Patient safety: just ask. Patients as reporters of real-time safety data; a pilot project to improve patient safety in secondary care

The Berwick review into patient safety recommended ‘involving patients in the healthcare organisation and seeking out the patient voice as an essential asset to monitor safety.’ (1) However routine data collection from patients in our institution is retrospective and doesn't focus on safety. Ou...

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Autores principales:	Thomas Cairns, Iain Mccallum
Formato:	article
Lenguaje:	EN
Publicado:	The Beryl Institute 2017
Materias:	patient engagement national health service patient-centred care quality of care patient safety safety reporting safety culture Medicine (General) R5-920 Public aspects of medicine RA1-1270
Acceso en línea:	https://doaj.org/article/f5058336aa8547378640afa1023c8ec1
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spelling	oai:doaj.org-article:f5058336aa8547378640afa1023c8ec12021-11-15T04:22:14ZPatient safety: just ask. Patients as reporters of real-time safety data; a pilot project to improve patient safety in secondary care2372-0247https://doaj.org/article/f5058336aa8547378640afa1023c8ec12017-11-01T00:00:00Zhttps://pxjournal.org/journal/vol4/iss3/10https://doaj.org/toc/2372-0247The Berwick review into patient safety recommended ‘involving patients in the healthcare organisation and seeking out the patient voice as an essential asset to monitor safety.’ (1) However routine data collection from patients in our institution is retrospective and doesn't focus on safety. Our objective was to create a patient-centred mechanism to monitor patient-perceived safety concerns and provide immediate resolution of highlighted issues. A pragmatic 6-question questionnaire was developed containing 4 scored and 2 free text questions. This questionnaire was piloted and adjusted before being administered to all inpatients meeting the inclusion criteria in our institution on one day. Safety issues raised were triaged and acted upon according to an agreed protocol providing a mechanism for immediate resolution. 225 patients were inpatients in the clinical areas surveyed of which 149 were eligible and 148 participated (99% participation). The majority (>95%) felt nothing about their stay was unsafe and felt they had no concerns about their treatment plan. However multiple themes regarding patient safety were identified including environmental issues, staffing levels, supervision of vulnerable patients and handover of clinical information. None of the issues reported by patients had been reported through existing hospital incident reporting systems. Safety issues triaged as requiring immediate attention were fed back to appropriate teams on the day to allow immediate learning. These results suggest that patients find safety reporting of their care acceptable via a simple questionnaire. Integration of this new process may increase overall safety reporting and allow targeted improvements in safety, quality and patient experience.Thomas CairnsIain MccallumThe Beryl Institutearticlepatient engagementnational health servicepatient-centred carequality of carepatient safetysafety reportingsafety cultureMedicine (General)R5-920Public aspects of medicineRA1-1270ENPatient Experience Journal (2017)
institution	DOAJ
collection	DOAJ
language	EN
topic	patient engagement national health service patient-centred care quality of care patient safety safety reporting safety culture Medicine (General) R5-920 Public aspects of medicine RA1-1270
spellingShingle	patient engagement national health service patient-centred care quality of care patient safety safety reporting safety culture Medicine (General) R5-920 Public aspects of medicine RA1-1270 Thomas Cairns Iain Mccallum Patient safety: just ask. Patients as reporters of real-time safety data; a pilot project to improve patient safety in secondary care
description	The Berwick review into patient safety recommended ‘involving patients in the healthcare organisation and seeking out the patient voice as an essential asset to monitor safety.’ (1) However routine data collection from patients in our institution is retrospective and doesn't focus on safety. Our objective was to create a patient-centred mechanism to monitor patient-perceived safety concerns and provide immediate resolution of highlighted issues. A pragmatic 6-question questionnaire was developed containing 4 scored and 2 free text questions. This questionnaire was piloted and adjusted before being administered to all inpatients meeting the inclusion criteria in our institution on one day. Safety issues raised were triaged and acted upon according to an agreed protocol providing a mechanism for immediate resolution. 225 patients were inpatients in the clinical areas surveyed of which 149 were eligible and 148 participated (99% participation). The majority (>95%) felt nothing about their stay was unsafe and felt they had no concerns about their treatment plan. However multiple themes regarding patient safety were identified including environmental issues, staffing levels, supervision of vulnerable patients and handover of clinical information. None of the issues reported by patients had been reported through existing hospital incident reporting systems. Safety issues triaged as requiring immediate attention were fed back to appropriate teams on the day to allow immediate learning. These results suggest that patients find safety reporting of their care acceptable via a simple questionnaire. Integration of this new process may increase overall safety reporting and allow targeted improvements in safety, quality and patient experience.
format	article
author	Thomas Cairns Iain Mccallum
author_facet	Thomas Cairns Iain Mccallum
author_sort	Thomas Cairns
title	Patient safety: just ask. Patients as reporters of real-time safety data; a pilot project to improve patient safety in secondary care
title_short	Patient safety: just ask. Patients as reporters of real-time safety data; a pilot project to improve patient safety in secondary care
title_full	Patient safety: just ask. Patients as reporters of real-time safety data; a pilot project to improve patient safety in secondary care
title_fullStr	Patient safety: just ask. Patients as reporters of real-time safety data; a pilot project to improve patient safety in secondary care
title_full_unstemmed	Patient safety: just ask. Patients as reporters of real-time safety data; a pilot project to improve patient safety in secondary care
title_sort	patient safety: just ask. patients as reporters of real-time safety data; a pilot project to improve patient safety in secondary care
publisher	The Beryl Institute
publishDate	2017
url	https://doaj.org/article/f5058336aa8547378640afa1023c8ec1
work_keys_str_mv	AT thomascairns patientsafetyjustaskpatientsasreportersofrealtimesafetydataapilotprojecttoimprovepatientsafetyinsecondarycare AT iainmccallum patientsafetyjustaskpatientsasreportersofrealtimesafetydataapilotprojecttoimprovepatientsafetyinsecondarycare
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Patient safety: just ask. Patients as reporters of real-time safety data; a pilot project to improve patient safety in secondary care

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