Sigall K. Bell|Stephanie Roche|Ariel Mueller|Erica Dente|Kristin O’Reilly|Barbara Sarnoff Lee|Kenneth Sands|Daniel Talmor|Samuel M. Brown
Speaking up about care concerns in the ICU: patient and family experiences, attitudes and perceived barriers
Hadassah Medical Center|Hadassah Medical Center|Hadassah Medical Center|Pain and Rehabilitation Medicine|Hadassah Medical Center|Hadassah Medical Center|Hadassah Medical Center|Hadassah Medical Center|Hadassah Medical Center|Pain and Rehabilitation Medicine|University of Utah|Intermountain Medical Center
little known patientfamily comfort voicing care concerns real time especially intensive care unit icu stakes high time compressed experts advocate patient family engagement safety require patientsfamilies able voice concerns data patientfamily attitudes experiences regarding speaking sparse mostly include reporting events retrospectively rather preemptively try prevent harm aimed 1 assess patientfamily comfort speaking common icu concerns 2 identify patientfamilyperceived barriers speaking 3 explore factors associated patientfamily comfort speaking upin collaboration patientsfamilies developed survey evaluate speaking attitudes behaviours surveyed current icu families person urban us academic medical centre supplemented larger national internet sample individuals prior icu experience105125 84 current families 1050 internet panel participants icu history completed surveys among current icu families 5070 expressed hesitancy voice concerns possible mistakes mismatched care goals confusingconflicting information inadequate hand hygiene results among prior icu participants similar half respondents reported least one barrier voicing concerns commonly wanting troublemaker team busy dont know older female participants personal family employment healthcare likely report comfort speaking upspeaking may challenging icu patientsfamilies patientfamily education speak assurance raising concerns create trouble may help promote open discussions care concerns possible errors icu