Transcript Slide 1
It’s personal Experience first hand Changes the conversation Valuable resource Shared accountability Policy & Governance Education Tools Management & Executive Support Recommendations Ask Patients Ask Leaders Ask the Patient Need to understand the right questions to ask Dynamics of engaging public Variety of ways patients can serve Quality improvement teams Safety and quality committees Grievance committees Co-evaluator of service Executive position Guard Education Patient education Community role Health care provider education Committee and policy work Advisory roles Selection role Planning committees Education Means to improve engagement Means of engagement Group Work Committees Policy development Advisory councils Culture Patient voice must be heard Patient safety issues exist outside the hospitals Culture seen as barrier Education seen as key Recommendatio ns Ask Patients, Ask Families The Stories Narratives in patient safety week Patients stories for presentations Case studies as learning tools Patient reporting of events Community outreach education Public forums, focus groups, means of providing input Recommendati ons Small change focus – ripple effect, incremental change that sticks Offer concrete suggestions on steps to start Present tools to assist in change Training patients for involvement Patient selection and insertion into existing committees Appropriate measures that can be tracked and collected easily Recommendations Use the media Recommendat ions Research needed Non-health care provider patients Primary care safety issues Never harmed patients Does monitoring role increase safety? Creation of harm through participation Recommendatio ns Roles must fit within present culture Is Handwashing monitoring – setting patients up for failure and guilt? Anne McLaurin and staff of CPSI Participants in focus groups Heather Richardson 780 407-6088 [email protected] Berwick, D. (2009). What 'Patient-Centered' should mean: Confessions of an extremist. Health Affairs, 28(4), w555w565. Buetow, S., & Elwyn, G. (2005). Are patients morally responsible for their errors?. Journal of Medical Ethics, 32, 260262. Buetow, S., Kiata, L., Liew, T., Kenealy, T., Dovey, S., & Elwyn, G. (2009). Patient error: A preliminary taxonomy. Annals of Family Medicine, 7(3), 223- 231. Conway, J., Nathan, D., Benz, E., Shulman, L., Sallan, S., Ponte, P., Bartel, S., Connor, M., Puhy, D., & Weingart, S. (2006, June). Key Learning from the Dana-Farber Cancer Institute's 10 year patient safety journey. American Society of Clinical Oncology, Atlanta, GA. Davidson, J., Powers, K., Hedayat, K., Tieszen, M., Kon, A., Shepard, E., Spuhler, V., Todres, D., Levy, M., Barr, J., Ghandi, R., Hirsch, G., & Armstrong, D. (2007). Clinical practice guidelines for support of the family in the patientcentered intensive care unit: American College of Critical Care Task Force 2004- 2005. Critical Care Medicine, 35(2), 1- 18. Davis, R., Jacklin, R., Sevdalis, N., & Vincent, C. (2007). Patient involvement in patient safety: what factors influence patient participation and engagement?. Health Expectations, 10, 259- 267. Edgman-Levitan, S. (2004). Involving the patient in safety efforts. In M. Leonard, A. Frankel, T. Simmonds & K. Vega (Eds.), Achieving Safe and Reliable Healthcare (81-92). Chicago, IL: Health Administration Press. Engel, K., Heisler, M., Smith, D., Robinson, C., Forman, J., & Ubel, P. (2009). Patient comprehension of emergency department care and instructions: Are patients aware of when they do not understand?. Annals of Emergency Medicine, 53(4), 454- 461. Entwistle, V., Mello, M., & Brennan, T. (2005). Advising patients about patient safety: Current initiatives risk shifting responsibility. Joint Commission Journal on Quality and Patient Safety, 31(9), 483- 494. Entwistle, V., & Quick, O. (2006). Trust in the context of patient safety problems. Journal of Health Organization and Management, 20(5), 387- 416. Ferguson, T. (2007). e-patients: How they can help us heal healthcare. [White Paper]. Retrieved from Society for Participatory Medicine http://e-patients.net/e-Patients_White_Paper.pdf Kerfoot, K., Ebright, P., Rapala, K., & Rogers, S. (2006). The power of collaboration with patient safety programs: Building safe passage for patients, nurses, and clinical staff. Journal of Nursing Administration, 36(12), 582- 588. Hibbard, J (2003). Engaging health care consumers to improve the quality of care. Medical Care, 41(1), I-61- I-70. ISMP (2009, June 15). Inattentional blindness: What captures your attention?. Retrieved June 24, 2009 from ISMP Medication Safety Alert!, Acute Care edition Web site: http://www.ismp.org/Newsletters/acutecare/articles/20090226.asp Kuzel, A., Woolf, S., Gilchrist, V., Engel, J., LaVeist, T., Vincent, C., & Frankel, R. (2004). Patient reports of preventable problems and harms in primary health care. Annals of Family Medicine, 2(4), 333- 340. Leonhardt, K., Bonin, D., & Pagel, P. (2008). Guide for developing community-based patient safety advisory councils. Rockville, MD: Agency for Healthcare Research and Quality. Leonard, M., Frankel, A., Simmonds, T., & Vega, K. (2004). Achieving safe and reliable healthcare: Strategies and solutions. Chicago,IL: Health Administration Press. Lyons, M. (2006). Should patients have a role in patient safety? A safety engineering view. Quality Safety Health Care Journal, 16, 140- 142. Maxfield, D., Grenny, J., McMillan, R., Patterson, K., & Switsler, A. (2005). Silence Kills. Retrieved Plsek, P., & Greenhalgh, T. (2001). The challenge of complexity in health care. British Medical Journal, 323, 625628. Pronovost, P., & Faden, R. (2009). Setting priorities for patient safety: Ethics, accountability, and public engagement. Journal of American Medical Association, 302(8), 890- 891. Rice, R. (2003). Overview and summary: Patient safety: Who guards the patient?. Online Journal of Issues in Nursing, 8(3). Vincent, C., & Coulter, A. (2002). Patient safety: What about the patient?. Quality Safety Health Care Journal, 11, 7680. Williams, C. (2005). The identification of family members' contribution to patients' care in the intensive care unit: a naturalistic inquiry. British Association of Critical Care Nurses, 10, 6- 14.