586 posters, 8 topics, 23 sessions, 1,077 authors, 622 institutions

ISQua's 40th International Conference 2024

24th - 27th September 2024 | Istanbul, Türkiye

ISQUA2024-ABS-1444

Measures for mitigating the negative effects of patient participation in patient safety: a qualitative study

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Poster Presenter

Michael VAN DER VOORDEN

Authors

Michael Van Der Voorden

Affiliations

Erasmus Medical Center, MSc

Part of Topic

Patient Safety & Quality Improvement

Title:

Actions for mitigating the negative effects of patient participation in patient safety: a qualitative study

Introduction / Background

•Patient participation is increasingly used as a strategy to improve patient safety 1,2

•Recent research within the context of Obstetrics shows the added value of patient participation in in-hospital patient safety 3

Despite the major benefits of patient participation, several studies suggest that patient participation in patient safety can also have negative effects:
1. Asking patients to participate in improving their own safety can lead to anxiety issues 4
2. Involving patients in their own safety can consume more of professionals 5
3. Patients may be allocated more responsibility than their condition or ability allows them to cope with 6
4. A more open discussion about errors could harm the relationship between patient and professional

Objectives

•To uncover how the negative effects of patient participation in patient safety manifest themselves in practice within an Obstetrics department

•To generate an overview of actions that could be taken to mitigate the negative effects of patient participation in patient safety within an Obstetrics department

Methods

•Design: Qualitative interview study

•Setting: Obstetrics department Erasmus University Medical Centre in Rotterdam, the Netherlands

•Respondents: N=16, 8 patients and 8 professionals

•Criteria: Between three and six weeks after childbirth,
>6 months of employment, physician or clinical midwife

•Collection: Four areas with forms of patient participation, positive- and negative effects and actions

•Analysis: Literature review (negative effects), inductive analysis (causes) and deductive analysis (actions) 8

Results
In 2 tables

Illustrative quotes

‘’Patient participation in some cases sometimes gives rise to constant negotiation, which is about what treatment they should or shouldn’t have. If the patient expresses it in such a way, I cannot provide good care. This is the opposite of what I would like, and what I think is medically justified.’’ (professional)

‘’You can also have some serious side effects from magnesium tablets. If I had known that in advance, I wouldn’t have been shocked anymore. My body felt like I was on fire and afterwards it turned out to be from the magnesium. I read that on Google. It made me very anxious at the time because I didn’t hear it there and I could not understand it myself.’’ (patient)

Take home messages

•It is important to be aware of the negative effects, in addition to the positive ones, to promote patient safety through patient participation

•The results highlight the need for a patient-centered culture change

•Successful implementation requires resources and structural integration