Journal of Patient Safety

Skip Navigation LinksHome > Published Ahead-of-Print > Medical Harm: Patient Perceptions and Follow-up Actions.
Journal of Patient Safety:
doi: 10.1097/PTS.0000000000000136
Original Article: PDF Only

Medical Harm: Patient Perceptions and Follow-up Actions.

Lyu, Heather G. MD; Cooper, Michol A. MD, PhD; Mayer-Blackwell, Brandan BS; Jiam, Nicole BA; Hechenbleikner, Elizabeth M. MD; Wick, Elizabeth C. MD; Berenholtz, Sean M. MD, MHS; Makary, Martin A. MD, MPH

Published Ahead-of-Print
Collapse Box

Abstract

Objectives: Much research has been conducted to describe medical mistakes resulting in patient harm using databases that capture these events for medical organizations. The objective of this study was to describe patients' perceptions regarding disclosure and their actions after harm.

Methods: We analyzed a patient harm survey database composed of responses from a voluntary online survey administered to patients by ProPublica, an independent nonprofit news organization, during a 1-year period (May 2012 to May 2013). We collected data on patient demographics and characteristics related to the acknowledgment of patient harms, the reporting of patient harm to an oversight agency, whether the patient or the family obtained the harm-associated medical records, as well as the presence of a malpractice claim.

Results: There were 236 respondents reporting a patient harm (mean age, 49.1 y). In 11.4% (27/236) of harms, an apology by the medical organization or the clinician was made. In 42.8% (101/236) of harms, a complaint was filed with an oversight agency. In 66.5% (157/236) of harms, the patient or the family member obtained a copy of the pertinent medical records. A malpractice claim was reported in 19.9% (47/236) of events.

Conclusions: In this sample of self-reported patient harms, we found a perception of inadequate apology. Nearly half of patient harm events are reported to an oversight agency, and roughly one-fifth result in a malpractice claim.

Copyright (C) 2016 Wolters Kluwer Health, Inc. All rights reserved

Login

Article Tools

Share

Article Level Metrics

Search for Similar Articles
You may search for similar articles that contain these same keywords or you may modify the keyword list to augment your search.