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Comparative Study
. 2016 Mar;25(3):182-9.
doi: 10.1136/bmjqs-2015-004006. Epub 2015 Jun 16.

Patient and family engagement: a survey of US hospital practices

Jeph Herrin  1 , Kathleen G Harris  2 , Kevin Kenward  2 , Stephen Hines  2 , Maulik S Joshi  2 , Dominick L Frosch  3
Affiliations
Comparative Study

Patient and family engagement: a survey of US hospital practices

Jeph Herrin et al. BMJ Qual Saf. 2016 Mar.

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.

Keywords: Healthcare quality improvement; Leadership; Patient-centred care.

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References

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