Why worry? Worry, risk perceptions, and willingness to act to reduce medical errors.

Through the domain of medical errors, the role of worry and perceived risk in precautionary behaviors was examined in a convenience sample (N = 195, mean age = 42 years, 71% female). Worry was linked to fatality estimates. A model of the antecedents and consequences of worry also was tested. Risk characteristics such as dread and preventability, negative reactivity, and vulnerability to medical errors appeared to motivate worry about medical errors. Worry about medical errors was a better predictor of intentions to take precautionary actions than were risk perceptions. An understanding of how worry influences preventive efforts will help in building communication strategies to the public and in effectively engaging patients in the role of vigilant partner in care.

[1]  Robin Gregory,et al.  The role of affect in the WTA/WTP disparity , 2003 .

[2]  C. K. Mertz,et al.  Gender, race, and perception of environmental health risks. , 1994, Risk analysis : an official publication of the Society for Risk Analysis.

[3]  Paul Slovic,et al.  Rational Actors and Rational Fools: The Influence of Affect on Judgment and Decision-Making , 2000 .

[4]  David W. Bates,et al.  The costs of adverse drug events in hospitalized patients. Adverse Drug Events Prevention Study Group , 1997 .

[5]  Sean A. Spence,et al.  Descartes' Error: Emotion, Reason and the Human Brain , 1995 .

[6]  Jerry Suls,et al.  Social psychological foundations of health and illness , 2003 .

[7]  Eric Schneider,et al.  Views of practicing physicians and the public on medical errors. , 2002, The New England journal of medicine.

[8]  C. K. Mertz,et al.  An Emotion‐Based Model of Risk Perception and Stigma Susceptibility: Cognitive Appraisals of Emotion, Affective Reactivity, Worldviews, and Risk Perceptions in the Generation of Technological Stigma † , 2004, Risk analysis : an official publication of the Society for Risk Analysis.

[9]  L L Leape,et al.  Preventing medical injury. , 1993, QRB. Quality review bulletin.

[10]  C J McDonald,et al.  Deaths due to medical errors are exaggerated in Institute of Medicine report. , 2000, JAMA.

[11]  C. Carver,et al.  Behavioral inhibition, behavioral activation, and affective responses to impending reward and punishment: The BIS/BAS Scales , 1994 .

[12]  J. S. Long,et al.  Testing Structural Equation Models , 1993 .

[13]  P. Slovic,et al.  The Role of Affect and Worldviews as Orienting Dispositions in the Perception and Acceptance of Nuclear Power1 , 1996 .

[14]  D. Bates,et al.  The Costs of Adverse Drug Events in Hospitalized Patients , 1997 .

[15]  Paul Slovic,et al.  Discrimination, Vulnerability, and Justice in the Face of Risk , 2004, Risk analysis : an official publication of the Society for Risk Analysis.

[16]  L. Morris,et al.  Cognitive and Emotional Components of Test Anxiety: A Distinction and Some Initial Data , 1967, Psychological reports.

[17]  Rosalie Maggio The Beacon book of quotations by women , 1992 .

[18]  N. Sanders,et al.  Journal of behavioral decision making: "The need for contextual and technical knowledge in judgmental forecasting", 5 (1992) 39-52 , 1992 .

[19]  N. Weinstein Effects of personal experience on self-protective behavior. , 1989, Psychological bulletin.

[20]  Dianne M. Finkelstein,et al.  A Beginner's Guide to Structural Equation Modeling , 2005, Technometrics.

[21]  D. MacGregor Worry Over Technological Activities and Life Concerns , 1991 .

[22]  Peter M. Bentler,et al.  Practical Issues in Structural Modeling , 1987 .

[23]  P. Slovic Perception of risk. , 1987, Science.

[24]  P. Maurette,et al.  [To err is human: building a safer health system]. , 2002, Annales francaises d'anesthesie et de reanimation.