Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional study
Background Increasing evidence suggests that patient safety is a serious concern for older patients with long-term conditions. Despite this, there is a lack of research on safety incidents encountered by this patient group. In this study, we sought to examine patient reports of safety incidents and...
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BMJ Publishing Group
2017-05-01
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| Series: | BMJ Open |
| Online Access: | https://bmjopen.bmj.com/content/7/5/e013524.full |
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| author | Maria Panagioti Peter Bower Mark Hann Thomas Blakeman |
| author_facet | Maria Panagioti Peter Bower Mark Hann Thomas Blakeman |
| author_sort | Maria Panagioti |
| collection | DOAJ |
| description | Background Increasing evidence suggests that patient safety is a serious concern for older patients with long-term conditions. Despite this, there is a lack of research on safety incidents encountered by this patient group. In this study, we sought to examine patient reports of safety incidents and factors associated with reports of safety incidents in older patients with long-term conditions.Methods The baseline cross-sectional data from a longitudinal cohort study were analysed. Older patients (n=3378 aged 65 years and over) with a long-term condition registered in general practices were included in the study. The main outcome was patient-reported safety incidents including availability and appropriateness of medical tests and prescription of wrong types or doses of medication. Binary univariate and multivariate logistic regression analyses were undertaken to examine factors associated with patient-reported safety incidents.Results Safety incidents were reported by 11% of the patients. Four factors were significantly associated with patient-reported safety incidents in multivariate analyses. The experience of multiple long-term conditions (OR=1.09, 95% CI 1.05 to 1.13), a probable diagnosis of depression (OR=1.36, 95% CI 1.06 to 1.74) and greater relational continuity of care (OR=1.28, 95% CI 1.08 to 1.52) were associated with increased odds for patient-reported safety incidents. Perceived greater support and involvement in self-management was associated with lower odds for patient-reported safety incidents (OR=0.95, 95% CI 0.93 to 0.97).Conclusions We found that older patients with multimorbidity and depression are more likely to report experiences of patient safety incidents. Improving perceived support and involvement of patients in their care may help prevent patient-reported safety incidents. |
| format | Article |
| id | doaj-art-36518c53b4f44c368ee93d35fed177c6 |
| institution | Kabale University |
| issn | 2044-6055 |
| language | English |
| publishDate | 2017-05-01 |
| publisher | BMJ Publishing Group |
| record_format | Article |
| series | BMJ Open |
| spelling | doaj-art-36518c53b4f44c368ee93d35fed177c62025-02-09T06:30:16ZengBMJ Publishing GroupBMJ Open2044-60552017-05-017510.1136/bmjopen-2016-013524Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional studyMaria Panagioti0Peter Bower1Mark Hann2Thomas Blakeman38 Division of Population Health, Health Services Research & Primary Care, The University of Manchester, Manchester, UK1 Division of Population Health, Health Services Research and Primary Care, University of Manchester, Manchester, Greater Manchester, UK6 Division of Population Health, The University of Manchester, Manchester, UK5 University of Manchester, Manchester, UKBackground Increasing evidence suggests that patient safety is a serious concern for older patients with long-term conditions. Despite this, there is a lack of research on safety incidents encountered by this patient group. In this study, we sought to examine patient reports of safety incidents and factors associated with reports of safety incidents in older patients with long-term conditions.Methods The baseline cross-sectional data from a longitudinal cohort study were analysed. Older patients (n=3378 aged 65 years and over) with a long-term condition registered in general practices were included in the study. The main outcome was patient-reported safety incidents including availability and appropriateness of medical tests and prescription of wrong types or doses of medication. Binary univariate and multivariate logistic regression analyses were undertaken to examine factors associated with patient-reported safety incidents.Results Safety incidents were reported by 11% of the patients. Four factors were significantly associated with patient-reported safety incidents in multivariate analyses. The experience of multiple long-term conditions (OR=1.09, 95% CI 1.05 to 1.13), a probable diagnosis of depression (OR=1.36, 95% CI 1.06 to 1.74) and greater relational continuity of care (OR=1.28, 95% CI 1.08 to 1.52) were associated with increased odds for patient-reported safety incidents. Perceived greater support and involvement in self-management was associated with lower odds for patient-reported safety incidents (OR=0.95, 95% CI 0.93 to 0.97).Conclusions We found that older patients with multimorbidity and depression are more likely to report experiences of patient safety incidents. Improving perceived support and involvement of patients in their care may help prevent patient-reported safety incidents.https://bmjopen.bmj.com/content/7/5/e013524.full |
| spellingShingle | Maria Panagioti Peter Bower Mark Hann Thomas Blakeman Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional study BMJ Open |
| title | Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional study |
| title_full | Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional study |
| title_fullStr | Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional study |
| title_full_unstemmed | Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional study |
| title_short | Patient-reported safety incidents in older patients with long-term conditions: a large cross-sectional study |
| title_sort | patient reported safety incidents in older patients with long term conditions a large cross sectional study |
| url | https://bmjopen.bmj.com/content/7/5/e013524.full |
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