Abstract:
BACKGROUND:Patient and family engagement (PFE) in healthcare is an important element of the transforming healthcare system; however, the prevalence of various PFE practices in the USA is not known. OBJECTIVE:We report on a survey of hospitals in the USA regarding their PFE practices during 2013-2014. RESULTS:The response rate was 42%, with 1457 acute care hospitals completing the survey. We constructed 25 items to summarise the responses regarding key practices, which fell into three broad categories: (1) organisational practices, (2) bedside practices and (3) access to information and shared decision-making. We found a wide range of scores across hospitals. Selected findings include: 86% of hospitals had a policy for unrestricted visitor access in at least some units; 68% encouraged patients/families to participate in shift-change reports; 67% had formal policies for disclosing and apologising for errors; and 38% had a patient and family advisory council. The most commonly reported barrier to increased PFE was 'competing organisational priorities'. SUMMARY:Our findings indicate that there is a large variation in hospital implementation of PFE practices, with competing organisational priorities being the most commonly identified barrier to adoption.
journal_name
BMJ Qual Safjournal_title
BMJ quality & safetyauthors
Herrin J,Harris KG,Kenward K,Hines S,Joshi MS,Frosch DLdoi
10.1136/bmjqs-2015-004006subject
Has Abstractpub_date
2016-03-01 00:00:00pages
182-9issue
3eissn
2044-5415issn
2044-5423pii
bmjqs-2015-004006journal_volume
25pub_type
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pub_type: 杂志文章,多中心研究
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更新日期:2018-03-01 00:00:00
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更新日期:2011-09-01 00:00:00
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