Alisa Khan|Stephannie L. Furtak|Patrice Melvin|Jayne Rogers|Mark A. Schuster|Christopher P. Landrigan
Parent-Provider Miscommunications in Hospitalized Children
Harvard University|National Patient Safety Foundation|Boston Children's Hospital|Harvard University|Harvard University|Brigham and Women's Hospital
miscommunications lead medical errors suboptimal hospital experience parentprovider miscommunications understudied1 examine characteristics parentprovider miscommunications hospitalized children 2 describe associations among parentprovider miscommunications parentreported errors hospital experience 3 compare parent attending physician reports parentprovider miscommunicationsprospective cohort study 471 parents 0 17yearold medical inpatients pediatric hospital may 1 2013 october 1 2014 discharge parents reported parentprovider miscommunication type selecting applicable responses overall experience errors hospitalization discharge billing attending physicians n 52 subset patients n 217 also reported miscommunications enabling comparison parent attending physician reports used logistic regression examine characteristics parentreported miscommunications mcnemars test examine associations miscommunications errors topbox eg excellent experience generalized estimating equations compare parent attending physicianreported miscommunication ratesparents completed 406 surveys 862 response rate 153 parents n 62 reported miscommunications parents patients nonpublic insurance odds ratio 199 95 confidence interval 103385 longer lengths stay odds ratio 112 95 confidence interval 102123 commonly reported miscommunications parents reporting miscommunications 53 times likely report errors 786 less likely report topbox overall experience p 001 among patients parent attending physician surveys 161 n 35 parents 37 n 8 attending physicians reported miscommunications p 001 parents attending physicians attributed miscommunications often family receipt conflicting informationparentprovider miscommunications associated parentreported errors suboptimal hospital experience parents reported parentprovider miscommunications often attending physicians