The framework outlined in this document provides a structure for thinking about engaging patients in patient safety and gives examples of how this can be achieved. It is mindful of the criticisms of approaches to patient engagement in patient safety and is a first step towards adopting a theoretical approach to this context. Some factors which influence engaging with patients in patient safety which were identified from this work are also presented.
The framework describes three levels of patient engagement in patient safety across three levels of the NHS healthcare system. It also presents real-world examples of patient engagement in patient safety and applies these to the framework.
For the purposes of the framework:
Patient safety is defined as freedom from healthcare associated preventable harm.
Patient engagement is the encouragement of patients, carers and families to work with healthcare professionals, healthcare service providers, commissioners and policy makers to improve health and healthcare. Descriptors of three levels of patient engagement are presented in the framework.
Patients may be someone receiving care and giving ‘real-time’ feedback, patients who have previously received care or treatment, patients who have experienced harm, or members of the public.
Between April and June 2018, the RCPCH Children and Young People’s Engagement Team met with over 130 children, young people and families to collect their views on ‘service contact ability’ and family mental health. Over 2335 questionnaires were submitted by children, young people and their carers.
This submission demonstrates:
impact from patient and public involvement
embedded involvement to sustain QI
The web page includes resources on:
Improving the proportion of smoke-free pregnancy.
Optimisation and stabilisation of the very preterm infant.
Detection and management of diabetes in pregnancy.
Early recognition and management of deterioration of mother or baby.
Reduce incidence of falls and harm.
Embed falls prevention into everyday practice.
Engage clinical staff to identify patients at risk and implement harm prevention strategies.
Process for target wards:
Present data for the past 12 months for falls by severity, as baseline metric.
Present serious falls and actions undertaken.
Falls Risk Assessment audit as baseline metric.
Falls Link Worker ensures a display board is refreshed with falls prevention displays and audit result.
Ward team set own targets for improvement weekly.
Teaching sessions delivered. These may be ward sessions or in the Quality Improvement and Innovation (QII) hub.
Weekly audits continue.
Meeting with the team to discuss programme results, falls incidences, post fall assessment themes and audit results.
Link worker provides evidence of training undertaken and plan for those who have not received training.
Improvement plan agreed to be delivered by the link worker.
The US National Comprehensive Cancer Network hosted the Ensuring Safety and Access in Cancer Care Policy Summit in June 2017 to discuss pertinent patient safety issues and access implications under the Trump administration, as well as policy and advocacy strategies to address these gaps and build on opportunities moving forward. This report summarises the discussions from the Summit.