ABSTRACT
Introducción. Existe una elevada variabilidad en la información documental dirigida a los pacientes, que muestra distintos contenidos, formatos y presentación. Objetivo. Conocer la percepción de seguridad de los pacientes atendidos en el Hospital Comarcal de Melilla (HCML) y valorar la calidad de los documentos mediante los criterios de adaptación del instrumento International Patient Decision Aid Standards (IPDAS). Método. Estudio descriptivo de los documentos entregados a pacientes del HCML, mediante encuesta de valoración de la percepción de seguridad, una clasificación de los documentos y análisis del grado de cumplimiento de los criterios IPDAS. Resultados. La información durante la estancia de los pacientes en el HCML, su participación en la toma de decisiones y la información sobre la medicación no superaron el valor medio de la escala de aceptación. Solo 40 documentos fueron objeto de estudio (de 131 recogidos), por ser de autoría propia y se clasificaron, siguiendo las definiciones de la RAE, en instrucciones (20), recomendaciones (14) y guías (6). De ellos, solo el 27,5% ostentó alguna imagen institucional. En el análisis de su contenido, según los criterios IPDAS, se observó un porcentaje global de cumplimiento de ítems del 24,1% en instrucciones, el 24,8% en recomendaciones y el 61,5% en guías. Conclusiones. La percepción de la seguridad de los pacientes manifestada por la encuesta y su valoración según los criterios IPDAS nos proporcionan una posibilidad de mejora importante dentro de la organización. Además, la calidad de la documentación sanitaria dirigida a pacientes puede ayudar a la toma de decisiones (AU)
Introduction. There is a high variability in the level of information intended for patients, with different content, format and presentation. Objective. To determine the perceived safety of the patients treated at the Country Hospital of Melilla (HCML) and to assess the quality of the documents using criteria adapted to the «International Patient Decision Aid Standards» (IPDAS). Method. Descriptive study of the documents given to patients by the HCML. They included questionnaires on perceived safety, classification of the documents, and the level of adherence to the IPDAS criteria. Results. The Information given to patients during their stay in the HCML, their participation in decision-making, and the information about medication, did not exceed the average on the acceptance scale. Only 40 documents were studied (of the 131 collected), on being published in-house, and were classified, following the definitions of the RAE, into instructions (20), recommendations (14) and guidelines (6). Of these, only the 27.5% showed hospital logo. In the content analysis according to the IPDAS criteria, there was an overall adherence rate of 24.1% in instructions, 24.8% in recommendations, and 61.5% in guidelines. Conclusions. The perception of patient safety expressed in the questionnaire, and its assessment according IPDAS criteria, shows there may be a significant improvement within the organization. Furthermore, the quality of patient documentation provided can help decision making (AU)
Subject(s)
Humans , Male , Female , Confidentiality/standards , Access to Information/ethics , Access to Information/legislation & jurisprudence , Information Dissemination/methods , Consumer Health Information/methods , Consumer Health Information/organization & administration , Information Services/standards , Information Services , Patient Access to Records/statistics & numerical data , Patient Access to Records/standards , Information Services/organization & administration , Information Services/trends , Patient Access to Records/ethics , Patients/legislation & jurisprudence , Consumer Health Information/standards , Confidentiality/ethics , Patient Rights/legislation & jurisprudence , Patient Rights/standards , Patient Rights/trendsABSTRACT
INTRODUCTION: There is a high variability in the level of information intended for patients, with different content, format and presentation. OBJECTIVE: To determine the perceived safety of the patients treated at the Country Hospital of Melilla (HCML) and to assess the quality of the documents using criteria adapted to the «International Patient Decision Aid Standards¼ (IPDAS). METHOD: Descriptive study of the documents given to patients by the HCML. They included questionnaires on perceived safety, classification of the documents, and the level of adherence to the IPDAS criteria. RESULTS: The Information given to patients during their stay in the HCML, their participation in decision-making, and the information about medication, did not exceed the average on the acceptance scale. Only 40 documents were studied (of the 131 collected), on being published in-house, and were classified, following the definitions of the RAE, into instructions (20), recommendations (14) and guidelines (6). Of these, only the 27.5% showed hospital logo. In the content analysis according to the IPDAS criteria, there was an overall adherence rate of 24.1% in instructions, 24.8% in recommendations, and 61.5% in guidelines. CONCLUSIONS: The perception of patient safety expressed in the questionnaire, and its assessment according IPDAS criteria, shows there may be a significant improvement within the organization. Furthermore, the quality of patient documentation provided can help decision making.
