Patient involvement in reducing errors during X‐ray imaging in an orthopedic outpatient clinic

Abstract

We found that patient involvement was effective in reducing errors in X-ray imaging in our orthopedic clinic, and we recommend its use in other medical fields with respect to left-to-right issues.

Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety

“…Seventeen of the twenty‐six studies were focused on inpatient safety, three on specific clinics or treatments and six were focused on treatment between face‐to‐face visits. The studies were conducted in a range of clinical areas including inpatient adult general medical services, 30 , 31 , 32 , 33 , 34 , 35 , 36 , 37 , 38 , 39 inpatient surgical departments, 40 , 41 , 42 adult oncology, 43 outpatient radiology clinics, 44 , 45 adult intensive care, 46 residential aged care facility, 39 inpatient paediatric services, 34 , 45 , 46 , 47 , 48 , 49 , 50 , 51 with two whole of hospital studies 52 , 53 and homecare visits, appointments, discharge and pharmacy community. 32 , 52 , 54 …”

“…Lawton et al 50 provided a theoretical background to engagement; similarly, the patient-centred strategies embedded engagement in such approaches. [46][47][48] However, the theoretical justification for strategy design presented in most papers was on content (e.g, falls prevention or wrong-site intervention), technical production (e.g., videos 37 ) or staff implementation, 42,44 rather than on the nature or details of engagement.…”

“…41,53 Pragmatic and user-friendly: Ten strategies emphasize the need for simple feedback systems about safety features that are not time consuming, 49 use plain language, 48 not solely reliant on text 49,51 and can be incorporated into existing documentation systems, interactions or portals. 30,44 Electronic portals and apps need a user-friendly interface 38 and focus on relevant safety concerns. 34,35 Questionnaires were time consuming and not suited to varied communication needs 49 or distressed patients.…”

“…51 Organisational sponsorship: All papers identify the need for an organisational culture that supports transparency and values health consumer input. Staff training, ongoing commitment of resources including practical adjustment of schedules, 37,39,41,42,48,51,54 staff consistency, 44 systematic/whole of agency approach 48 and management support 31,46,52 were identified as vital for consumer engagement interventions to be implemented effectively.…”

Análise da estrutura organizacional do Núcleo de Segurança do Paciente dos hospitais da Rede Sentinela

“…We stress the benefits of involving patients in their care decisions and of educating them to identify potentially harmful situations for their own safety. Firstly, however, the health team must be trained to encourage the participation of patients and their families and learn about educational methodologies that prepare patients to identify at-risk situations, thus improving the quality of care (17) .…”