PMID- 21307118
OWN - NLM
STAT- MEDLINE
DCOM- 20110823
LR  - 20220409
IS  - 1464-3677 (Electronic)
IS  - 1353-4505 (Print)
IS  - 1353-4505 (Linking)
VI  - 23
IP  - 3
DP  - 2011 Jun
TI  - Hospitalized patients' participation and its impact on quality of care and 
      patient safety.
PG  - 269-77
LID - 10.1093/intqhc/mzr002 [doi]
AB  - OBJECTIVE: To understand the extent to which hospitalized patients participate in 
      their care, and the association of patient participation with quality of care and 
      patient safety. DESIGN: Random sample telephone survey and medical record review. 
      SETTING: US acute care hospitals in 2003. PARTICIPANTS: A total of 2025 recently 
      hospitalized adults. MAIN OUTCOME MEASURES: Hospitalized patients reported 
      participation in their own care, assessments of overall quality of care and the 
      presence of adverse events (AEs) in telephone interviews. Physician reviewers 
      rated the severity and preventability of AEs identified by interview and chart 
      review among 788 surveyed patients who also consented to medical record review. 
      RESULTS: Of the 2025 patients surveyed, 99.9% of patients reported positive 
      responses to at least one of seven measures of participation. High participation 
      (use of >4 activities) was strongly associated with patients' favorable ratings 
      of the hospital quality of care (adjusted OR: 5.46, 95% CI: 4.15-7.19). Among the 
      788 patients with both patient survey and chart review data, there was an inverse 
      relationship between participation and adverse events. In multivariable logistic 
      regression analyses, patients with high participation were half as likely to have 
      at least one adverse event during the admission (adjusted OR = 0.49, 0.31-0.78). 
      CONCLUSIONS: Most hospitalized patients participated in some aspects of their 
      care. Participation was strongly associated with favorable judgments about 
      hospital quality and reduced the risk of experiencing an adverse event.
FAU - Weingart, Saul N
AU  - Weingart SN
AD  - Center for Patient Safety, Dana-Farber Cancer Institute, Boston, MA 02115, USA. 
      saul_weingart@dfci.harvard.edu
FAU - Zhu, Junya
AU  - Zhu J
FAU - Chiappetta, Laurel
AU  - Chiappetta L
FAU - Stuver, Sherri O
AU  - Stuver SO
FAU - Schneider, Eric C
AU  - Schneider EC
FAU - Epstein, Arnold M
AU  - Epstein AM
FAU - David-Kasdan, Jo Ann
AU  - David-Kasdan JA
FAU - Annas, Catherine L
AU  - Annas CL
FAU - Fowler, Floyd J Jr
AU  - Fowler FJ Jr
FAU - Weissman, Joel S
AU  - Weissman JS
LA  - eng
GR  - U18 HS11928/HS/AHRQ HHS/United States
PT  - Journal Article
PT  - Research Support, N.I.H., Extramural
PT  - Research Support, U.S. Gov't, Non-P.H.S.
DEP - 20110209
PL  - England
TA  - Int J Qual Health Care
JT  - International journal for quality in health care : journal of the International 
      Society for Quality in Health Care
JID - 9434628
SB  - IM
MH  - Adult
MH  - Aged
MH  - Female
MH  - Health Care Surveys
MH  - Hospitalization
MH  - Humans
MH  - Interviews as Topic
MH  - Male
MH  - Massachusetts
MH  - Middle Aged
MH  - *Patient Participation
MH  - Patient Satisfaction
MH  - *Quality of Health Care
MH  - Retrospective Studies
MH  - *Safety
PMC - PMC3140261
EDAT- 2011/02/11 06:00
MHDA- 2011/08/24 06:00
PMCR- 2012/06/01
CRDT- 2011/02/11 06:00
PHST- 2011/02/11 06:00 [entrez]
PHST- 2011/02/11 06:00 [pubmed]
PHST- 2011/08/24 06:00 [medline]
PHST- 2012/06/01 00:00 [pmc-release]
AID - mzr002 [pii]
AID - 10.1093/intqhc/mzr002 [doi]
PST - ppublish
SO  - Int J Qual Health Care. 2011 Jun;23(3):269-77. doi: 10.1093/intqhc/mzr002. Epub 
      2011 Feb 9.