Involving patients in patient safety programmes: A scoping review and consensus procedure by the LINNEAUS collaboration on patient safety in primary care

Hans Trier,Jose M Valderas,Michel Wensing,Helle Max Martin,Jonas Egebart

doi:10.3109/13814788.2015.1043729

Abstract

ABSTRACTBackground: Patient involvement has only recently received attention as a potentially useful approach to patient safety in primary care.Objective: To summarize work conducted on a scoping review of interventions focussing on patient involvement for patient safety; to develop consensus-based recommendations in this area.Methods: Scoping review of the literature 2006–2011 about methods and effects of involving patients in patient safety in primary care identified evidence for previous experiences of patient involvement in patient safety. This information was fed back to an expert panel for the development of recommendations for healthcare professionals and policy makers.Results: The scoping review identified only weak evidence in support of the effectiveness of patient involvement. Identified barriers included a number of patient factors but also the healthcare workers’ attitudes, abilities and lack of training. The expert panel recommended the integration of patient safety in the educational curricula for healthcare professionals, and expected a commitment from professionals to act as first movers by inviting and encouraging the patients to take an active role. The panel proposed a checklist to be used by primary care clinicians at the point of care for promoting patient involvement.Conclusion: There is only weak evidence on the effectiveness of patient involvement in patient safety. The recommendations of the panel can inform future policy and practice on patient involvement in safety in primary care.

Highlights

The involvement of patients in quality improvement initiatives has raised long-term interest and has resulted in a large body of work [1,2]
This paper summarizes two reports prepared as part of the EURO-PC LINNEAUS project, which has aimed at exploring how to integrate patient perspectives in the improvement of patient safety in primary care
The review focused on the following questions: Which safety risks in primary care can be minimized through patient involvement according to health professionals, patients and their relatives? Which methods of patient involvement are used for this purpose? What are the strengths and weaknesses of these methods?

Summary

Introduction

The involvement of patients in quality improvement initiatives has raised long-term interest and has resulted in a large body of work [1,2] Interest on how this approach can be best used for improving patient safety, is much more recent [3], and has been triggered by the awareness that the patient is an important and mostly untapped resource for quality development in the care, as demonstrated by the London Declaration, endorsed by the World Health Organization World Alliance for Patient Safety [4]. Methods: Scoping review of the literature 2006–2011 about methods and effects of involving patients in patient safety in primary care identified evidence for previous experiences of patient involvement in patient safety. This information was fed back to an expert panel for the development of recommendations for healthcare professionals and policy makers. The panel proposed a checklist to be used by primary care clinicians at the point of care for promoting patient involvement

Objectives

Methods

Results

Discussion

Conclusion