The influence of COVID-19 visitation restrictions on patient experience and safety outcomes: A critical role for subjective advocates

Family presence during patient acute deterioration: A survey of nurses' attitudes and reflection on COVID-19 in an African setting

“…While the risk must be acknowledged, evidence supporting family presence suggests that families present during acute care act as subjective advocates can increase the safety of patients due to their vigilance leading to a decrease in medical errors or negligence( 28 ). It is notable that facilities that have adopted this practice before the COVID -19 pandemic have been reported as successful in improving their overall health care performance while those who have continued restriction on family presence reported stagnation or decline in performance related to user satisfaction and patient outcomes ( 28 ).…”

We’re all in this together: how COVID-19 revealed the co-construction of mindful organising and organisational reliability

“…Other data find decreases in ratings of patient experience and increases in patient fall and sepsis rates, with the findings more pronounced for hospitals that disallowed patient visitations8 and challenges remain even for hospitals that skilfully deployed technology to support virtual visits 9. We argue that emerging evidence of compromised reliability and safety during COVID-19 reveal the necessity of incorporating a wider set of actors in producing reliability into theory and practice.…”

“…5 Surveys of safety culture during the pandemic makes this weakness evident as data from 54 US hospitals gathered by Press Ganey and 160 hospitals by the Agency for Healthcare Research and Quality provide initial evidence of a significant erosion of safety cultureleadership commitment to safety, prevention and reporting, and communication and collaboration. 6 7 Other data find decreases in ratings of patient experience and increases in patient fall and sepsis rates, with the findings more pronounced for hospitals that disallowed patient visitations 8 and challenges remain even for hospitals that skilfully deployed technology to support virtual visits. 9 We argue that emerging evidence of compromised reliability and safety during COVID-19 reveal the necessity of incorporating a wider set of actors in producing reliability into theory and practice.…”

Experiences and Expectations of Patients Hospitalized for COVID-19: A Qualitative Study in Poland

“…One of the important patient challenges during the COVID-19 pandemic was the introduction of restrictive rules for visiting hospitalized patients and the prohibition of access to hospital wards for families and care givers. This adversely impacted the much-needed comfort and support that hospitalized patients typically receive from family and friends [ 6 ]. Restrictions also applied to spiritual care practitioners, who complained that they did not have time to talk to patients, had problems administering the sacraments, and often had to limit their ministry [ 7 ].…”