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Patients and relatives as auditors of safe practices in oncology and hematology day hospitals

BACKGROUND: When there is a gap in professionals’ adherence to safe practices during cancer treatment, the consequences can be serious. Identifying these gaps in order to enable improvements in patient safety can be a challenge. This study aimed to assess if cancer patients and their relatives can b...

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Autores principales: Rodrigo Rincón, Isabel, Irigoyen Aristorena, Isabel, Tirapu León, Belén, Zaballos Barcala, Nicolás, Sarobe Carricas, Maite, Lobo Palanco, Joaquín, Antelo Caamaño, María Luisa, Martin Vizcaíno, Marta Patricia, Burnett, Susan
Formato: Online Artículo Texto
Lenguaje:English
Publicado: BioMed Central 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7791995/
https://www.ncbi.nlm.nih.gov/pubmed/33413313
http://dx.doi.org/10.1186/s12913-020-06018-3
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author Rodrigo Rincón, Isabel
Irigoyen Aristorena, Isabel
Tirapu León, Belén
Zaballos Barcala, Nicolás
Sarobe Carricas, Maite
Lobo Palanco, Joaquín
Antelo Caamaño, María Luisa
Martin Vizcaíno, Marta Patricia
Burnett, Susan
author_facet Rodrigo Rincón, Isabel
Irigoyen Aristorena, Isabel
Tirapu León, Belén
Zaballos Barcala, Nicolás
Sarobe Carricas, Maite
Lobo Palanco, Joaquín
Antelo Caamaño, María Luisa
Martin Vizcaíno, Marta Patricia
Burnett, Susan
author_sort Rodrigo Rincón, Isabel
collection PubMed
description BACKGROUND: When there is a gap in professionals’ adherence to safe practices during cancer treatment, the consequences can be serious. Identifying these gaps in order to enable improvements in patient safety can be a challenge. This study aimed to assess if cancer patients and their relatives can be given the skills to audit reliably four safe practices, and to explore whether they are willing to play this new role. METHODS: We recruited 136 participants in 2018, from the oncology and haematology day hospital of a tertiary hospital in Spain. Patient identification, hand hygiene, blood or chemotherapy identification, and side effects related to transfusion and chemotherapy, were the safe practices selected for evaluation. The study comprised two parts: an interventional educational program and a cross-sectional design to collect data and assess to what degree participants are able and willing to be auditors depending on their characteristics using multivariate logistic regression models. A participant’s auditing skill were assessed pre and post the educational intervention. RESULTS: The model was seeking predictors of being a good auditor. 63 participants (46.3%) were classified as good auditors after the training. To have younger age, higher educational level and to have had an experience of an adverse event were associated with a higher probability of being a good auditor. Additionally, 106 (77.9%) participants said that they would like to audit anonymously the professionals’ compliance of at least three of four safe practices. The willingness to audit safe practices differed depending on the safe practice but these differences did not reach statistical significance. CONCLUSIONS: The data gathered by patients and relatives acting as auditors can provide healthcare organizations with valuable information about safety and quality of care that is not accessible otherwise. This new role provides an innovative way to engage patients and their families’ in healthcare safety where other methods have not had success. The paper sets out the methods that healthcare organizations need to undertake to enrol and train patients and relatives in an auditor role.
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spelling pubmed-77919952021-01-11 Patients and relatives as auditors of safe practices in oncology and hematology day hospitals Rodrigo Rincón, Isabel Irigoyen Aristorena, Isabel Tirapu León, Belén Zaballos Barcala, Nicolás Sarobe Carricas, Maite Lobo Palanco, Joaquín Antelo Caamaño, María Luisa Martin Vizcaíno, Marta Patricia Burnett, Susan BMC Health Serv Res Research Article BACKGROUND: When there is a gap in professionals’ adherence to safe practices during cancer treatment, the consequences can be serious. Identifying these gaps in order to enable improvements in patient safety can be a challenge. This study aimed to assess if cancer patients and their relatives can be given the skills to audit reliably four safe practices, and to explore whether they are willing to play this new role. METHODS: We recruited 136 participants in 2018, from the oncology and haematology day hospital of a tertiary hospital in Spain. Patient identification, hand hygiene, blood or chemotherapy identification, and side effects related to transfusion and chemotherapy, were the safe practices selected for evaluation. The study comprised two parts: an interventional educational program and a cross-sectional design to collect data and assess to what degree participants are able and willing to be auditors depending on their characteristics using multivariate logistic regression models. A participant’s auditing skill were assessed pre and post the educational intervention. RESULTS: The model was seeking predictors of being a good auditor. 63 participants (46.3%) were classified as good auditors after the training. To have younger age, higher educational level and to have had an experience of an adverse event were associated with a higher probability of being a good auditor. Additionally, 106 (77.9%) participants said that they would like to audit anonymously the professionals’ compliance of at least three of four safe practices. The willingness to audit safe practices differed depending on the safe practice but these differences did not reach statistical significance. CONCLUSIONS: The data gathered by patients and relatives acting as auditors can provide healthcare organizations with valuable information about safety and quality of care that is not accessible otherwise. This new role provides an innovative way to engage patients and their families’ in healthcare safety where other methods have not had success. The paper sets out the methods that healthcare organizations need to undertake to enrol and train patients and relatives in an auditor role. BioMed Central 2021-01-07 /pmc/articles/PMC7791995/ /pubmed/33413313 http://dx.doi.org/10.1186/s12913-020-06018-3 Text en © The Author(s) 2021 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.
spellingShingle Research Article
Rodrigo Rincón, Isabel
Irigoyen Aristorena, Isabel
Tirapu León, Belén
Zaballos Barcala, Nicolás
Sarobe Carricas, Maite
Lobo Palanco, Joaquín
Antelo Caamaño, María Luisa
Martin Vizcaíno, Marta Patricia
Burnett, Susan
Patients and relatives as auditors of safe practices in oncology and hematology day hospitals
title Patients and relatives as auditors of safe practices in oncology and hematology day hospitals
title_full Patients and relatives as auditors of safe practices in oncology and hematology day hospitals
title_fullStr Patients and relatives as auditors of safe practices in oncology and hematology day hospitals
title_full_unstemmed Patients and relatives as auditors of safe practices in oncology and hematology day hospitals
title_short Patients and relatives as auditors of safe practices in oncology and hematology day hospitals
title_sort patients and relatives as auditors of safe practices in oncology and hematology day hospitals
topic Research Article
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7791995/
https://www.ncbi.nlm.nih.gov/pubmed/33413313
http://dx.doi.org/10.1186/s12913-020-06018-3
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