PATIENT AND FAMILY INVOLVEMENT
Families have been included in rounds in the ICU at Lourdes since early 2004, and Fuchs says it has worked well, saving nurses time and making patients and families happier. “The more they know, the better,” she says. For especially complex patients or situations in which daily rounds are not sufficient to cover the patient’s and family’s needs, separate patient care conferences are scheduled for families with all the relevant specialists.
In the July 16, 2019, issue of Pharmacy Practice News, ISMP president, Michael R. Cohen, published a noteworthy commentary about what healthcare consumers can do to help prevent medication errors.The inspiration for the commentary arose from significant dialog and questions received in response to articles ISMP published in this newsletter in early 2019.
You likely heard about this incident in the news earlier this year: A woman
died after receiving the paralyzing agent vecuronium instead of the sedative
midazolam (Versed, discontinued brand) when the wrong medication was
retrieved from an automated dispensing cabinet (ADC).
Rounds often happen without directly involving the patient—or more importantly when the patients are children, their parents. The program, named I-PASS (see box below), aimed to flip that by creating family-centered rounds. The program created checks to ensure that rounds include patients and parents, that medical staff discuss all important elements of care each day, and that parents receive write-ups of daily rounds. It also provided training for staff to learn how to facilitate family-centered rounds.
Rudy Giuliani’s wife discusses her partnership with her husband during his prostate cancer journey and their team approach to the experience.
Alongside clinical imperatives, strong patient engagement can supplement patient safety initiatives in the hospital.
Research shows that when patients are engaged in their health care, it can lead to measurable improvements in safety and quality. To promote stronger engagement, the Agency for Healthcare Research and Quality (AHRQ) developed a guide to help patients, families, and health professionals work together as partners to promote improvements in care.
Open and candid communication with patients and their families is a key component of safe and effective healthcare. However, communication between caregivers and patients is sometimes hindered by longstanding myths and misconceptions about the sharing of information. The Joint Commission, with input from its Patient and Family Advisory Council, has issued a white paper designed to dispel those myths and to help organizations design more effective communication practices.
In recent years, there has been a shift toward a greater role for patients in health delivery. We are all aware of the greater focus on shared decision-making, patient satisfaction scores, information on provider price and quality to patients, and the use of incentives embedded in benefit design (such as high-deductible health plans) that put the onus on the patient to behave like a consumer and assess the value of different health services they could receive.
Unfortunately, errors happen. Knowing how to recognize them ASAP is essential to preventing unnecessary patient harm. Regarding young patients, providers can take a page from parents and guardians in identifying where mistakes happen in the care delivery process. According to a new study in the Journal of the American Medical Association (JAMA) Pediatrics, close to one in 10 parents noticed mistakes in their child’s care that doctors didn’t
Issue Brief: Patient and Family Engagement: A Partnership for Culture Change
A Report of the NCIOM Task Force on Patient and Family Engagement
Patients who are actively involved in their health and health care tend to have better outcomes and care experiences and, in some cases, lower costs.1-3 Implementing patient and family engagement strategies has led to fewer hospital-acquired infections, reduced medical errors, reduced serious safety events, and increased patient satisfaction scores.3-5 Because of the potential for improved health outcomes and patient satisfaction, patient and family engagement has emerged as a critical strategy for improving the performance of our health care system
Patient engagement is an increasingly important component of strategies to reform health care. In this article we review the available evidence of the contribution that patient activation-the skills and confidence that equip patients to become actively engaged in their health care-makes to health outcomes, costs, and patient experience.
People actively involved in their health and health care tend to have better outcomes--and, some evidence suggests, lower costs.A growing body of evidence demonstrates that patients who are more actively involved in their health care experience better health outcomes and incur lower costs. As a result, many public and private health care organizations are employing strategies to better engage patients, such as educating them about their conditions and involving them more fully in making decisions about their care.
Patients and their carers will usually be the first to notice any observable problems resulting from medication errors. They will probably be unable to distinguish between medication errors, adverse drug reactions, or ‘side effects’.