Parent-Reported Errors and Adverse Events in Hospitalized Children.

摘要: Importance Limited data exist regarding the incidence and nature of patient- family-reported medical errors, particularly in pediatrics. Objective To determine frequency with which parents experience patient safety incidents proportion reported that meet standard definitions errors preventable adverse events (AEs). Design, Setting, Participants We conducted a prospective cohort study from May 2013 to October 2014 within 2 general pediatric units at children’s hospital. Included were English-speaking (N = 471) randomly selected inpatients (ages 0-17 years) prior discharge. Parents via written survey whether their child experienced any during hospitalization. Two physician reviewers classified as other quality issues, or exclusions (κ = 0.64; agreement = 78%). They then categorized harmful (ie, AEs) nonharmful (κ = 0.77; agreement = 89%). analyzed errors/AEs using descriptive statistics explored predictors parent-reported bivariate statistics. subsequently reviewed records number present record. obtained demographic/clinical hospital administrative records. Main Outcomes Measures Medical AEs. Results The mean (SD) age 383 surveyed was 36.6 (8.9) years; most respondents (n = 266) female. Of (81% response rate), 34 (8.9%) 37 incidents. Among these, 62% (n = 23, 6.0 per 100 admissions) determined be on review, 24% (n = 9) problems, 14% (n = 5) neither. Thirty percent (n = 7, 1.8 caused harm AEs). On analysis, children appeared have longer lengths stay (median [interquartile range], 2.9 days [2.2-6.9] vs 2.5 [1.9-4.1]; P  = .04), more often had metabolic (14.3% 3.0%;  = .04) neuromuscular 3.6%;  = .05) condition, an annual household income greater than $100 000 (38.1% 30.1%;  = .06) those without errors. Fifty-seven (n = 13) also identified subsequent record review. Conclusions Relevance frequently AEs, many not otherwise documented Families are underused source about Hospitals may wish consider incorporating family reports into routine surveillance systems.