Promoting engagement by patients and families to reduce adverse events in acute care settings: A systematic review

BMJ Quality and Safety

Volumn 23, Issue 7, 2014, Pages 548-555

  Berger, Zackary ^a,b   Flickinger, Tabor E ^c   Pfoh, Elizabeth ^d   Martinez, Kathryn A ^d,e   Dy, Sydney M ^d  

^a JOHNS HOPKINS UNIVERSITY SCHOOL OF MEDICINE   (United States)

^b JOHNS HOPKINS UNIVERSITY   (United States)

^c UNIVERSITY OF VIRGINIA   (United States)

^d JOHNS HOPKINS BLOOMBERG SCHOOL OF PUBLIC HEALTH   (United States)

^e UNIVERSITY OF MICHIGAN HEALTH SYSTEM   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ADVERSE OUTCOME; COST EFFECTIVENESS ANALYSIS; EMERGENCY CARE; FAMILY; HAND WASHING; HEALTH CARE PERSONNEL; HEALTH CARE PRACTICE; HEALTHCARE ASSOCIATED INFECTION; HUMAN; PATIENT PARTICIPATION; PATIENT SAFETY; PATIENT SAFETY PRACTICE; RAPID RESPONSE TEAM; REVIEW; SYSTEMATIC REVIEW; VENTILATOR ASSOCIATED PNEUMONIA; HEALTH PROMOTION; HUMAN RELATION; INFECTION CONTROL; MEDICATION ERROR; PATIENT CARE; PREVENTION AND CONTROL; PROCEDURES;

COMMUNICABLE DISEASE CONTROL; HAND DISINFECTION; HEALTH PROMOTION; HUMANS; MEDICATION ERRORS; PATIENT SAFETY; PATIENT-CENTERED CARE; PROFESSIONAL-FAMILY RELATIONS; PROFESSIONAL-PATIENT RELATIONS;

EID: 84902530575     PISSN: 20445415     EISSN: None     Source Type: Journal    
DOI: 10.1136/bmjqs-2012-001769     Document Type: Review

References (54)

1. The Joint Commission. Advancing effective communication, cultural competence, and patient- and family-centered care: a roadmap for hospitals. Oakbrook Terrace, IL: The Joint Commission, 2010.
2. Vincent CA, Coulter A. Patient safety: what about the patient? Qual Saf Health Care 2002;11:76-80. (Pubitemid 35265307)
3. Perneger T. The Council of Europe recommendation Rec (2006) on management of patient safety and prevention of adverse events in health care. Int J Qual Health Care 2008;20:305-7.
4. Davis RE, Jacklin R, Sevdalis N, et al. Patient involvement in patient safety: what factors influence patient participation and engagement? Health Expect 2007;10:259-67. (Pubitemid 47196355)
5. Entwistle VA. Differing perspectives on patient involvement in patient safety. Qual Saf Health Care 2007;16:82-3. (Pubitemid 46596444)
6. Wachter RM. Patient safety at ten: unmistakable progress, troubling gaps. Health Aff 2010;29:165-73.
7. Koutantji M, Davis R, Vincent C, et al. The patient's role in patient safety: engaging patients, their representatives, and health professionals. Clin Risk 2005;11:99-104. (Pubitemid 40733935)
8. Schwappach DL. Review: engaging patients as vigilant partners in safety: a systematic review. Med Care Res Rev 2010;67:119-48.
9. Longtin Y, Sax H, Leape LL, et al. Patient participation: current knowledge and applicability to patient safety. Mayo Clin Proc 2010;85:53-62.
10. Coulter A, Ellins J. Effectiveness of strategies for informing, educating, and involving patients. BMJ 2007;335:24-7. (Pubitemid 47066902)
11. Iedema R, Merrick E, Piper D, et al. Codesigning as a discursive practice in emergency health services: the architecture of deliberation. J Appl Behav Sci 2010;46:73-91.
12. Hibbard J, Peters E, Slovic P, et al. Can patients be part of the solution? Views on their role in preventing medical errors. Med Care Res Rev 2005;62:601-16.
13. Hurst I. Vigilant watching over: Mothers' actions to safeguard their premature babies in the newborn intensive care nursery. J Perinat Neonatal Nurs 2001;15:39-57. (Pubitemid 33603433)
14. Doherty C, Stavropoulou C. Patients' willingness and ability to participate actively in the reduction of clinical errors: a systematic literature review. Soc Sci Med 2012;75:257-63.
15. Shekelle PG, Pronovost PJ, Wachter RM, et al. The top patient safety strategies that can be encouraged for adoption now. Ann Intern Med 2013;158(5 Part 2):365-8.
16. Rennke S, Nguyen OK, Shoeb MH, et al. Hospital-initiated transitional care interventions as a patient safety strategy: a systematic review. Ann Intern Med 2013;158(5 Part 2):433-40.
17. Weaver SJ, Lubomski LH, Wilson RF, et al. Promoting a culture of safety as a patient safety strategy: a systematic review. Ann Intern Med 2013;158(5 Part 2):369-74.
18. Shekelle PG, Wachter R, Pronovost P, et al. Promoting engagement by patients and families to reduce adverse events (chapter 32). In: Shekelle PG, Wachter R, Pronovost P, et al. eds. Making health care safer II: an updated critical analysis of the evidence for patient safety practices. Comparative effectiveness review No. 211. AHRQ Publication No.13-E001-EF. Rockville, MD: Agency for Healthcare Research and Quality, 2013;325-50.
19. McGuckin M, Taylor A, Martin V, et al. Evaluation of a patient education model for increasing hand hygiene compliance in an inpatient rehabilitation unit. Am J Infect Control 2004;32:235-8. (Pubitemid 38857899)
20. Stone S, Slade R, Fuller C, et al. Early communication: does a national campaign to improve hand hygiene in the NHS work? Initial English and Welsh experience from the NOSEC study (National Observational Study to Evaluate the Clean Your Hands Campaign). J Hosp Infect 2007;66:293-6. (Pubitemid 46979850)
21. Davis RE, Sevdalis N, Pinto A, et al. Patients' attitudes towards patient involvement in safety interventions: results of two exploratory studies. Health Expect 2013;16:e164-76.
22. Davis RE, Pinto A, Sevdalis N, et al. Patients' and health care professionals' attitudes towards the PINK patient safety video. J Eval Clin Pract 2012;18:848-53.
23. Fennell E. The PINK Patient Safety People. http://www.institute.nhs.uk/ index.php?option=com-mtree&task=viewlink&link-id=4506&Itemid=2923 (accessed 29 Mar 2013).
24. Weingart SN, Toth M, Eneman J, et al. Lessons from a patient partnership intervention to prevent adverse drug events. Int J Qual Health Care 2004;16:499-507. (Pubitemid 39625159)
25. Hall J, Peat M, Birks Y, et al. Effectiveness of interventions designed to promote patient involvement to enhance safety: a systematic review. Qual Safe Health Care 2010;19:e10.
26. Peat M, Entwistle V, Hall J, et al. Scoping review and approach to appraisal of interventions intended to involve patients in patient safety. J Health Serv Res Policy 2010;15(Suppl 1):17-25.
27. McGuckin M, Storr J, Longtin Y, et al. Patient empowerment and multimodal hand hygiene promotion: a win-win strategy. Am J Med Qual 2011;26:10-17.
28. McGuckin M, Waterman R, Storr IJ, et al. Evaluation of a patient-empowering hand hygiene programme in the UK. J Hosp Infect 2001;48:222-7. (Pubitemid 32677708)
29. Landers T, Abusalem S, Coty MB, et al. Patient-centered hand hygiene: the next step in infection prevention. Am J Infect Control 2012;40(4 Suppl1):S11-17.
30. Hart R. The effects of a poster in informing and empowering patients in infection prevention and control. J Infec Prev 2012;13:146-53.
31. Ray EM, Smith R, Massie S, et al. Family alert: implementing direct family activation of a pediatric rapid response team. Jt Comm J Qual Patient Saf 2009;35:575-80.
32. Dean BS, Decker MJ, Hupp D, et al. Condition HELP: a pediatric rapid response team triggered by patients and parents. J Healthc Qual 2008;30:28-31.
33. Gerdik C, Vallish RO, Miles K, et al. Successful implementation of a family and patient activated rapid response team in an adult level 1 trauma center. Resuscitation 2010;81:1676-81.
34. Krauss MJ, Tutlam N, Costantinou E, et al. Intervention to prevent falls on the medical service in a teaching hospital. Infect Control Hosp Epidemiol 2008;29:539-45. (Pubitemid 351918033)
35. van Gaal BG, Schoonhoven L, Mintjes JA, et al. Fewer adverse events as a result of the SAFE or SORRY? programme in hospitals and nursing homes. Part I: Primary outcome of a cluster randomised trial. Int J Nurs Stud 2011;48:1040-8.
36. Garnerin P, Ares M, Huchet A, et al. Verifying patient identity and site of surgery: improving compliance with protocol by audit and feedback. Qual Saf Health Care 2008;17:454-8.
37. Nilsson L, Lindberget O, Gupta A, et al. Implementing a pre-operative checklist to increase patient safety: a 1-year follow-up of personnel attitudes. Acta Anaesthesiol Scand 2010;54:176-82.
38. Owers C, Lees E, Roberts J. Correct site surgery - are we up to standard? Cent Eur J Med 2010;5:407-10.
39. Bergal LM, Schwarzkopf R, Walsh M, et al. Patient participation in surgical site marking: can this be an additional tool to help avoid wrong-site surgery? J Patient Saf 2010;6:221-5.
40. DiGiovanni CW, Kang L, Manuel J. Patient compliance in avoiding wrong-site surgery. J Bone Joint Surg Am 2003;85-A:815-19. (Pubitemid 36548628)
41. DeJuilio PA, Rivera SJ, Huml JP. A successful VAP prevention program. J Respir Care Pract 2012;25:26.
42. Coleman EA, Smith JD, Frank JC, et al. Preparing patients and caregivers to participate in care delivered across settings: the Care Transitions Intervention. J Am Geriatr Soc 2004;52:1817-25. (Pubitemid 41715045)
43. Coleman EA, Parry C, Chalmers SA, et al. The central role of performance measurement in improving the quality of transitional care. Home Health Care Serv Q 2007;26:93-104.
44. Parry C, Min SJ, Chugh A, et al. Further application of the care transitions intervention: results of a randomized controlled trial conducted in a fee-for-service setting. Home Health Care Serv Q 2009;28:84-99.
45. Voss R, Gardner R, Baier R, et al. The care transitions intervention: translating from efficacy to effectiveness. Arch Intern Med 2011;171:1232-7.
46. Parrish MM, O'Malley K, Adams RI, et al. Implementation of the care transitions intervention: sustainability and lessons learned. Prof Case Manag 2009;14:282-93.
47. Parry C, Kramer HM, Coleman EA. A qualitative exploration of a patient-centered coaching intervention to improve care transitions in chronically ill older adults. Home Health Care Serv Q 2006;25:39-53. (Pubitemid 44523836)
48. Weissman JS, Schneider EC, Weingart SN, et al. Comparing patient-reported hospital adverse events with medical record review: do patients know something that hospitals do not? Ann Intern Med 2008;149:100-8. (Pubitemid 352008597)
49. Taylor BB, Marcantonio ER, Pagovich O, et al. Do medical inpatients who report poor service quality experience more adverse events and medical errors? Med Care 2008;46:224-8.
50. Weingart SN, Pagovich O, Sands DZ, et al. Patient-reported service quality on a medicine unit. Int J Qual Health Care 2006;18:95-101.
51. Weingart SN, Pagovich O, Sands DZ, et al. What can hospitalized patients tell us about adverse events? Learning from patient-reported incidents. J Gen Intern Med 2005;20:830-6. (Pubitemid 41725698)
52. Schwappach DL, Frank O, Davis RE. A vignette study to examine health care professionals' attitudes towards patient involvement in error prevention. J Eval Clin Pract 2013;19:840-8.
53. Schwappach DL, Frank O, Buschmann U, et al. Effects of an educational patient safety campaign on patients' safety behaviours and adverse events. J Eval Clin Pract 2013;19:285-91.
54. Kripalani S, Roumie CL, Dalal AK, et al. Effect of a pharmacist intervention on clinically important medication errors after hospital discharge: a randomized trial. Ann Intern Med 2012;157:1-10.