Patient Engagement and Patient Safety: Are We Missing the Patient in the Center?

Abid, Muhammad Hasan; Abid, Muhammad Mohsin; Surani, Salim; Ratnani, Iqbal

doi:10.7759/cureus.7048

Cited by 12 publications

(23 citation statements)

References 12 publications

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“…The importance of the active participation and engagement of healthcare consumers both in care and study design is recognised through this review as contributing to safety outcomes and research quality. The relationship between consumer involvement in healthcare and enhanced health outcomes including patient safety is well-established and reinforced through this review [80]. The Australian Commission of Safety and Quality in Health Care (ACSQHC) identifies consumer engagement strategies as central to improved health and healthcare safety outcomes for consumers [21,81].…”

Section: Discussionmentioning

confidence: 99%

The safety of health care for ethnic minority patients: a systematic review

Chauhan

Walton

Manias

et al. 2020

Int J Equity Health

134

157

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Introduction: Evidence to date indicates that patients from ethnic minority backgrounds may experience disparity in the quality and safety of health care they receive due to a range of socio-cultural factors. Although heightened risk of patient safety events is of key concern, there is a dearth of evidence regarding the nature and rate of patient safety events occurring amongst ethnic minority consumers, which is critical for the development of relevant intervention approaches to enhance the safety of their care. Objectives: To establish how ethnic minority populations are conceptualised in the international literature, and the implications of this in shaping of our findings; the evidence of patient safety events arising among ethnic minority healthcare consumers internationally; and the individual, service and system factors that contribute to unsafe care. Method: A systematic review of five databases (MEDLINE, PUBMED, PsycINFO, EMBASE and CINAHL) were undertaken using subject headings (MeSH) and keywords to identify studies relevant to our objectives. Inclusion criteria were applied independently by two researchers. A narrative synthesis was undertaken due to heterogeneity of the study designs of included studies followed by a study appraisal process. Results: Forty-five studies were included in this review. Findings indicate that: (1) those from ethnic minority backgrounds were conceptualised variably; (2) people from ethnic minority backgrounds had higher rates of hospital acquired infections, complications, adverse drug events and dosing errors when compared to the wider population; and (3) factors including language proficiency, beliefs about illness and treatment, formal and informal interpreter use, consumer engagement, and interactions with health professionals contributed to increased risk of safety events amongst these populations. Conclusion: Ethnic minority consumers may experience inequity in the safety of care and be at higher risk of patient safety events. Health services and systems must consider the individual, inter-and intra-ethnic variations in the nature of safety events to understand the where and how to invest resource to enhance equity in the safety of care. Review registration: This systematic review is registered with Research Registry: reviewregistry761.

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Section: Discussionmentioning

confidence: 99%

The safety of health care for ethnic minority patients: a systematic review

Chauhan

Walton

Manias

et al. 2020

Int J Equity Health

134

157

View full text Add to dashboard Cite

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“…These vulnerabilities increase the potential for patient harm and require that health care providers prioritize patient safety first and foremost. Patients should be engaged in their own care and empowered to ask questions and speak up about concerns regarding their safety 2,3,5 …”

Section: Rationalementioning

confidence: 99%

“…Vital components of a safe perioperative environment include, but are not limited to, organizational commitment to a safe and just culture ; patient centeredness; 2,5 teamwork; 8 effective communication; 9‐11 a safe environment of care ; 12‐15 prevention of ○infections, 10,16‐18 ○ wrong‐site surgery, 19 ○ positioning injuries, 20 ○ pressure injuries, 20 ○ medication errors, 21 ○ specimen errors, 22 ○ patient falls, 20,23 ○ surgical fires, 12,14,24 ○ exposure to surgical smoke, 25 ○ sharps injuries, 26 and ○ unintended retained surgical items; 27 effective cleaning and care of instruments; 28 safe patient handling and movement; 20,23 onboarding practices that effectively prepare perioperative teams to deliver safe patient care; 29 education and competency verification of perioperative personnel; and safe staffing and on‐call practices 30 …”

Section: Rationalementioning

confidence: 99%

AORN Position Statement on Patient Safety

2022

AORN Journal

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“…Healthcare service outcomes (good and bad) are co-produced or co-created by healthcare professionals in relation to one another and people seeking help to restore or maintain health for themselves and their families [12,13]. In its functional essence, 'co-production' means that we have patients onboard the design team co-creating from the beginning of a healthcare service improvement effort to achieve high quality, value-based, low cost, and sustainable outcomes with a shared vision [14].…”

Section: Co-production Of Healthcare Services As Core Strategy For Patient and Family Engagementmentioning

confidence: 99%

Patient and Family Engagement During Challenging Times: What Works and What Does Not?

Abid¹,

Abid²,

Shahid³

et al. 2021

Cureus

Self Cite

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A paradigm shift towards enhanced strategies to effectively engage patients and families in delivering safe and high-quality healthcare services was observed during recent times, particularly in the last decade. Immediately prior to the coronavirus disease 2019 (Covid-19) pandemic, the tri-institutional global healthcare quality reports from the National Academies of Sciences, Engineering, and Medicine, World Bank Group, and Lancet Global Health Commission reported the patient and family engagement measures used globally, highlighting the variations across the regions of the world. Through a pandemic for more than a year now, we aim to present the key lessons learned from practices and strategies to proactively engage patients and families. These strategies may continue to be implemented in the post-Covid-19 pandemic era to improve patient and family-centered care.

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Patient Engagement and Patient Safety: Are We Missing the Patient in the Center?

Cited by 12 publications

References 12 publications

The safety of health care for ethnic minority patients: a systematic review

The safety of health care for ethnic minority patients: a systematic review

AORN Position Statement on Patient Safety

Patient and Family Engagement During Challenging Times: What Works and What Does Not?

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