Our paper focused on clinical risk, looking at the epidemiology of adverse events, the systematic approach, the risk factors and at Reason’s model of organizational accidents to assess the efficacy of education in the promotion of the safety of patients on Oral Anticoagulation Therapy (OAT).
Purpose: To study the level of patient satisfaction on oral anticoagulation therapy following nursing teaching sessions.
Materials and Methods: The teaching program was designed on the basis of the data collected from spontaneous reporting of events correlated to the administration of OralAnticoagulationTherapy.The survey on these events was made by using a “Spontaneous incident reporting form” (GEN-DS-MD-scheda incident reporting-00), integrated with the incident reporting systems already in place in the healthcare organisation. Patient satisfaction was measured by using a validated questionnaire.
The experimentation of the teaching program involved 9 Units belonging to 5 Hospital Services of the Liguria Local Health Authority.
Results: Of the 222 patients attending the teaching sessions, 221 accepted to take part in the survey. Fifty-two percent were women and the average age was 73.8 years (Standard Deviation 10.98) The average period of treatment on oral anticoagulant drugs was about 5 years (61 months).Only the health centre inVoltri did not take part in our survey.The respondents who managed to answer the questionnaire on their own were 163 (73.8%). All the participants rated the teaching program positively (55% said it was good, 45% said it was excellent).The working Group who prepared the information booklet included mainly information that would had a positive impact on the patients’ lives.
Conclusions: Interestingly, this population mainly included individuals who had been on OAT for more than one year (on average 61 months). Our results showed that participants had understood the usefulness of the information they had received.
Keywords: Patient safety, Quality care,Therapeutic education