Problem domain | Problem category and type | Number of problems, ICUs (n = 441) | Number of problems, general wards (n = 818) | p value |
---|---|---|---|---|
Clinical | Â | 87 | 128 | 0.121 |
 | Quality | 68 | 106 | 0.394 |
 | Bedding and dress | 5 (7.4%) | 5 (4.7%) | 0.006 |
 | Nutrition supply | 1 (1.5%) | 18 (17.0%) |  |
 | Wound and indwelling device care | 3 (4.4%) | 3 (2.8%) |  |
 | Patient handling | 31 (45.6%) | 25 (23.6%) |  |
 | Patient monitoring | 8 (11.8%) | 13 (12.3%) |  |
 | Patient involvement in care planning | 7 (10.3%) | 10 (9.4%) |  |
 | Care outcome and sequel | 13 (19.1%) | 32 (30.2%) |  |
 | Safety | 19 | 22 |  |
 | Delay or mistake in diagnosis | 0 (0%) | 2 (9.1%) | 0.498 |
 | Medication event | 1 (5.3%) | 3 (13.6%) |  |
 | Responding to change in clinical condition | 8 (42.1%) | 9 (40.9%) |  |
 | Responding to clinical notification from the patient | 5 (26.3%) | 3 (13.6%) |  |
 | Overlooking of clinical information | 0 (0%) | 1 (4.5%) |  |
 | Teamwork and coordination problem | 5 (26.3%) | 4 (18.2%) |  |
Management | Â | 198 | 365 | Â |
 | Environment | 180 | 272 | < 0.001 |
 | Uncomfortable physical surroundings | 68 (37.8%) | 109 (40.1%) | 0.002 |
 | Accommodation problem | 0 (0%) | 5 (1.8%) |  |
 | Ward cleanliness | 5 (2.8%) | 23 (8.5%) |  |
 | Facility and equipment function | 76 (42.2%) | 92 (33.8%) |  |
 | Staff availability and shortage | 2 (1.1%) | 14 (5.1%) |  |
 | Interaction problem among patients and visitors | 29 (16.1%) | 29 (10.7%) |  |
 | Institutional processes | 18 | 93 |  |
 | Waiting for clinical visit or consultation | 5 (27.8%) | 38 (40.9%) | 0.001 |
 | Delay in medical procedure | 6 (33.3%) | 37 (39.8%) |  |
 | Phone call or complaints not responded to | 0 (0%) | 1 (1.1%) |  |
 | Appointment problem | 0 (0%) | 12 (12.9%) |  |
 | Visiting time availability or scheduling | 7 (38.9%) | 4 (4.3%) |  |
 | Maintenance of medical records | 0 (0%) | 1 (1.1%) |  |
Relationship | Â | 156 | 325 | Â |
 | Listening | 54 | 151 | 0.0016 |
 | Staff ignorance of question and discomfort | 2 (3.7%) | 14 (9.3%) | 0.055 |
 | Dismissing of patient-provided information | 4 (7.4%) | 27 (17.9%) |  |
 | Acknowledged problems not responded to, not addressed, or not followed through | 48 (88.9%) | 110 (72.8%) |  |
 | Communication | 28 | 26 |  |
 | Delayed communication of test results | 1 (3.6%) | 1 (3.8%) | 0.303 |
 | Incorrect or conflicted information given to the patient | 3 (10.7%) | 7 (26.9%) |  |
 | Decision or plan not communicated | 24 (85.7%) | 18 (69.2%) |  |
 | Respect and patient rights | 74 | 148 |  |
 | Poor manner of the staff | 50 (67.6%) | 91 (61.5%) | 0.702 |
 | Not protecting private information | 1 (1.4%) | 3 (2.0%) |  |
 | Staff self-control and patient discrimination | 18 (24.3%) | 36 (24.3%) |  |
 | Poor informed consent process carried out | 2 (2.7%) | 4 (2.4%) |  |
 | Privacy not protected | 3 (4.1%) | 14 (9.5%) |  |