Abstract

<p><strong><span id="page1739R_mcid4" class="markedContent"><span dir="ltr" style="left: 397.48px; top: 448.64px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(1.05778);" role="presentation">Introduction</span></span></strong><span id="page1739R_mcid5" class="markedContent"><span dir="ltr" style="left: 489.429px; top: 448.64px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.966877);" role="presentation"><strong>. </strong>The patient and his safety should be at the center of </span></span><span id="page1739R_mcid6" class="markedContent"><span dir="ltr" style="left: 397.48px; top: 468.64px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.933392);" role="presentation">quality health care, which is a challenge for every health system. Ad</span></span><span id="page1739R_mcid8" class="markedContent"><span dir="ltr" style="left: 397.48px; top: 488.64px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.888753);" role="presentation">verse patient outcomes (APO) are defined as damage caused by a drug </span></span><span id="page1739R_mcid9" class="markedContent"><span dir="ltr" style="left: 397.48px; top: 508.64px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.923659);" role="presentation">or other intervention in a primary, secondary or tertiary health care fa</span></span><span id="page1739R_mcid11" class="markedContent"><span dir="ltr" style="left: 397.48px; top: 528.64px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.930158);" role="presentation">cility, which results in a complication of the primary or the emergence </span></span><span id="page1739R_mcid12" class="markedContent"><span dir="ltr" style="left: 397.48px; top: 548.64px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.915023);" role="presentation">of a new disease or injury. The aim of our study was to determine how </span></span><span id="page1739R_mcid13" class="markedContent"><span dir="ltr" style="left: 397.48px; top: 568.64px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.915162);" role="presentation">frequent the APO are, and to determine the differences between nurs</span></span><span id="page1739R_mcid15" class="markedContent"><span dir="ltr" style="left: 397.48px; top: 588.64px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.9036);" role="presentation">es and doctors in the frequency, causes and attitudes towards APO.</span></span></p> <p><span id="page1739R_mcid16" class="markedContent"><strong><span dir="ltr" style="left: 397.48px; top: 618.089px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(1.01173);" role="presentation">Methods</span></strong></span><span id="page1739R_mcid17" class="markedContent"><span dir="ltr" style="left: 461.98px; top: 618.089px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.890082);" role="presentation"><strong>.</strong> This cross-sectional study included 100 health professionals, </span></span><span id="page1739R_mcid18" class="markedContent"><span dir="ltr" style="left: 397.48px; top: 638.089px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.941549);" role="presentation">nurses and medical doctors employed at the primary and secondary </span></span><span id="page1739R_mcid19" class="markedContent"><span dir="ltr" style="left: 397.48px; top: 658.089px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.948467);" role="presentation">level of health care. The research was conducted in the period from </span></span><span id="page1739R_mcid20" class="markedContent"><span dir="ltr" style="left: 397.48px; top: 678.089px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.959265);" role="presentation">May to October 2020. The questionnaire was partially taken from a </span></span><span id="page1739R_mcid21" class="markedContent"><span dir="ltr" style="left: 397.48px; top: 698.089px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.911819);" role="presentation">general questionnaire offered on the website of the Agency for Health</span></span><span id="page1739R_mcid23" class="markedContent"><span dir="ltr" style="left: 397.48px; top: 718.089px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.891918);" role="presentation">care Research and Quality and the standardized Perceived stress scale </span></span><span id="page1739R_mcid24" class="markedContent"><span dir="ltr" style="left: 397.48px; top: 738.089px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.898315);" role="presentation">was used to measure the degree of subjective stress.</span></span></p> <p><span id="page1739R_mcid25" class="markedContent"><strong><span dir="ltr" style="left: 397.48px; top: 767.537px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.946011);" role="presentation">Results</span></strong></span><span id="page1739R_mcid26" class="markedContent"><span dir="ltr" style="left: 449.88px; top: 767.537px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.947188);" role="presentation"><strong>. </strong>Forty-four health professionals (44%) experienced adverse </span></span><span id="page1739R_mcid27" class="markedContent"><span dir="ltr" style="left: 397.48px; top: 787.537px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.98524);" role="presentation">patient outcomes in their career, doctors (52%) significantly more </span></span><span id="page1739R_mcid28" class="markedContent"><span dir="ltr" style="left: 397.48px; top: 807.537px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.928496);" role="presentation">often than nurses (36%) (p = 0.039). More than a half of respondents </span></span><span id="page1739R_mcid29" class="markedContent"><span dir="ltr" style="left: 397.48px; top: 827.537px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.923155);" role="presentation">(52.3%) declared that APO happens few times a month. Seventy per</span></span><span id="page1739R_mcid31" class="markedContent"><span dir="ltr" style="left: 397.48px; top: 847.537px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.957318);" role="presentation">cent of the respondents blame their own stress burden as the main </span></span><span id="page1739R_mcid32" class="markedContent"><span dir="ltr" style="left: 397.48px; top: 867.537px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.93294);" role="presentation">factor associated with APO. Doctors more often than nurses (69.2%) </span></span><span id="page1739R_mcid33" class="markedContent"><span dir="ltr" style="left: 397.48px; top: 887.537px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.952008);" role="presentation">blame problems in communication between health professionals as </span></span><span id="page1739R_mcid34" class="markedContent"><span dir="ltr" style="left: 397.48px; top: 907.537px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.87953);" role="presentation">the main cause of APO (27.8%) (p = 0.046).</span></span></p> <p><span id="page1739R_mcid35" class="markedContent"><strong><span dir="ltr" style="left: 397.48px; top: 936.986px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.976345);" role="presentation">Conclusion</span></strong></span><span id="page1739R_mcid36" class="markedContent"><span dir="ltr" style="left: 477.796px; top: 936.986px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.893654);" role="presentation"><strong>.</strong> For doctors, the main cause of APO is problem in commu</span></span><span id="page1739R_mcid38" class="markedContent"><span dir="ltr" style="left: 397.481px; top: 956.986px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.960885);" role="presentation">nication, while nurses more often think that patient safety is priority </span></span><span id="page1739R_mcid39" class="markedContent"><span dir="ltr" style="left: 397.481px; top: 976.986px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.948402);" role="presentation">when compared to doctors. Almost two thirds of respondents blame </span></span><span id="page1739R_mcid40" class="markedContent"><span dir="ltr" style="left: 397.481px; top: 996.986px; font-size: 16.6667px; font-family: sans-serif; transform: scaleX(0.898177);" role="presentation">their own stress burden as a factor associated with APO.</span></span></p>

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