Patient Engagement In Health Care Safety: An Overview Of Mixed-Quality Evidence.

Patient Engagement In Health Care Safety: An Overview Of Mixed-Quality Evidence.
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DOI:
10.1377/hlthaff.2018.0716
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发表时间:
2018-11
期刊:
Health affairs (Project Hope)
影响因子:
--
通讯作者:
Sarkar U
Sarkar U
中科院分区:
其他
文献类型:
--
作者:
Sharma AE;Rivadeneira NA;Barr-Walker J;Stern RJ;Johnson AK;Sarkar U

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患者和护理人员在医院、门诊护理环境和社区的医疗保健安全中发挥着核心作用。尽管如此,促进患者参与安全的干预措施仍有待探索。我们对患者参与安全干预的综述文章进行了概述,以检查证据的当前状态。在我们评估的2,795篇参考文献中,有52篇文章符合我们2018年的全文纳入标准。我们确定了支持患者自我管理抗凝药物的强有力证据,以及支持患者参与药物治疗和慢性病自我管理、不良事件报告和病历准确性的混合质量证据。患者参与安全性的有前景的模式,如抗凝管理和患者门户网站访问,没有得到广泛实施。我们讨论了主要的实施优先事项,并提出了未来的研究和政策,以加强安全工作的患者合作伙伴关系的方向。
Patients and caregivers play a central role in health care safety in the hospital, ambulatory care setting, and community. Despite this, interventions to promote patient engagement in safety are still underexplored. We conducted an overview of review articles on patient engagement interventions in safety to examine the current state of the evidence. Of the 2,795 references we evaluated, 52 articles met our full-text inclusion criteria for synthesis in 2018. We identified robust evidence supporting patients’ self-management of anticoagulation medications and mixed-quality evidence supporting patient engagement in medication and chronic disease self-management, adverse event reporting, and medical record accuracy. Promising modes of patient engagement in safety, such as anticoagulation management and patient portal access, are not widely implemented. We discuss major implementation priorities and propose directions for future research and policy to enhance patient partnership within safety efforts.
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发表时间: 2016-01-01
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