatment centers. Participants completed 2 paper-and-pencil questionnaires: an initial survey on demographic, disease and treatment characteristics upon recruitment; and a second survey on their experiences of errors in cancer care 1 month later. RESULTS: A total of 1818 patients (80%) consented to participate, and of these, 1136 (62%) completed both surveys. One hundred forty-eight participants (13%) perceived that an error had been made in their care, of which one third (n = 46) reported that the error was associated with severe harm. Of those who perceived an error had been made, less than half reported that they had received an explanation for the error (n = 65, 45%) and only one third reported receiving an apology (n = 50, 35%) or being told that steps had been taken to prevent the error from reoccurring (n = 52, 36%). Patients with university or vocational level education (odds ratio [OR] = 1.6 [1.09–2.45], P = 0.0174) and those who received radiotherapy (OR = 1.72 [1.16–2.57]; P = 0.0076) or “other” treatments (OR = 3.23 [1.08–9.63]; P = 0.0356) were significantly more likely to report an error in care. CONCLUSIONS: There is significant scope to improve communication with patients and appropriate responses by the healthcare system after a perceived error in cancer care.
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spelling pubmed-69033402020-01-22 The Patient Perspective on Errors in Cancer Care: Results of a Cross-Sectional Survey Carey, Mariko Boyes, Allison W. Bryant, Jamie Turon, Heidi Clinton-McHarg, Tara Sanson-Fisher, Robert J Patient Saf Original Articles OBJECTIVE: The objective of this study was to explore medical oncology outpatients' perceived experiences of errors in their cancer care. METHODS: A cross-sectional survey was conducted. English-speaking medical oncology outpatients aged 18 years or older were recruited from 9 Australian cancer treatment centers. Participants completed 2 paper-and-pencil questionnaires: an initial survey on demographic, disease and treatment characteristics upon recruitment; and a second survey on their experiences of errors in cancer care 1 month later. RESULTS: A total of 1818 patients (80%) consented to participate, and of these, 1136 (62%) completed both surveys. One hundred forty-eight participants (13%) perceived that an error had been made in their care, of which one third (n = 46) reported that the error was associated with severe harm. Of those who perceived an error had been made, less than half reported that they had received an explanation for the error (n = 65, 45%) and only one third reported receiving an apology (n = 50, 35%) or being told that steps had been taken to prevent the error from reoccurring (n = 52, 36%). Patients with university or vocational level education (odds ratio [OR] = 1.6 [1.09–2.45], P = 0.0174) and those who received radiotherapy (OR = 1.72 [1.16–2.57]; P = 0.0076) or “other” treatments (OR = 3.23 [1.08–9.63]; P = 0.0356) were significantly more likely to report an error in care. CONCLUSIONS: There is significant scope to improve communication with patients and appropriate responses by the healthcare system after a perceived error in cancer care. Lippincott Williams & Wilkins 2019-12 2017-02-22 /pmc/articles/PMC6903340/ /pubmed/28230580 http://dx.doi.org/10.1097/PTS.0000000000000368 Text en Copyright © 2017 The Author(s). Published by Wolters Kluwer Health, Inc. This is an open-access article distributed under the terms of the Creative Commons Attribution-Non Commercial-No Derivatives License 4.0 (CCBY-NC-ND) (http://creativecommons.org/licenses/by-nc-nd/4.0/) , where it is permissible to download and share the work provided it is properly cited. The work cannot be changed in any way or used commercially without permission from the journal.
spellingShingle Original Articles
Carey, Mariko
Boyes, Allison W.
Bryant, Jamie
Turon, Heidi
Clinton-McHarg, Tara
Sanson-Fisher, Robert
The Patient Perspective on Errors in Cancer Care: Results of a Cross-Sectional Survey
title The Patient Perspective on Errors in Cancer Care: Results of a Cross-Sectional Survey
title_full The Patient Perspective on Errors in Cancer Care: Results of a Cross-Sectional Survey
title_fullStr The Patient Perspective on Errors in Cancer Care: Results of a Cross-Sectional Survey
title_full_unstemmed The Patient Perspective on Errors in Cancer Care: Results of a Cross-Sectional Survey
title_short The Patient Perspective on Errors in Cancer Care: Results of a Cross-Sectional Survey
title_sort patient perspective on errors in cancer care: results of a cross-sectional survey
topic Original Articles
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6903340/
https://www.ncbi.nlm.nih.gov/pubmed/28230580
http://dx.doi.org/10.1097/PTS.0000000000000368
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