Effectiveness of Interventions to Involve Patients and Families in Patient Safety Activities: A Systematic Review

Sunday, 28 July 2019

Nam-Ju Lee, PhD, DNSc, RN1
Miseon Lee, MSN, RN1
Hyun-Ju Seo, PhD, MPH, RN2
Haena Jang, PhD, MSN, RN3
Seong min Kim, PhD, RN2
(1)College of Nursing, Seoul National University, Seoul, Korea, Republic of (South)
(2)Department of Nursing, College of Medicine, Chosun University, Gwangju, Korea, Republic of (South)
(3)Department of Nursing, College of Medicine, Inje University, Busan, Korea, Republic of (South)

Purpose: Patient safety is worldwide issue. Patients and families’ participation is one of the key strategy to improve patient safety. There were limited research focusing on patient participation in patient safety activities.

The aim of this study is to identify the types of interventions that patients and families were involved in to improve patient safety and their effectiveness of intervention through a systematic review method.

Methods: Articles were searched using electronic database: Ovid Medline, Ovid EMBASE, CINHAL, and KMBASE. Articles that published after 2000 were searched and were not limited on languages. We included all completed, quantitative studies that had implemented patient safety intervention for patient and families. The population are inpatients, outpatients and their families in any setting of hospitals. Interventions conducted for improving patient safety should be directed to patients and family or by patient and family. Interventions that are not for patient or family were excluded. Primary outcomes are patient safety outcomes such as infection rate, fall rate, adverse events. Secondary outcomes include perceptions about patient safety, knowledge about patient safety, and behavior on patient safety. Search strategy developed by two authors and reviewed by a librarian. Two independent reviewers selected the studies according to the pre-specified eligibility criteria. Then, two reviewers then extracted data independently using the predefined data extraction form.

Results: The authors obtained 2,017 studies with initial search from search engines. Two independent reviewers selected 13 studies according to the pre-specified eligibility criteria. Those articles will be used for analysis.

Two reviewers are independently evaluating the methodological quality of the included RCTs using the Cochrane Risk of Bias (RoB) tool and of the included quasi-experimental studies using the Risk of Bias Assessment tool for Non-randomized Studies (ROBANS) tool. Narrative synthesis will be used for data synthesis.

We will display the evaluation results from the systemic review on the poster.

Conclusion: Patient participation on patient safety activities reduces adverse events and improve quality in health care. However, few studies has been performed focusing on patients and families. This study will offer a chance to review types of patient safety interventions including patients and families, and outcomes of those. This work will give an idea to perform diverse and effective interventions for patient and families to improve patient safety.

This research was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Education (No. 2017R1D1A1B03034406).