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Patient and family engagement: A survey of US hospital practices

International Literature

posted by WM Admin on 17 June 2015

In this article, the authors report on a survey of hospitals in the USA regarding their patient and family engagement (PFE) practices during 2013–2014.

The response rate was 42%, with 1457 acute care hospitals completing the survey. Responses regarding key practices fell into three broad categories: (1) organisational practices, (2) bedside practices and (3) access to information and shared decision-making. The authors found a wide range of scores across hospitals.

Selected findings include: 86% of hospitals had a policy for unrestricted visitor access in at least some units; 68% encouraged patients/families to participate in shift-change reports; 67% had formal policies for disclosing and apologising for errors; and 38% had a patient and family advisory council. The most commonly reported barrier to increased PFE was ‘competing organisational priorities’.

The authors conclude that there is a large variation in hospital implementation of PFE practices, with competing organisational priorities being the most commonly identified barrier to adoption.

This is an open access article and can be read in free full text at:

Herrin, J., et al. (2015). Patient and family engagement: A survey of US hospital practices. BMJ Quality & Safety, 16 June [Epub before print]