Validation and initial results of surveys exploring perspectives on risks and solutions for diagnostic and medication errors in primary care in Sweden
Objective To (1) validate and (2) display initial results of surveys to health care professionals and patients on the importance and mitigation of specified risks for diagnostic and medication errors. Design For validation, psychometric properties were analysed by assessment of construct validity an...
| Main Authors: | , , , , , , |
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| Format: | Article |
| Language: | English |
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Taylor & Francis Group
2020-10-01
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| Series: | Scandinavian Journal of Primary Health Care |
| Subjects: | |
| Online Access: | http://dx.doi.org/10.1080/02813432.2020.1841531 |
| _version_ | 1818720747371102208 |
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| author | Rita Fernholm Caroline Wachtler Karolina Malm-Willadsen Martin J. Holzmann Axel C. Carlsson Gunnar H. Nilsson Karin Pukk Härenstam |
| author_facet | Rita Fernholm Caroline Wachtler Karolina Malm-Willadsen Martin J. Holzmann Axel C. Carlsson Gunnar H. Nilsson Karin Pukk Härenstam |
| author_sort | Rita Fernholm |
| collection | DOAJ |
| description | Objective To (1) validate and (2) display initial results of surveys to health care professionals and patients on the importance and mitigation of specified risks for diagnostic and medication errors. Design For validation, psychometric properties were analysed by assessment of construct validity and internal consistency by factor analysis. Non-parametric analyses were used concerning areas of risk, and top ranking of solutions were reported descriptively. Setting Primary health care in Sweden. Participants Health care professionals (HCPs); including physicians, nurses and practice managers, as well as patients who had experienced diagnostic or medication errors. Main outcome measures Psychometric properties of the surveys. Median ratings for risks and top rankings of solutions for professionals and patients. Results There were 939 respondents to the HCP survey. Construct validity resulted in a model with four dimensions: Patient-provider level; Support systems for every day clinical work; Shared information and cooperation between different caregivers; Risks in the environment. Internal consistency was acceptable with Cronbach’s α values above 0.7. Confirmatory factor analysis generally showed an acceptable fit. Initial results from the professionals showed the importance of continuity of care, a nationwide on-line medical platform and cooperation in transfer of care. The patient survey could not be validated because of low response rate. Conclusion The HCP survey showed some contradicting results regarding model fit and may be tentatively acceptable but validity needs further study. HCP survey answers indicated that relational continuity of care and a nationwide on-line medical platform are highly valued.Current awareness Health care professionals and patients are rather untapped sources of knowledge regarding patient safety in primary health care Main statements Validation is performed on a new survey capturing rating of risks and solutions. The validation of the health care professional survey is tentatively acceptable. Survey answers indicate that health care professionals’ and patients’ perspectives are complementary. |
| first_indexed | 2024-12-17T20:27:45Z |
| format | Article |
| id | doaj.art-432a4d24465d42e2b99cd5b9183761ed |
| institution | Directory Open Access Journal |
| issn | 0281-3432 1502-7724 |
| language | English |
| last_indexed | 2024-12-17T20:27:45Z |
| publishDate | 2020-10-01 |
| publisher | Taylor & Francis Group |
| record_format | Article |
| series | Scandinavian Journal of Primary Health Care |
| spelling | doaj.art-432a4d24465d42e2b99cd5b9183761ed2022-12-21T21:33:41ZengTaylor & Francis GroupScandinavian Journal of Primary Health Care0281-34321502-77242020-10-0138438139010.1080/02813432.2020.18415311841531Validation and initial results of surveys exploring perspectives on risks and solutions for diagnostic and medication errors in primary care in SwedenRita Fernholm0Caroline Wachtler1Karolina Malm-Willadsen2Martin J. Holzmann3Axel C. Carlsson4Gunnar H. Nilsson5Karin Pukk Härenstam6Division of Family Medicine and Primary Care, Department of Neurobiology, Care Sciences and Society, Karolinska InstitutetDivision of Family Medicine and Primary Care, Department of Neurobiology, Care Sciences and Society, Karolinska InstitutetDivision of Family Medicine and Primary Care, Department of Neurobiology, Care Sciences and Society, Karolinska InstitutetDepartment of MedicineDivision of Family Medicine and Primary Care, Department of Neurobiology, Care Sciences and Society, Karolinska InstitutetDivision of Family Medicine and Primary Care, Department of Neurobiology, Care Sciences and Society, Karolinska InstitutetDepartment of Learning, Informatics, Management and Ethics, Medical Management CentreObjective To (1) validate and (2) display initial results of surveys to health care professionals and patients on the importance and mitigation of specified risks for diagnostic and medication errors. Design For validation, psychometric properties were analysed by assessment of construct validity and internal consistency by factor analysis. Non-parametric analyses were used concerning areas of risk, and top ranking of solutions were reported descriptively. Setting Primary health care in Sweden. Participants Health care professionals (HCPs); including physicians, nurses and practice managers, as well as patients who had experienced diagnostic or medication errors. Main outcome measures Psychometric properties of the surveys. Median ratings for risks and top rankings of solutions for professionals and patients. Results There were 939 respondents to the HCP survey. Construct validity resulted in a model with four dimensions: Patient-provider level; Support systems for every day clinical work; Shared information and cooperation between different caregivers; Risks in the environment. Internal consistency was acceptable with Cronbach’s α values above 0.7. Confirmatory factor analysis generally showed an acceptable fit. Initial results from the professionals showed the importance of continuity of care, a nationwide on-line medical platform and cooperation in transfer of care. The patient survey could not be validated because of low response rate. Conclusion The HCP survey showed some contradicting results regarding model fit and may be tentatively acceptable but validity needs further study. HCP survey answers indicated that relational continuity of care and a nationwide on-line medical platform are highly valued.Current awareness Health care professionals and patients are rather untapped sources of knowledge regarding patient safety in primary health care Main statements Validation is performed on a new survey capturing rating of risks and solutions. The validation of the health care professional survey is tentatively acceptable. Survey answers indicate that health care professionals’ and patients’ perspectives are complementary.http://dx.doi.org/10.1080/02813432.2020.1841531patient safetyprimary health caremedical errorscontinuity of patient carerisk assessmentquality of health care |
| spellingShingle | Rita Fernholm Caroline Wachtler Karolina Malm-Willadsen Martin J. Holzmann Axel C. Carlsson Gunnar H. Nilsson Karin Pukk Härenstam Validation and initial results of surveys exploring perspectives on risks and solutions for diagnostic and medication errors in primary care in Sweden Scandinavian Journal of Primary Health Care patient safety primary health care medical errors continuity of patient care risk assessment quality of health care |
| title | Validation and initial results of surveys exploring perspectives on risks and solutions for diagnostic and medication errors in primary care in Sweden |
| title_full | Validation and initial results of surveys exploring perspectives on risks and solutions for diagnostic and medication errors in primary care in Sweden |
| title_fullStr | Validation and initial results of surveys exploring perspectives on risks and solutions for diagnostic and medication errors in primary care in Sweden |
| title_full_unstemmed | Validation and initial results of surveys exploring perspectives on risks and solutions for diagnostic and medication errors in primary care in Sweden |
| title_short | Validation and initial results of surveys exploring perspectives on risks and solutions for diagnostic and medication errors in primary care in Sweden |
| title_sort | validation and initial results of surveys exploring perspectives on risks and solutions for diagnostic and medication errors in primary care in sweden |
| topic | patient safety primary health care medical errors continuity of patient care risk assessment quality of health care |
| url | http://dx.doi.org/10.1080/02813432.2020.1841531 |
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