Please use this identifier to cite or link to this item: http://hdl.handle.net/1893/9852

Appears in Collections:School of Health Sciences Journal Articles
Peer Review Status: Refereed
Title: Effectiveness of interventions designed to promote patient involvement to enhance safety: a systematic review
Authors: Hall, Jill
Peat, Maggie
Birks, Yvonne
Golder, Su
Entwistle, Vikki
Gilbody, Simon
Mansell, Peter
McCaughan, Dorothy
Sheldon, Trevor
Watt, Ian S
Williams, Brian
Wright, John
Contact Email: brian.williams@stir.ac.uk
Issue Date: Oct-2010
Publisher: BMJ Publishing Group Ltd
Citation: Hall J, Peat M, Birks Y, Golder S, Entwistle V, Gilbody S, Mansell P, McCaughan D, Sheldon T, Watt IS, Williams B & Wright J (2010) Effectiveness of interventions designed to promote patient involvement to enhance safety: a systematic review, Quality and Safety in Health Care, 19 (5), p. e10.
Abstract: Background: There is growing international interest in involving patients in interventions to promote and support them in securing their own safety. This paper reports a systematic review of evaluations of the effectiveness of interventions that have been used with the explicit intention of promoting patient involvement in patient safety in healthcare. Methods: The authors searched Cochrane Database of Systematic Reviews, Database of Abstracts of Reviews of Effects, CENTRAL, CINAHL, EMBASE, HMIC, MEDLINE, MEDLINE in-process, PsycINFO and ASSIA to August 2008. We also searched databases of reports, conference proceedings, grey literature, ongoing research and relevant patient safety organisations, and hand-searched two journals. Meta-analysis of the data was not appropriate; therefore, studies were categorised according to how the interventions encouraged patients' actions to improve safety-informing the management plan, monitoring and ensuring safe delivery of treatment (by health professional and by self), making systems safer-and were critiqued in a narrative manner. Findings: The authors identified 14 individual experimental and quasiexperimental studies plus one systematic review. The majority of studies fell into the monitoring and ensuring safe delivery of treatment by self category and were all related to enhancing medication safety. Authors reported improved patient safety incident outcomes for the intervention groups compared with controls where the interventions aimed to encourage patient involvement in: (1) monitoring and ensuring safe delivery of treatment by self (self-management of anticoagulation, 'easy' read information leaflet, nurse-led education to promote self-medication in hospital, patient package insert using lay terminology); (2) informing the management plan/monitoring and ensuring safe delivery of treatment by self (individualised teaching plan by nurse, pharmacist counselling). It was not possible to draw any clear conclusions as to the effectiveness of the interventions (with the exception of one specific aspect of self-medication, that is, self-management of anticoagulation) due to concerns about the methodological quality of the studies. Conclusions: There is limited evidence for the effectiveness of interventions designed to promote patient involvement on patient safety incidents and in general is poor quality. Existing evidence is confined to the promotion of safe self-management of medication, most notably relating to the self-management of oral anticoagulants.
Type: Journal Article
URI: http://hdl.handle.net/1893/9852
DOI Link: http://dx.doi.org/10.1136/qshc.2009.032748
Rights: The publisher does not allow this work to be made publicly available in this Repository. Please use the Request a Copy feature at the foot of the Repository record to request a copy directly from the author. You can only request a copy if you wish to use this work for your own research or private study.
Affiliation: University of York
University of York
University of York
University of York
University of Dundee
University of York
National Patient Safety Agency
University of York
University of York
University of York
NMAHP Research
Bradford Teaching Hospitals NHS Foundation Trust

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