Abstract
Interventions to increase patient and family involvement in escalation of care for acute life-threatening illness in community health and hospital settings
Highlights
There is a rising commitment to acknowledge the role patients and families play in contributing to their safety
Our review identified that interactional patient-facing interventions and multi-component programmes to increase patient and family involvement in escalation of care for acute life-threatening illness may improve patient and family knowledge about danger signs and care-seeking responses, and probably have few adverse e ects on patient’s anxiety levels when compared to usual care
Strategies to help patients and their families to secure emergency care may improve their knowledge about life-threatening conditions, and probably don't increase their anxiety more than usual care
Summary
There is a rising commitment to acknowledge the role patients and families play in contributing to their safety. While the potential role of patients to contribute to their safety was acknowledged in To Err is Human (Kohn 2000), until recently, patient safety was largely seen as a technical and professional matter (Ocloo 2016). There is a rising global commitment for providers to work together with patients and families to improve the delivery of safe care (Vincent 2016; Yu 2016). Contributory roles for patients have been identified in processes such as hand hygiene, hospital rapid response systems, surgical checklists, medication safety, prevention of falls, prevention of medical errors a er discharge and care transitions (Berger 2013)
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