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Patients use an internet technology to report when things go wrong.

John H Wasson1, Todd A MacKenzie, Michael Hall

  • 1Dartmouth Medical School, Hanover, NH 03755, USA. john.h.wasson@dartmouth.edu

Quality & Safety in Health Care
|June 5, 2007
PubMed
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Patient reports via internet technology can identify serious adverse health events. This method is particularly effective for patients with a high burden of illness, highlighting its value in healthcare safety.

Area of Science:

  • Health informatics
  • Patient safety research
  • Public health surveillance

Background:

  • Adverse events cause patient harm, necessitating complementary reporting systems.
  • Patient-reported outcomes (PROs) offer valuable insights into healthcare experiences.
  • Traditional adverse event reporting often relies on professional assessments.

Purpose of the Study:

  • To evaluate an automated health assessment system for identifying adverse events.
  • To explore the utility of internet-based patient reporting for adverse event detection.
  • To assess the seriousness of patient-reported adverse events.

Main Methods:

  • Utilized internet survey data from April 2003 to April 2005 across US communities and clinical practices.
  • Analyzed responses from 44,860 adults aged 19-69 years.

Related Experiment Videos

  • Included independent legal review to assess the compensability of reported adverse events.

    • Main Results:

    • Patient reporting of adverse events was low at 1.4%.
    • Patients with the highest illness burden reported adverse events eight times more frequently (3.4%) than those with the least burden (0.4%).
    • Legal experts deemed 9% of reported adverse events as potentially serious.

    Conclusions:

    • Internet technology enables patients to report perceived health-related adverse events.
    • Patient-reported adverse events can include serious incidents.
    • This approach enhances the identification of adverse events, especially in high-risk populations.