El punto de vista de los pacientes sobre la seguridad clínica de los hospitales: Validación del Cuestionario de Percepción de Seguridad

• José Joaquín Mira ^[5] ; Susana Lorenzo ^[1] ; Julián Vitaller ^[2] ; Medhi Ziadi ^[3] ; Lidia Ortiz ^[2] ; Emilio Ignacio ^[4] ; Jesús Aranaz ^[2]
  1. [1] Fundación Hospital Alcorcón

     Fundación Hospital Alcorcón

     Alcorcón, España

     
  2. [2] Universidad Miguel Hernández de Elche

     Universidad Miguel Hernández de Elche

     Elche, España

     
  3. [3] Hospital General Universitario de Elche

     Hospital General Universitario de Elche

     Elche, España

     
  4. [4] Universidad de Cádiz

     Universidad de Cádiz

     Cádiz, España

     
  5. [5] Centro de Salud Hospital-Plá Departamento de Salud 17

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• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 137, Nº. 11, 2009
• Idioma: español
• Títulos paralelos:
  • Hospital clinical safety from the patient's point of view: Validation of a safety perception questionnaire
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  • Background: Approximately 10% of hospitalized patients suffer an adverse event during their hospital stay. An important proportion of subjects also feel that they have a high risk of suffering such an event during an eventual hospitalization. Aim: To determine the perception on clinical safety among patients discharged from a hospital. Material and methods: A questionnaire about hospital safety was mailed to 1300 patients discharged from a hospital. The questionnaire was analyzed using construct validity predictive validity and Cronbach Alpha for internal consistency Results: The questionnaire was answered by 384 patients, yielding a response rate of 29%. Of these, 77 incomplete answers were discarded. Thirty-one subjects (10%) reported a possible adverse event. In 19 cases (5.8%), it was due to medication errors and in 19 (6.1%), to surgical procedures. In seven cases (2.3%), both errors coincided (2.3%). According to the predictive validity of the questionnaire, if a patient reports an adverse event, the confidence in the hospital and in the professionals is reduced (p <0.001), communication with the physician is considered inappropriate (p =0.0001) and risk perception increases (p =0.003). Unsatisfied patients are those that believe that they have higher risks of suffering a medical error (p =0.005). Conclusions: Risk perception for adverse events increases after having suffered such an event. Patient satisfaction minimizes the effects of adverse events on their confidence and attitude.