Long-term impacts faced by patients and families after harmful healthcare events.

Madelene J Ottosen; Emily Sedlock; Aitebureme O Aigbe; Sigall K. Bell; Thomas H. Gallagher; Eric J. Thomas

Study

Long-term impacts faced by patients and families after harmful healthcare events.

December 15, 2021

Ottosen MJ, Sedlock E, Aigbe AO, et al. J Patient Saf. 2021;17(8):e1145-e1151.

View more articles from the same authors.

This qualitative study explored the long-term impacts experienced by patients and family members involved in medical harm events. Participants described psychological, social/behavioral, and financial impacts and more than half reported ongoing physical impacts.

PubMed citation

Available at

Related Resources From the Same Author(s)

Patients as partners in learning from unexpected events.

November 9, 2016

Creating a comprehensive, unit-based approach to detecting and preventing harm in the neonatal intensive care unit.

August 8, 2018

Encouraging patients to speak up about problems in cancer care.

January 12, 2022

Communication regarding adverse neonatal birth events: experiences of parents and clinicians.

December 1, 2021

The second victim: a contested term?

December 1, 2021

Detach yourself: the positive effect of psychological detachment on patient safety in long-term care.

September 29, 2021

Implementing a robust process improvement program in the neonatal intensive care unit to reduce harm.

April 13, 2022

Structuring patient and family involvement in medical error event disclosure and analysis.

January 22, 2014

Improving communication and resolution following adverse events using a patient-created simulation exercise.

January 25, 2017

A systematic review of methods for medical record analysis to detect adverse events in hospitalized patients.

March 2, 2022

Diagnostic error experiences of patients and families with limited English-language health literacy or disadvantaged socioeconomic position in a cross-sectional US population-based survey.

February 16, 2022

Association of open communication and the emotional and behavioural impact of medical error on patients and families: state-wide cross-sectional survey.

February 12, 2020

Race differences in reported "near miss" patient safety events in health care system high reliability organizations.

December 15, 2021

Enhancing high alert medication knowledge among pharmacy, nursing, and medical staff.

June 2, 2021

Long-term care healthcare-associated infections in 2021: an analysis of 17,971 reports.

July 13, 2022

Burnout, engagement, and dental errors among U.S. dentists.

December 22, 2021

Long-term care nurses' experiences with patient safety incident management: a qualitative study.

August 4, 2021

Intersystem medical error discovery: a document analysis of ethical guidelines.

January 12, 2022

Long-term risk of overdose or mental health crisis after opioid dose tapering.

July 13, 2022

Healthcare-associated adverse events in alternate level of care patients awaiting long-term care in hospital.

September 14, 2022

Drive to Deprescribe.

June 23, 2021

Association of dose tapering with overdose or mental health crisis among patients prescribed long-term opioids.

August 25, 2021

An international perspective on definitions and terminology used to describe serious reportable patient safety incidents: a systematic review.

December 8, 2021

I-PSI: short- and long-term efficacy of a comprehensive initiative to promote patient safety event reporting by trainees.

August 25, 2021

The impact of the built environment on patient falls in hospital rooms: an integrative review.

June 16, 2021

Error disclosure: a new domain for safety culture assessment.

May 23, 2012

Why an open disclosure procedure is and is not followed after an avoidable adverse event.

September 8, 2021

Safety culture: an integration of existing models and a framework for understanding its development.

March 17, 2021

Medication errors at hospital admission and discharge: risk factors and impact of medication reconciliation process to improve healthcare.

October 20, 2021

Implementing the clinical occurrence reporting and learning system: a double-loop learning incident reporting system in long-term care.

March 24, 2021

Evolving factors in hospital safety: a systematic review and meta-analysis of hospital adverse events.

September 29, 2021

Development and usability testing of the Agency for Healthcare Research and Quality Common Formats to capture diagnostic safety events.

May 25, 2022

The patients' perspective: hematological cancer patients' experiences of adverse events as part of care.

August 18, 2021

Toward the development of the perfect medical team: critical components for adaptation.

March 17, 2021

Is there a mismatch between the perspectives of patients and regulators on healthcare quality? A survey study.

October 6, 2021

Allergic adverse drug events after alert overrides in hospitalized patients.

September 21, 2022

Applying decision science to the prioritization of healthcare-associated infection initiatives.

October 27, 2021

Pediatric trainees' speaking up about unprofessional behavior and traditional patient safety threats.

September 30, 2020

Impact of the initial response to COVID-19 on long-term care for people with intellectual disability: an interrupted time series analysis of incident reports.

October 14, 2020

Evaluating the impact of radio frequency identification retained surgical instruments tracking on patient safety: literature review.

August 18, 2021

A systems approach to analyzing and preventing hospital adverse events.

June 24, 2020

The burden of opioid-related adverse drug events on hospitalized previously opioid-free surgical patients.

March 10, 2021

Developing and aligning a safety event taxonomy for inpatient psychiatry.

July 13, 2022

Rates of adverse events in hospitalized patients after summer-time resident changeover in the United States: is there a July effect?

August 25, 2021

Influence of organizational climate and clinician morale on seclusion and physical restraint use in inpatient psychiatric units.

September 1, 2021

Partnering with patients and families living with chronic conditions to coproduce diagnostic safety through OurDX: a previsit online engagement tool.

February 15, 2023

Support for healthcare professionals after surgical patient safety incidents: a qualitative descriptive study in 5 teaching hospitals.

May 26, 2021

Compelled disclosure of confidential information in patient safety research.

April 21, 2021

The impact of health system membership on patient safety initiatives.

January 9, 2008

Health literacy-related safety events: a qualitative study of health literacy failures in patient safety events.

July 28, 2021

The impact of adverse events on clinicians: what's in a name?

November 22, 2017

Filling a gap in safety metrics: development of a patient-centred framework to identify and categorise patient-reported breakdowns related to the diagnostic process in ambulatory care.

October 27, 2021

Occupational therapy utilization in veterans with dementia: a retrospective review of root cause analyses of falls leading to adverse events.

April 6, 2022

Examining causes and prevention strategies of adverse events in deceased hospital patients: a retrospective patient record review study in the Netherlands.

June 16, 2021

Patient safety incidents describing patient falls in critical care in North West England between 2009 and 2017.

April 21, 2021

The impact of electronic communication of medication discontinuation (CancelRx) on medication safety: a pilot study.

October 5, 2022

Speaking up about the dangers of the hidden curriculum.

January 22, 2014

Outpatient insulin-related adverse events due to mix-up errors: findings from two national surveillance systems, United States, 2012-2017.

March 24, 2021

Expert consensus on currently accepted measures of harm.

September 9, 2020

Managing teamwork in the face of pandemic: evidence-based tips.

June 24, 2020

Understanding the "Swiss cheese model" and its application to patient safety.

July 21, 2021

Prescribing errors with low-molecular-weight heparins.

October 13, 2021

Communication patterns during routine patient care in a pediatric intensive care unit: the behavioral impact of in situ simulation.

May 11, 2022

Medication safety in mental health hospitals: a mixed-methods analysis of incidents reported to the National Reporting and Learning System.

August 4, 2021

Teamwork before and during COVID-19: the good, the same, and the ugly….

August 24, 2022

Can communication-and-resolution programs achieve their potential? Five key questions.

December 19, 2018

What do we really know about crew resource management in healthcare?: An umbrella review on crew resource management and its effectiveness.

March 2, 2022

Test-retest reliability of an experienced Global Trigger Tool review team.

October 27, 2021

Institution of just culture physician peer review in an academic medical center.

October 13, 2021

Leading causes of anesthesia-related liability claims in ambulatory surgery centers.

October 6, 2021

A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery.

September 22, 2021

Supporting recovery after adverse events: an essential component of surgeon well-being.

February 10, 2021

Errors during resuscitation: the impact of perceived authority on delivery of care.

March 25, 2020

Does one size fit all? Assessing the need for organizational second victim support programs.

April 7, 2021

Evaluating the relationship between health information technology and safer-prescribing in the long-term care setting: a systematic review.

March 17, 2021

Patient safety issues from information overload in electronic medical records.

September 14, 2022

Barriers to speaking up about patient safety concerns.

November 22, 2017

Hearing impairment and the amelioration of avoidable medical error: a cross-sectional survey.

April 28, 2021

Medication reconciliation during hospitalization and in hospital-home interface: an observational retrospective study.

April 7, 2021

Simulation-based education enhances patient safety behaviors during central venous catheter placement.

September 15, 2021

Short- and long-term effects of an electronic medication management system on paediatric prescribing errors.

January 18, 2023

Evaluation of medication incidents in a long-term care facility using electronic medication administration records and barcode technology.

October 5, 2022

For-profit long-term care homes and the risk of COVID-19 outbreaks and resident deaths.

August 19, 2020

Disparities in adverse event reporting for hospitalized children.

August 3, 2022

Validation of the second victim experience and support tool-revised in the neonatal intensive care unit.

January 12, 2022

Patient safety strategies in psychiatry and how they construct the notion of preventable harm: a scoping review.

November 3, 2021

Understanding hazards for adverse drug events among older adults after hospital discharge: insights from frontline care professionals.

July 20, 2022

Descriptive analysis of patient misidentification from incident report system data in a large academic hospital federation.

October 20, 2021

Patient identification of diagnostic safety blindspots and participation in "good catches" through shared visit notes.

January 18, 2023

The morbidity and mortality conference: opportunities for enhancing patient safety.

February 9, 2022

Adverse event reporting priorities: an integrative review.

June 29, 2022

Investigating hospital supervision: a case study of regulatory inspectors' roles as potential co-creators of resilience.

April 14, 2021

Simulation-based assessment identifies longitudinal changes in cognitive skills in an anesthesiology residency training program.

September 22, 2021

A safe practice standard for barcode technology.

June 3, 2015

National and institutional trends in adverse events over time: a systematic review and meta-analysis of longitudinal retrospective patient record review studies.

March 3, 2021

Amid the COVID-19 pandemic, meaningful communication between family caregivers and residents of long-term care facilities is imperative.

June 24, 2020

Analysis of risk factors for patient safety events occurring in the emergency department.

October 7, 2020

A machine learning approach to reclassifying miscellaneous patient safety event reports.

July 29, 2020

Predictors of serious opioid-related adverse drug events in hospitalized patients.

July 8, 2020

Content analysis of patient safety incident reports for older adult patient transfers, handovers, and discharges: do they serve organizations, staff, or patients?

January 8, 2020

Related Resources

Unequal Treatment Revisited: A Workshop Series.

September 26, 2023 - September 27, 2023

Awareness of racial and ethnic bias and potential solutions to address bias with use of health care algorithms.

June 21, 2023

Perceived discrimination in the community pharmacy: a cross-sectional, national survey of adults.

May 10, 2023

Listen to the whispers before they become screams: addressing Black maternal morbidity and mortality in the United States.

May 3, 2023

Diagnostic error among vulnerable populations presenting to the emergency department with cardiovascular and cerebrovascular or neurological symptoms: a systematic review.

April 26, 2023

Defining avoidable healthcare-associated harm in prisons: a mixed-method development study.

April 19, 2023

Crowding in the Emergency Department: Challenges for the Care of Children.

March 15, 2023

Examining medication ordering errors using AHRQ Network of Patient Safety Databases.

February 22, 2023

Speaking up as an extension of socio-cultural dynamics in hospital settings: a study of staff experiences of speaking up across seven hospitals.

February 22, 2023

Investigating the impact of structural racism on Black birthing people - associations between racialized economic segregation, incarceration inequality, and severe maternal morbidity.

February 15, 2023

The woman who cried pain: do sex-based disparities still exist in the experience and treatment of pain?

February 8, 2023

Assessing experiences of racism among Black and White patients in the emergency department.

January 25, 2023

A scoping review of non-professional medication practices and medication safety outcomes during public health emergencies.

January 25, 2023

Diagnostic Errors in the Emergency Department: A Systematic Review.

December 21, 2022

Structural racism and adverse maternal health outcomes: a systematic review.

December 21, 2022

Measuring psychological safety and local learning to enable high reliability organisational change.

November 9, 2022

Ethical leadership supports safety voice by increasing risk perception and reducing ethical ambiguity: evidence from the COVID-19 pandemic.

November 9, 2022

Human centered design workshops as a meta-solution to diagnostic disparities.

November 2, 2022

Diagnoses Without Names: Challenges for Medical Care, Research, and Policy.

October 12, 2022

Frontiers in measuring structural racism and its health effects.

September 21, 2022

Maybe they had a bad day: how LGBTQ and BIPOC patients react to bias in healthcare and struggle to speak out.

September 14, 2022

Maternal Health Research Centers of Excellence (U54 Clinical Trial Optional).

August 31, 2022

Nurse well-being: a concept analysis.

August 17, 2022

Patient and family involvement in serious incident investigations from the perspectives of key stakeholders: a review of the qualitative evidence.

August 17, 2022

Toward constructive change after making a medical error: recovery from situations of error theory as a psychosocial model for clinician recovery.

August 10, 2022

Development of a multicomponent intervention to decrease racial bias among healthcare staff.

July 27, 2022

Stigma and healthcare access among transgender and gender-diverse people: a qualitative meta-synthesis.

July 20, 2022

Multilevel factors associated with time to biopsy after abnormal screening mammography results by race and ethnicity.

July 6, 2022

Racial and ethnic discrepancy in pulse oximetry and delayed identification of treatment eligibility among patients with COVID-19.

June 22, 2022

Is it time for the mental health field to consider unplanned discharge a key metric of patient safety?

May 4, 2022

See More About The Topic

Researchers

Public Health

Psychological and Social Complications

Patient Disclosure

Research Directions

Long-term impacts faced by patients and families after harmful healthcare events.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Long-term impacts faced by patients and families after harmful healthcare events.

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site