ArticleBMJ open2020
Patient safety in ambulatory care from the patient's perspective: a retrospective, representative telephone survey.
Article in BMJ open, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 12 papers, 1 of them a synthesis that pooled it.
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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.
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Who cites it
12 citing papers in PubMed, 1 synthesis or guideline pooled it.
- 'Development and psychometric evaluation of the safety feeling scale in adult patients at hospital: Exploratory sequential mixed method'.Nursing open · 2023Pooled it
- Acceptance of Medical History-Taking Supported by Artificial Intelligence and Chatbots: A Population-Based Survey in Germany.Healthcare (Basel, Switzerland) · 2026Article
- [Patient safety-development and evaluation].Bundesgesundheitsblatt, Gesundheitsforschung, Gesundheitsschutz · 2026Review
- Article
- Article
- Single-encounter elicitation framework for diagnostic excellence patient-reported measures: SEE-Dx-PRM.PEC innovation · 2024Article
- Patient-reported outcome and experience domains for diagnostic excellence: a scoping review to inform future measure development.Quality of life research : an international journal of quality of life aspects of treatment, care and rehabilitation · 2024Article
- Achieving Diagnostic Excellence: Roadmaps to Develop and Use Patient-Reported Measures With an Equity Lens.International journal of health policy and management · 2024Article
- Patient Safety and the COVID-19 Pandemic in Germany: A Repeated Population-Based Cross-Sectional Survey.International journal of environmental research and public health · 2022Observational
- Assessing patient experience with patient safety in primary care: development and validation of the ASK-ME-questionnaire.BMJ open · 2022Article
- How do patients respond to safety problems in ambulatory care? Results of a retrospective cross-sectional telephone survey.BMJ open · 2021Article
- ASK ME!-Routine measurement of patient experience with patient safety in ambulatory care: A mixed-mode survey.PloS one · 2021Article
Corrections and comments
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Authors and funding
6 authors.
Funding
No grant is acknowledged in the PubMed record.
Abstract
objectivesData on patient safety problems (PSPs) in ambulatory care are scarce. The aim of the study was to record the frequency, type, severity and point of origin of PSPs in ambulatory care in Germany.
designRetrospective cross-sectional study.
settingComputer-assisted telephone interviews with randomly recruited citizens aged ≥40 years in Germany who were asked about their experiences with PSPs in ambulatory care.
participants10 037 citizens ≥40 years. MEASURES: A new questionnaire was developed to record patient experiences with PSPs in ambulatory care. The study reported here targets patient experiences in the last 12 months. The questionnaire focuses on PSPs in seven areas of medical treatment: anamnesis/diagnostic procedures; medication; vaccination, injection, infusion; aftercare; outpatient surgery; office administration; other areas. For each PSP reported, detailed questions were asked about the specialist group concerned, and, on the most serious harm, the severity of the harm and its consequences. The target parameters are presented as proportions with 95% CIs.
results1422 of the respondents (14%) reported 2589 PSPs. The areas most frequently affected by PSPs were anamnesis/diagnostic procedures (61%) and medication (15%). General practitioners accounted for 44% of PSPs, orthopaedists for 15% and internists for 10%. 75% of PSPs were associated with harm, especially unnecessarily prolonged pain or deterioration of health; 35% of PSPs led to permanent harm. 804 PSPs (32%) prompted patients to see another doctor for additional treatment; 255 PSPs (10%) required inpatient treatment.
conclusionPSPs experienced by patients are widespread in ambulatory care in Germany. The study reveals in which areas of medical treatment efforts to prevent PSPs could make the greatest contribution to improving patient safety. It also demonstrates the valuable contribution of patient reports to the analysis of PSPs.
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