Zackary Berger|Tabor Flickinger|Elizabeth R. Pfoh|Kathryn A. Martinez|Sydney M. Dy
Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic review
University of Virginia|Johns Hopkins University|Johns Hopkins University|Ann Arbor VA Medical Center|Michigan Medicine|Johns Hopkins University
h3introductionh3 patientcenteredness central healthcare hospitals address patients unique needs improve safety quality patient engagement healthcare may help prevent adverse events approached independent patient safety practice psp part multifactorial psp h3objectivesh3 review examines interventions encouraging engagement implemented controlled trials h3methodsh3 searched medline cinahl embase cochrane 2000 2012 english language studies hospital settings prospective controlled designs addressing effectiveness implementation patientfamily engagement psps separately reviewed interventions implemented part selected broader psps way example hand hygiene ventilatorassociated pneumonia rapid response systems care transitions h3resultsh3 six articles met inclusion criteria effectiveness primary focus patient engagement identified 12 studies implementing patient engagement aspect selected broader psps number studies relied patients possible function reporter error healthcare workers patients source reminders regarding safety behaviours others relied direct activation patients families definitions patient family engagement lacking well evidence regarding types patients might feel comfortable engaging providers contexts h3conclusionsh3 patient engagement safety appealing insufficient highquality evidence informing realworld implementation work evaluate effectiveness interventions patient family engagement clarify added benefit incorporating engagement multifaceted approaches improve patient safety endpoints addition strategies assess overcome barriers patients willingness actively engage care investigated