Root cause analysis from the perspectives of patients in primary care units:cases study of typical adverse drug events
Ping Gong1
Xing-Yang Chen2
Qin Long1
Ting-Ting Zhou3
1.Intensive Care Unit,The Affiliated Hospital of Guizhou Medical University,Guiyang 550001,China2.Burn and Plastic Surgery,The First People's Hospital of Guiyang,Guiyang 550024,China3.Nursing Department,The Affiliated Hospital of Guizhou Medical University,Guiyang 550001,China
摘要：Objective:To identify the root causes of typical adverse drug events through the lens of patient experiences proposing novel strategies to mitigate preventable harm.
Methods:A qualitative case study leveraging in-depth interviews with patients and families,anchored by Interactive Patient Participation Theory,to analyze 4 high-severity adverse drug events(ADE)cases.Cases were purposively sampled from 8 communities in China's National Adverse Event Monitor Center(2018-2023).Semi-structured interviews explored patient perspectives,with data analyzed via thematic coding and triangulation against clinical records.
Results:Five interconnected themes emerged:(1)erosion of trust,(2)communication breakdowns,(3)information asymmetry,(4)environmental inadequacies,and(5)technological alienation.Notably,75％of participants had＜high school education,and 50％used＞7 medications daily,compounding ADE risks.
Conclusions:We considered elements mentioned by theory,exploring trust,communication,information,and support as the root causes.In addition,we added"adaptability to new technology"as an important and necessary component.It is important and necessary to analyze typical adverse drug events from the perspectives of patients.
机标关键词：analysiscausestudyrootcarefromadversecases
论文发表日期：2026-03-30
在线出版日期：2026-04-03（本平台首次上网日期，不代表文献的发表时间）
页数：8( 61-68 )
英文信息