PMID- 28356333 OWN - NLM STAT- MEDLINE DCOM- 20180521 LR - 20220331 IS - 2044-5423 (Electronic) IS - 2044-5415 (Linking) VI - 26 IP - 9 DP - 2017 Sep TI - Patients' reports of adverse events: a data linkage study of Australian adults aged 45 years and over. PG - 743-750 LID - 10.1136/bmjqs-2016-006339 [doi] AB - BACKGROUND: Understanding a patient's hospital experience is fundamental to improving health services and policy, yet, little is known about their experiences of adverse events (AEs). This study redresses this deficit by investigating the experiences of patients in New South Wales hospitals who suffered an AE. METHODS: Data linkage was used to identify a random sample of 20 000 participants in the 45 and Up Cohort Study, out of 267 153 adults aged 45 years and over, who had been hospitalised in the prior 6 months. A cross-sectional survey was administered to these patients to capture their experiences, including whether they had an AE and received honest communication about it. RESULTS: Of the 18 993 eligible participants, 7661 completed surveys were received (40% response rate) and 474 (7%) reported having an AE. Most AEs related to clinical processes and procedures (33%), or medications and intravenous fluids (21%). Country of birth and admission through emergency were significant predictors of the occurrence of an event. An earlier admission in the prior 6 months or a transfer to another healthcare facility was also associated with more AEs. Of those who suffered an AE, 58% reported serious or moderate effects. CONCLUSIONS: Given the exclusions in our sample population (under 45 years), the AE rate reported by patients of 7% is similar to the approximately 10% rate reported in the general population by retrospective medical record reviews. AE data that include patient experience may provide contextual information currently missing. Capturing and using patient experience data more effectively is critical; there may be opportunities for applying co-design methodology to improve the management of AEs and be more responsive to patients' concerns. CI - Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/. FAU - Walton, Merrilyn Margaret AU - Walton MM AD - School of Public Health, University of Sydney, Sydney, New South Wales, Australia. FAU - Harrison, Reema AU - Harrison R AD - School of Public Health, University of Sydney, Sydney, New South Wales, Australia. FAU - Kelly, Patrick AU - Kelly P AD - School of Public Health, University of Sydney, Sydney, New South Wales, Australia. FAU - Smith-Merry, Jennifer AU - Smith-Merry J AD - Faculty of Health Sciences, University of Sydney, Sydney, New South Wales, Australia. FAU - Manias, Elizabeth AU - Manias E AD - School of Nursing and Midwifery, Deakin University, Burwood, Victoria, Australia. FAU - Jorm, Christine AU - Jorm C AD - Sydney University, Sydney Medical School, Sydney, New South Wales, Australia. FAU - Iedema, Rick AU - Iedema R AD - Monash University, Clayton, Victoria, Australia. LA - eng PT - Journal Article DEP - 20170329 PL - England TA - BMJ Qual Saf JT - BMJ quality & safety JID - 101546984 MH - Age Factors MH - Aged MH - Cross-Sectional Studies MH - Female MH - Humans MH - Male MH - Medical Errors/classification/*statistics & numerical data MH - Middle Aged MH - New South Wales MH - Retrospective Studies MH - Sex Factors MH - Socioeconomic Factors OTO - NOTNLM OT - Adverse events, epidemiology and detection OT - Patient safety OT - Patient satisfaction OT - Patient-centred care COIS- Competing interests: None declared. EDAT- 2017/03/31 06:00 MHDA- 2018/05/22 06:00 CRDT- 2017/03/31 06:00 PHST- 2016/11/25 00:00 [received] PHST- 2017/02/13 00:00 [revised] PHST- 2017/03/10 00:00 [accepted] PHST- 2017/03/31 06:00 [pubmed] PHST- 2018/05/22 06:00 [medline] PHST- 2017/03/31 06:00 [entrez] AID - bmjqs-2016-006339 [pii] AID - 10.1136/bmjqs-2016-006339 [doi] PST - ppublish SO - BMJ Qual Saf. 2017 Sep;26(9):743-750. doi: 10.1136/bmjqs-2016-006339. Epub 2017 Mar 29.