Cancer patients’ experiences of error and consequences during diagnosis and treatment

The study objective was to investigate patient experienced error during diagnosis and treatment of cancer. The design included a nationwide patient survey on quality and safety in Danish cancer care. Responses regarding patient experienced error were separately analyzed, quantitative responses using...

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Autores principales:	Henriette Lipczak, Liv Dørflinger, Christine Enevoldsen, Mette Vinter, Jeanne Knudsen
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2015
Materias:	patient safety patient-centred care cancers disease categories surveys general methodology medical errors Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/4dfe7688ff0e4ea1aa68f7682b96697c
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spelling	oai:doaj.org-article:4dfe7688ff0e4ea1aa68f7682b96697c2021-11-15T03:55:59ZCancer patients’ experiences of error and consequences during diagnosis and treatment2372-0247https://doaj.org/article/4dfe7688ff0e4ea1aa68f7682b96697c2015-04-01T00:00:00Zhttps://pxjournal.org/journal/vol2/iss1/15https://doaj.org/toc/2372-0247The study objective was to investigate patient experienced error during diagnosis and treatment of cancer. The design included a nationwide patient survey on quality and safety in Danish cancer care. Responses regarding patient experienced error were separately analyzed, quantitative responses using descriptive statistics and qualitative responses using systematic text analysis. Study participants included 6,720 adult patients with a first time diagnosis of cancer registered between May 1st and August 31st 2010. The patients received a questionnaire concerning their experiences of care received by general practitioners, specialist practitioners and at the hospital. A response rate of 65% was achieved. 10 – 25% of patients experienced error during diagnosis or treatment. 61% reported that hospital errors had consequences. Unexpected surgical errors/complications (27%), delay due to doctors’ assessment errors (24%) and unavailable test results (21%) were the most frequent types of errors identified using closed questions. 819 qualitative responses supplemented this information and revealed errors related to cancer detection, planning & coordination, patient-provider communication, administrative processes and treatment & medication. Physical, psychological, social as well as organizational consequences of the errors were uncovered. Patient experiences of errors suggest that practices related to informed consent, diagnostic reasoning as well as handling of test results, referrals and the medical chart should be further improved. In addition, safety aspects of the patient-provider communication and involvement of patients as an extra safety barrier merit further study.Henriette LipczakLiv DørflingerChristine EnevoldsenMette VinterJeanne KnudsenThe Beryl Institutearticlepatient safetypatient-centred carecancersdisease categoriessurveysgeneral methodologymedical errorspatient safetyMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2015)
institution	DOAJ
collection	DOAJ
language	EN
topic	patient safety patient-centred care cancers disease categories surveys general methodology medical errors patient safety Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	patient safety patient-centred care cancers disease categories surveys general methodology medical errors patient safety Medicine (General) R5-920 Public aspects of medicine RA1-1270 Henriette Lipczak Liv Dørflinger Christine Enevoldsen Mette Vinter Jeanne Knudsen Cancer patients’ experiences of error and consequences during diagnosis and treatment
description	The study objective was to investigate patient experienced error during diagnosis and treatment of cancer. The design included a nationwide patient survey on quality and safety in Danish cancer care. Responses regarding patient experienced error were separately analyzed, quantitative responses using descriptive statistics and qualitative responses using systematic text analysis. Study participants included 6,720 adult patients with a first time diagnosis of cancer registered between May 1st and August 31st 2010. The patients received a questionnaire concerning their experiences of care received by general practitioners, specialist practitioners and at the hospital. A response rate of 65% was achieved. 10 – 25% of patients experienced error during diagnosis or treatment. 61% reported that hospital errors had consequences. Unexpected surgical errors/complications (27%), delay due to doctors’ assessment errors (24%) and unavailable test results (21%) were the most frequent types of errors identified using closed questions. 819 qualitative responses supplemented this information and revealed errors related to cancer detection, planning & coordination, patient-provider communication, administrative processes and treatment & medication. Physical, psychological, social as well as organizational consequences of the errors were uncovered. Patient experiences of errors suggest that practices related to informed consent, diagnostic reasoning as well as handling of test results, referrals and the medical chart should be further improved. In addition, safety aspects of the patient-provider communication and involvement of patients as an extra safety barrier merit further study.
format	article
author	Henriette Lipczak Liv Dørflinger Christine Enevoldsen Mette Vinter Jeanne Knudsen
author_facet	Henriette Lipczak Liv Dørflinger Christine Enevoldsen Mette Vinter Jeanne Knudsen
author_sort	Henriette Lipczak
title	Cancer patients’ experiences of error and consequences during diagnosis and treatment
title_short	Cancer patients’ experiences of error and consequences during diagnosis and treatment
title_full	Cancer patients’ experiences of error and consequences during diagnosis and treatment
title_fullStr	Cancer patients’ experiences of error and consequences during diagnosis and treatment
title_full_unstemmed	Cancer patients’ experiences of error and consequences during diagnosis and treatment
title_sort	cancer patients’ experiences of error and consequences during diagnosis and treatment
publisher	The Beryl Institute
publishDate	2015
url	https://doaj.org/article/4dfe7688ff0e4ea1aa68f7682b96697c
work_keys_str_mv	AT henriettelipczak cancerpatientsexperiencesoferrorandconsequencesduringdiagnosisandtreatment AT livdørflinger cancerpatientsexperiencesoferrorandconsequencesduringdiagnosisandtreatment AT christineenevoldsen cancerpatientsexperiencesoferrorandconsequencesduringdiagnosisandtreatment AT mettevinter cancerpatientsexperiencesoferrorandconsequencesduringdiagnosisandtreatment AT jeanneknudsen cancerpatientsexperiencesoferrorandconsequencesduringdiagnosisandtreatment
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Cancer patients’ experiences of error and consequences during diagnosis and treatment

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