Surgical patients’ experiences with the Patients’ Safety Checklist (PASC): a qualitative interview study

作者：Kristin Harris, Hilde Valen Wæhle, Anette Storesund, Stig Harthug, Randi J. Tangvik, Denisa Monsen Lukcova, Wenche Håvik, Åse Humberset, Evelyn Stavang, Kjetil Hagerup, Åshild Teigland Tepstad, Ann Kristin Sandsbakk Austarheim, Andy Healey, Nick Sevdalis, Arvid Steinar Haugen · 发表于：BMJ Open · 年份：2025 · DOI：10.1136/bmjopen-2025-105554 · 被引用次数：2 · 研究领域：Patient Safety and Medication Errors、Electronic Health Records Systems、Hospital Admissions and Outcomes

BACKGROUND: Engaging patients in surgical safety is challenging and has not been thoroughly investigated. Although surgical checklists and other safety protocols have been introduced across various surgical fields, preventable adverse events still occur, highlighting the need for additional research. A Patient's Safety Checklist (PASC) has been developed and validated for use by surgical patients. Its effect on patient safety and patient outcomes is currently being investigated in a Stepped Wedge Cluster Randomised Controlled Trial (NCT03105713). In connection with this trial, we have examined elective patients' experiences with using the PASC. METHODS: An exploratory qualitative study was conducted based on individual in-depth telephone interviews with 31 elective surgical patients. The interviews were carried out across three Norwegian hospitals including seven surgical specialties. The patients interviewed were part of the trial's intervention arm and had used PASC. The interviews were transcribed verbatim, and reflective thematic analysis was applied. RESULT: Three themes were identified in the data: patient awareness, patient actions and utility value. Patients perceived PASC to increase awareness around surgical information, preparations, what to speak up about and which information to seek and repeat. This awareness led to a series of actions, such as ensuring medication control, optimising their own health, contacting healthcare professionals, asking questions, and fo...