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Developing an Intervention to Reduce Harm in Hospitalized Patients: Patients and Families in Research
Elizabeth C Schenk1, Ruth A Bryant, Catherine R Van Son
1Providence St. Patrick Hospital, Missoula, Montana (Dr Schenk); College of Nursing, Washington State University, Spokane (Drs Schenk and Odom-Maryon); Abbott Northwestern Hospital, Minneapolis, Minnesota (Dr Bryant); and College of Nursing, Washington State University, Vancouver (Dr Van Son).
Background:
Patient safety-focused research may be strengthened by the inclusion of patients and family members in research design; yet, published methodologies for doing so are scarce.
Purpose:
This study engaged patients and families in research design of an intervention to increase patient/family engagement, with reduction of harm in hospitalized patients.
Methods:
The study design team convened a Patient Safety Advisory Panel to explore potential testable interventions to increase patient/family engagement with safety. They explored the preferred intervention, Speak Up-My Advocate for Patient Safety (MAPS), through multistakeholder focus groups.
Results:
Participants emphasized the importance of including patient/family when designing interventions. Regarding the Speak Up-MAPS intervention, perceptions from stakeholders were mixed, including the value and potential complexity, role confusion, and cost of the proposed advocate role.
Conclusion:
Intentional inclusion of the patient/family in research is important and practical. Both strengths and challenges of the proposed intervention were identified, indicating the need for further study.
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