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‘Safety is about partnership’

Safety through the lens of patients and caregivers

Dados Bibliográficos

ID19506911
AutoresKerry Kuluski (0000-0002-6377-6653, Institute for Better Health Trillium Health Partners Mississauga Ontario Canada, autor correspondente), Maaike Asselbergs (Patients for Patient Safety Canada Ottawa Ontario Canada), Ross Baker (0000-0001-8933-5373, Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health University of Toronto Toronto Ontario Canada), Katharina Kovacs Burns (0000-0002-6322-0778, School of Public Health, Edmonton Clinic Health Academy University of Alberta Edmonton Alberta Canada), Frances Bruno (0000-0002-3703-1957, Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health University of Toronto Toronto Ontario Canada), Marianne Saragosa (0000-0002-9261-5971, Sinai Health System Toronto Ontario Canada), Anne MacLaurin (Healthcare Excellence Canada Ottawa Ontario Canada), Virginia Flintoft (Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health University of Toronto Toronto Ontario Canada), Lianne Jeffs (0000-0002-6845-459X, Institute of Health Policy, Management and Evaluation, Dalla Lana School of Public Health University of Toronto Toronto Ontario Canada)
Ano2024
Volume27
Fascículo1
Páginase13939-e13939
Data de publicação2024-02-01
Peer ReviewedSim
Open AccessSim
TipoARTICLE
PeriódicoHealth Expectations (JOURNAL)
Identificadores do periódicoISSN: 1369-6513 • E-ISSN: 1369-7625
EditoraWiley (PUBLISHER • GB)
DOI10.1111/hex.13939
PMID39102696
OpenAlexW4390110494
IdiomaEN
Citações recebidas2
Referências citadas29

INTRODUCTION: Creating safer care is a high priority across healthcare systems. Despite this, most systems tend to focus on mitigating past harm, not creating proactive solutions. Managers and staff identify safety threats often with little input from patients and their caregivers during their health encounters. METHODS: This is a qualitative descriptive study utilizing focus groups and one-to-one interviews with patients and caregivers who were currently using (or had previously used) services in health systems across Canada. Data were analysed via inductive thematic analysis to understand existing and desired strategies to promote safer and better quality care from the perspectives of patients and caregivers. FINDINGS: In our analysis, we identified three key themes (safety strategies) from patients' and caregivers' perspectives and experiences: Using Tools and Approaches for Engaging Patients and Caregivers in their Care; Having Accountability Processes and Mechanisms for Safe Care; and Enabling Patients and Caregivers Access to Information. CONCLUSIONS: Safety is more than the absence of harm. Our findings outline a number of suggestions from patients and caregivers on how to make care safer, ranging from being valued on teams, participating as members of quality improvement tables, having access to health information, having access to an advocate to help make sense of information and having processes in place for disclosure and closure. Future work can further refine, implement and evaluate these strategies in practice. PATIENT OR PUBLIC CONTRIBUTIONS: An advisory group guided the research and was co-chaired by a patient partner. Members of the advisory group spanned patient and caregiver organizations and health sectors across Canada and included three patient partners and leaders who work closely with patients and caregivers in their day-to-day work. In the research itself, we engaged 28 patients and caregivers from across Canada to learn about their safety experiences and learn what safer care looks like from their perspectives

Accountability · Business · Focus group · General partnership · Harm · Health care · Patient safety · Political science · Qualitative research · SAFER · Sociology · Thematic analysis · Computer Science · Medicine · Nursing · Patient Safety and Medication Errors · Patient-Provider Communication in Healthcare · Psychology · Social Psychology · Workplace Violence and Bullying

  • ‘Safety is about partnership’

    Open Access•Kerry Kuluski, Maaike Asselbergs et al.•Health Expectations•2024

  • Promoting Patient Safety Through Patient Engagement at the Organisational Level

    Open Access•Larissa Brust, Yannick Blum et al.•Health Expectations•2025

  • Patient And Family Engagement

    Kristin L Carman, Pam Dardess et al.•Health Affairs•2013

  • How to practice person‐centred care

    Open Access•Maria J Santana, Maria Santana et al.•Health Expectations•2018

  • ‘Safety is about partnership’

    Open Access•Kerry Kuluski, Maaike Asselbergs et al.•Health Expectations•2024

  • What is Important to Older People with Multimorbidity and Their Caregivers? Identifying Attributes of Person Centered Care from the User Perspective

    Open Access•Kerry Kuluski, Allie Peckham et al.•International Journal of…•2019

  • Are We There Yet? Data Saturation in Qualitative Research

    Open Access•Patricia Fusch, Lawrence Ness•Qualitative Report•2015

Obras citantes distintas2
Citações por ano1
Intervalo de citações2024 - 2025 (2)
Velocidade de citaçãorecent
Altamente citadoNão
Tipos de citaçãoNeutras: 2
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