Patient and family engagement: a survey of US hospital practices.

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 Saf

journal_title

BMJ quality & safety

authors

Herrin J,Harris KG,Kenward K,Hines S,Joshi MS,Frosch DL

doi

10.1136/bmjqs-2015-004006

subject

Has Abstract

pub_date

2016-03-01 00:00:00

pages

182-9

issue

3

eissn

2044-5415

issn

2044-5423

pii

bmjqs-2015-004006

journal_volume

25

pub_type

杂志文章
  • Expanding the scope of Critical Care Rapid Response Teams: a feasible approach to identify adverse events. A prospective observational cohort.

    abstract:INTRODUCTION:Adverse events (AEs) affect 3-12% of hospitalised patients. These are estimates from a labour-intensive chart review process,which is not feasible outside research. Clinical deterioration on the wards triggers a rapid response teams (RRTs) consult and can be used to identify an AE prospectively. OBJECTIVE...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2014-003833

    authors: Amaral AC,McDonald A,Coburn NG,Xiong W,Shojania KG,Fowler RA,Chapman M,Adhikari NK

    更新日期:2015-12-01 00:00:00

  • Flu and pneumococcal immunisations in HIV-infected children: methodological quality of current recommendations.

    abstract:OBJECTIVE:To assess the quality of guidelines, consensus statements and systematic reviews on flu and pneumococcal immunisations in HIV-infected children. METHOD:The authors screened PubMed and Embase databases until the year 2009 for guidelines, consensus statements and systematic reviews on flu and pneumococcal immu...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章,评审

    doi:10.1136/bmjqs.2010.047316

    authors: Giannattasio A,Lo Vecchio A,Albano F,Giacomet V,Barbarino A,Guarino A

    更新日期:2011-05-01 00:00:00

  • Innovative strategy for effective critical laboratory result management: end-to-end process using automation and manual call centre.

    abstract:BACKGROUND:Timely reporting and acknowledgement are crucial steps in critical laboratory results (CLR) management. The authors previously showed that an automated pathway incorporating short messaging system (SMS) texts, auto-escalation, and manual telephone back-up improved the rate and speed of physician acknowledgem...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2011-000647

    authors: Ti LK,Ang SB,Saw S,Sethi SK,Yip JW

    更新日期:2012-08-01 00:00:00

  • Systematic review of the application of the plan-do-study-act method to improve quality in healthcare.

    abstract:BACKGROUND:Plan-do-study-act (PDSA) cycles provide a structure for iterative testing of changes to improve quality of systems. The method is widely accepted in healthcare improvement; however there is little overarching evaluation of how the method is applied. This paper proposes a theoretical framework for assessing t...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章,评审

    doi:10.1136/bmjqs-2013-001862

    authors: Taylor MJ,McNicholas C,Nicolay C,Darzi A,Bell D,Reed JE

    更新日期:2014-04-01 00:00:00

  • Visualising differences in professionals' perspectives on quality and safety.

    abstract:BACKGROUND:The safety-and-quality movement is now two decades old. Errors persist despite best efforts, indicating that there are entrenched overt and perhaps less explicit barriers limiting the success of improvement efforts. OBJECTIVES AND HYPOTHESES: To examine the perspectives of five groups of healthcare worker...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2011-051755

    authors: Travaglia JF,Nugus PI,Greenfield D,Westbrook JI,Braithwaite J

    更新日期:2012-09-01 00:00:00

  • The denominator problem: national hospital quality measures for acute myocardial infarction.

    abstract:BACKGROUND:National Hospital Quality Measures (NHQM) should accurately reflect quality of care, as they increasingly impact reimbursement and reputation. However, similar to risk adjustment of outcomes measures, NHQM process measures pose unique methodological concerns, including lack of representativeness of the final...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2015-004888

    authors: Bruckel J,Liu X,Hohmann SF,Karson AS,Mort E,Shahian DM

    更新日期:2017-03-01 00:00:00

  • The relationship between commercial website ratings and traditional hospital performance measures in the USA.

    abstract:BACKGROUND:Our goal was to compare hospital scores from the most widely used commercial website in the USA to hospital scores from more systematic measures of patient experience and outcomes, and to assess what drives variation in the commercial website scores. METHODS:For a national sample of US hospitals, we compare...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2012-001360

    authors: Bardach NS,Asteria-Peñaloza R,Boscardin WJ,Dudley RA

    更新日期:2013-03-01 00:00:00

  • Differences in transitional care processes among high-performing and low-performing hospital-SNF pairs: a rapid ethnographic approach.

    abstract:BACKGROUND:Despite the increased focus on improving patient's postacute care outcomes, best practices for reducing readmissions from skilled nursing facilities (SNFs) are unclear. The objective of this study was to observe processes used to prepare patients for postacute care in SNFs, and to explore differences between...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2020-011204

    authors: Manges KA,Ayele R,Leonard C,Lee M,Galenbeck E,Burke RE

    更新日期:2020-09-21 00:00:00

  • Governing patient safety: lessons learned from a mixed methods evaluation of implementing a ward-level medication safety scorecard in two English NHS hospitals.

    abstract:BACKGROUND:Relatively little is known about how scorecards presenting performance indicators influence medication safety. We evaluated the effects of implementing a ward-level medication safety scorecard piloted in two English NHS hospitals and factors influencing these. METHODS:We used a mixed methods, controlled bef...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章,多中心研究

    doi:10.1136/bmjqs-2012-001730

    authors: Ramsay AI,Turner S,Cavell G,Oborne CA,Thomas RE,Cookson G,Fulop NJ

    更新日期:2014-02-01 00:00:00

  • How might health services capture patient-reported safety concerns in a hospital setting? An exploratory pilot study of three mechanisms.

    abstract:INTRODUCTION:Emergent evidence suggests that patients can identify and report safety issues while in hospital. However, little is known about the best method for collecting information from patients about safety concerns. This study presents an exploratory pilot of three mechanisms for collecting data on safety concern...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2015-004260

    authors: O'Hara JK,Armitage G,Reynolds C,Coulson C,Thorp L,Din I,Watt I,Wright J

    更新日期:2017-01-01 00:00:00

  • An institution-wide handoff task force to standardise and improve physician handoffs.

    abstract:BACKGROUND:Transfers of care have become increasingly frequent and complex with shorter inpatient stays and changes in work hour regulations. Potential hazards exist with transfers. There are few reports of institution-wide efforts to improve handoffs. METHODS:An institution-wide physician handoff task force was devel...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2011-000658

    authors: Horwitz LI,Schuster KM,Thung SF,Hersh DC,Fisher RL,Shah N,Cushing W,Nunes J,Silverman DG,Jenq GY

    更新日期:2012-10-01 00:00:00

  • Out of sight, out of mind: a prospective observational study to estimate the duration of the Hawthorne effect on hand hygiene events.

    abstract:BACKGROUND:Human auditing has been the gold standard for evaluating hand hygiene (HH) compliance but is subject to the Hawthorne effect (HE), the change in subjects' behaviour due to their awareness of being observed. For the first time, we used electronic HH monitoring to characterise the duration of the HE on HH even...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2019-010310

    authors: Vaisman A,Bannerman G,Matelski J,Tinckam K,Hota SS

    更新日期:2020-11-01 00:00:00

  • Development of the Quality Improvement Minimum Quality Criteria Set (QI-MQCS): a tool for critical appraisal of quality improvement intervention publications.

    abstract:OBJECTIVE:Valid, reliable critical appraisal tools advance quality improvement (QI) intervention impacts by helping stakeholders identify higher quality studies. QI approaches are diverse and differ from clinical interventions. Widely used critical appraisal instruments do not take unique QI features into account and e...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2014-003151

    authors: Hempel S,Shekelle PG,Liu JL,Sherwood Danz M,Foy R,Lim YW,Motala A,Rubenstein LV

    更新日期:2015-12-01 00:00:00

  • Introducing analysis of means to medical statistics.

    abstract::Statistical hypothesis testing involving the comparison of three or more means and/or proportions is a frequent undertaking in medical statistics. For comparison of means, analysis of variance is a common choice and for comparison of proportions, χ(2) tests are common. However, both these approaches have important lim...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2011-000477

    authors: Mohammed MA,Holder R

    更新日期:2012-06-01 00:00:00

  • Patient safety in healthcare preregistration educational curricula: multiple case study-based investigations of eight medicine, nursing, pharmacy and physiotherapy university courses.

    abstract:BACKGROUND:We sought to investigate the formal and informal ways preregistration students from medicine, nursing, pharmacy and the allied healthcare professions learn about patient safety. METHODS:We drew on Eraut's framework on formal and informal acquisition of professional knowledge to undertake a series of phased ...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2013-001905

    authors: Cresswell K,Howe A,Steven A,Smith P,Ashcroft D,Fairhurst K,Bradley F,Magnusson C,McArthur M,Pearson P,Sheikh A,Patient Safety Education Research Group.

    更新日期:2013-10-01 00:00:00

  • An ethicist's journey as a patient: are we sliding down the slippery slope to sloppy healthcare?

    abstract::People who are sick are often the most vulnerable in society. They frequently rely on caring and competent healthcare professionals and should and do have expectations of a safe and caring environment. In a recent unexpected adventure through the healthcare system, the organisation, professionalism, caring and compass...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2011-000235

    authors: McCullough M

    更新日期:2011-11-01 00:00:00

  • Effectiveness of facilitated introduction of a standard operating procedure into routine processes in the operating theatre: a controlled interrupted time series.

    abstract:BACKGROUND:Standard operating procedures (SOPs) should improve safety in the operating theatre, but controlled studies evaluating the effect of staff-led implementation are needed. METHODS:In a controlled interrupted time series, we evaluated three team process measures (compliance with WHO surgical safety checklist, ...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2014-003158

    authors: Morgan L,New S,Robertson E,Collins G,Rivero-Arias O,Catchpole K,Pickering SP,Hadi M,Griffin D,McCulloch P

    更新日期:2015-02-01 00:00:00

  • How guiding coalitions promote positive culture change in hospitals: a longitudinal mixed methods interventional study.

    abstract:BACKGROUND:Quality collaboratives are widely endorsed as a potentially effective method for translating and spreading best practices for acute myocardial infarction (AMI) care. Nevertheless, hospital success in improving performance through participation in collaboratives varies markedly. We sought to understand what d...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2017-006574

    authors: Bradley EH,Brewster AL,McNatt Z,Linnander EL,Cherlin E,Fosburgh H,Ting HH,Curry LA

    更新日期:2018-03-01 00:00:00

  • Burnout in the NICU setting and its relation to safety culture.

    abstract:BACKGROUND:Burnout is widespread among healthcare providers and is associated with adverse safety behaviours, operational and clinical outcomes. Little is known with regard to the explanatory links between burnout and these adverse outcomes. OBJECTIVES:(1) Test the psychometric properties of a brief four-item burnout ...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2014-002831

    authors: Profit J,Sharek PJ,Amspoker AB,Kowalkowski MA,Nisbet CC,Thomas EJ,Chadwick WA,Sexton JB

    更新日期:2014-10-01 00:00:00

  • The experiences of professionals with using information from patient-reported outcome measures to improve the quality of healthcare: a systematic review of qualitative research.

    abstract:OBJECTIVES:To synthesise qualitative studies that investigated the experiences of healthcare professionals with using information from patient-reported outcome measures (PROMs) to improve the quality of care. DESIGN:A qualitative systematic review was conducted by searching PubMed, PsycINFO and CINAHL with no time res...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章,评审

    doi:10.1136/bmjqs-2013-002524

    authors: Boyce MB,Browne JP,Greenhalgh J

    更新日期:2014-06-01 00:00:00

  • Using 'nudge' principles for order set design: a before and after evaluation of an electronic prescribing template in critical care.

    abstract:OBJECTIVE:Computerised order sets have the potential to reduce clinical variation and improve patient safety but the effect is variable. We sought to evaluate the impact of changes to the design of an order set on the delivery of chlorhexidine mouthwash and hydroxyethyl starch (HES) to patients in the intensive care un...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2013-002395

    authors: Bourdeaux CP,Davies KJ,Thomas MJ,Bewley JS,Gould TH

    更新日期:2014-05-01 00:00:00

  • Towards high-reliability organising in healthcare: a strategy for building organisational capacity.

    abstract::In a high-reliability organisation (HRO), safety and quality (SQ) is an organisational priority, and all workforce members are engaged, continuously learning and improving their work. To build organisational capacity for SQ work, we have developed a role-tailored capacity-building framework that we are currently emplo...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2016-006240

    authors: Aboumatar HJ,Weaver SJ,Rees D,Rosen MA,Sawyer MD,Pronovost PJ

    更新日期:2017-08-01 00:00:00

  • Speak up-related climate and its association with healthcare workers' speaking up and withholding voice behaviours: a cross-sectional survey in Switzerland.

    abstract:OBJECTIVES:To determine frequencies of healthcare workers (HCWs) speak up-related behaviours and the association of speak up-related safety climate with speaking up and withholding voice. DESIGN:Cross-sectional survey of doctors and nurses. Data were analysed using multilevel logistic regression models SETTING: 4 hosp...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2017-007388

    authors: Schwappach D,Richard A

    更新日期:2018-10-01 00:00:00

  • Effects of a clinical pharmacist service on health-related quality of life and prescribing of drugs: a randomised controlled trial.

    abstract::OBJECTIVE To evaluate the effects of a clinical pharmacist service on health-related quality of life (HRQL) and prescribing of drugs. METHODS A randomised controlled study was performed in two internal medicine wards. The intervention consisted of medication reviews with feedback to the physicians, drug treatment disc...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章,随机对照试验

    doi:10.1136/bmjqs.2009.039693

    authors: Bladh L,Ottosson E,Karlsson J,Klintberg L,Wallerstedt SM

    更新日期:2011-09-01 00:00:00

  • Association between implementation of an intensivist-led medical emergency team and mortality.

    abstract:PURPOSE:To evaluate the impact of implementation of a dedicated intensivist-led medical emergency team (IL-MET) on mortality in patients admitted to the intensive care unit (ICU). METHODS:All adult ward admissions to the ICU between July 2002 and December 2009 were reviewed (n=1920) after excluding readmissions and ad...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2011-000393

    authors: Karvellas CJ,de Souza IA,Gibney RT,Bagshaw SM

    更新日期:2012-02-01 00:00:00

  • Comparing standard office-based follow-up with text-based remote monitoring in the management of postpartum hypertension: a randomised clinical trial.

    abstract:BACKGROUND:Monitoring blood pressure at 72 hours and 7-10 days post partum in women with hypertensive disorders is recommended to decrease morbidity. However, there are no recommendations as to how to achieve this. OBJECTIVE:To compare the effectiveness of text-based blood pressure monitoring to in-person visits for w...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章,随机对照试验

    doi:10.1136/bmjqs-2018-007837

    authors: Hirshberg A,Downes K,Srinivas S

    更新日期:2018-11-01 00:00:00

  • Why colorectal screening fails to achieve the uptake rates of breast and cervical cancer screening: a comparative qualitative study.

    abstract:BACKGROUND:In Scotland, the uptake of clinic-based breast (72%) and cervical (77%) screening is higher than home-based colorectal screening (~60%). To inform new approaches to increase uptake of colorectal screening, we compared the perceptions of colorectal screening among women with different screening histories. ME...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2019-009998

    authors: Kotzur M,McCowan C,Macdonald S,Wyke S,Gatting L,Campbell C,Weller D,Crighton E,Steele RJC,Robb KA

    更新日期:2020-06-01 00:00:00

  • What's in a name generator? Choosing the right name generators for social network surveys in healthcare quality and safety research.

    abstract:BACKGROUND:Interest in the use of social network analysis (SNA) in healthcare research has increased, but there has been little methodological research on how to choose the name generators that are often used to collect primary data on the social connection between individuals for SNA. OBJECTIVE:We sought to determine...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs-2011-000521

    authors: Burt RS,Meltzer DO,Seid M,Borgert A,Chung JW,Colletti RB,Dellal G,Kahn SA,Kaplan HC,Peterson LE,Margolis P

    更新日期:2012-12-01 00:00:00

  • A prospective study of paediatric cardiac surgical microsystems: assessing the relationships between non-routine events, teamwork and patient outcomes.

    abstract:OBJECTIVE:Paediatric cardiac surgery has a low error tolerance and demands high levels of cognitive and technical performance. Growing evidence suggests that further improvements in patient outcomes depend on system factors, in particular, effective team skills. The hypotheses that small intraoperative non-routine even...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs.2010.048983

    authors: Schraagen JM,Schouten T,Smit M,Haas F,van der Beek D,van de Ven J,Barach P

    更新日期:2011-07-01 00:00:00

  • Prevalence of adverse events in the hospitals of five Latin American countries: results of the 'Iberoamerican Study of Adverse Events' (IBEAS).

    abstract:BACKGROUND:Interest in patient safety (PS) is growing exponentially, fuelled by epidemiological research unveiling the extent of unsafe care. However, there is little information about the frequency of harm in developing and transitional countries. To address this issue, the authors performed a study known as the Ibero...

    journal_title:BMJ quality & safety

    pub_type: 杂志文章

    doi:10.1136/bmjqs.2011.051284

    authors: Aranaz-Andrés JM,Aibar-Remón C,Limón-Ramírez R,Amarilla A,Restrepo FR,Urroz O,Sarabia O,García-Corcuera LV,Terol-García E,Agra-Varela Y,Gonseth-García J,Bates DW,Larizgoitia I,IBEAS team.

    更新日期:2011-12-01 00:00:00