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Published on: February 16, 2011
Consumers' perspectives on their involvement in recognizing and responding to patient deterioration-Developing a
Lindy King1, Guy Peacock2, Mikaila Crotty1
1College of Nursing & Health Sciences, Flinders University, Adelaide, South Australia, Australia.
Summary
Patient and family members (consumers) want to report deterioration. Their experiences and preferences can improve patient safety programs through better education and reporting pathways.
Area of Science:
- Healthcare quality improvement
- Patient safety research
- Qualitative health research
Background:
- Adverse events in healthcare necessitate effective patient deterioration detection and reporting.
- Global policymakers increasingly support patient and family member (consumer) involvement in patient safety.
- Limited research has explored consumer experiences and preferences for patient deterioration reporting programs.
Purpose of the Study:
- To explore consumer experiences with reporting patient deterioration.
- To identify preferred educational strategies for consumers in this role.
- To develop a consumer reporting model for patient deterioration.
Main Methods:
- Utilized an interpretive, qualitative research design.
- Conducted nine focus group interviews with 26 adult consumers in Adelaide, South Australia.
- Employed thematic analysis of audio-recorded and transcribed interviews.
Main Results:
- Identified overarching themes of consumer experiences (feelings, thoughts, actions) and patient/family education (content, timing, format, providers, recipients).
- Consumers' reflections on past experiences informed the development of a new model for consumer reporting of patient deterioration.
- Key areas for improvement include structured staff education, open communication, and co-developed educational materials.
Conclusions:
- Consumer perspectives offer valuable insights for enhancing patient deterioration reporting processes.
- Structured educational programs and improved healthcare professional/consumer communication are crucial.
- A new model with three consumer reporting pathways, informed by diverse consumer input, is proposed.
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