Trial reportBMJ quality & safety2018
What can patients tell us about the quality and safety of hospital care? Findings from a UK multicentre survey study.
Trial report in BMJ quality & safety, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 55 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
55 citing papers in PubMed, 4 syntheses or guidelines pooled it, 137 citations in OpenAlex.
- Systematic review on the frequency and quality of reporting patient and public involvement in patient safety research.BMC health services research · 2024Pooled it
- Factors contributing to the patient safety culture in Saudi Arabia: a systematic review.BMJ open · 2020Pooled it
- What methods are used to promote patient and family involvement in healthcare regulation? A multiple case study across four countries.BMC health services research · 2020Pooled it
- How is patient involvement measured in patient centeredness scales for health professionals? A systematic review of their measurement properties and content.BMC health services research · 2019Pooled it
- Promoting Patient Safety Through Patient Engagement at the Organisational Level: A Delphi-Based Needs Assessment Among Patient and Family Advisory Councils.Health expectations : an international journal of public participation in health care and health policy · 2025Trial
- Powerless or Powerful? Healthcare Professionals' Construction of Agency in Patient and Family Engagement Accounts.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Psychological safety and shared decision-making for patient engagement in care quality.BMJ open quality · 2026Review
- Patient safety as an ethical interface: alignment between staff safety culture, speaking up climate and inpatient perceptions in Romania: a cross-sectional multi-informant survey.BMC health services research · 2026Article
- What Do Consumers Need Before, During and After a Patient Safety Incident Review? A Qualitative Study.Health expectations : an international journal of public participation in health care and health policy · 2026Article
- Exploring patients' perspectives on patient rights in Latvia: from awareness to implementation and strengthening.BMC medical ethics · 2026Article
- Integrating equity into incident reporting and patient concerns systems: a critical interpretive synthesis.BMJ quality & safety · 2025Review
- Patient safety culture research within the chiropractic profession: a scoping review.Chiropractic & manual therapies · 2025Article
- Article
- Contributing Factors to Safety: What Hospitalized Patients Can Tell Us? A Cross-Sectional Study.The International journal of health planning and management · 2025Article
- Exploring Emotional Safety and Harm Among Hospitalized Patients: A Qualitative Study of Patients' and Providers' Perspectives.Healthcare (Basel, Switzerland) · 2025Article
- Patient-Reported Incident Measure (PRIM) tools for reporting patient safety incidents: protocol for a scoping review.BMJ open · 2025Article
- The evolution of patient-reported safety concerns during the COVID-19 pandemic within a series of study questionnaires: a multi-method analysis.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025Article
- 'They Take the Mum Off You When You Come In': An Ethnographic Study of Parent Experiences of Medicines Safety Systems in English Hospitals.Health expectations : an international journal of public participation in health care and health policy · 2025Article
- (Not) Being cared for in hospital settings: patients' experience from Foucault's perspective.Revista brasileira de enfermagem · 2025Article
- Safety of arthroscopic rotator cuff repair: using a core event set for clinician and patient assessment of risks in a multicenter cohort study.BMJ surgery, interventions, & health technologies · 2025Article
Corrections and comments
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Authors and funding
9 authors at 4 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundPatient safety measurement remains a global challenge. Patients are an important but neglected source of learning; however, little is known about what patients can add to our understanding of safety. We sought to understand the incidence and nature of patient-reported safety concerns in hospital.
methodsFeedback about the experience of safety within hospital was gathered from 2471 inpatients as part of a multicentre, waitlist cluster randomised controlled trial of an intervention, undertaken within 33 wards across three English NHS Trusts, between May 2013 and September 2014. Patient volunteers, supported by researchers, developed a classification framework of patient-reported safety concerns from a random sample of 231 reports. All reports were then classified using the patient-developed categories. Following this, all patient-reported safety concerns underwent a two-stage clinical review process for identification of patient safety incidents.
resultsOf the 2471 inpatients recruited, 579 provided 1155 patient-reported incident reports. 14 categories were developed for classification of reports, with communication the most frequently occurring (22%), followed by staffing issues (13%) and problems with the care environment (12%). 406 of the total 1155 patient incident reports (35%) were classified by clinicians as a patient safety incident according to the standard definition. 1 in 10 patients (264 patients) identified a patient safety incident, with medication errors the most frequently reported incident.
conclusionsOur findings suggest that patients can provide insight about safety that complements existing patient safety measurement, with a frequency of reported patient safety incidents that is similar to those obtained via case note review. However, patients provide a unique perspective about hospital safety which differs from and adds to current definitions of patient safety incidents. TRIAL REGISTRATION NUMBER: ISRCTN07689702; pre-results.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.