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Reconceptualizing Patient Safety Beyond Harm: Insights From a Mixed-Methods Qualitative Inquiry.

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Patients and care partners offer valuable insights into healthcare safety beyond just the absence of harm. Understanding their experiences of feeling safe and unsafe is crucial for improving patient well-being and outcomes.

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Area of Science:

  • Healthcare Quality and Safety
  • Patient Experience Research
  • Mixed-Methods Studies

Background:

  • Patient and care partner perspectives are underutilized in healthcare learning.
  • A narrow focus on safety as absence of harm limits improvement efforts.

Purpose of the Study:

  • To explore patient and care partner perceptions of safety.
  • To gain a broader understanding of safety experiences in healthcare.

Main Methods:

  • Mixed-methods approach combining literature review with interviews and focus groups.
  • Inclusion of patients, care partners, and healthcare providers.
  • Development of an emergent coding schema through data triangulation.

Main Results:

  • Two central themes emerged: "feeling unsafe" and "feeling safe."
  • These themes represent a comprehensive view of patient and care partner safety experiences.

Conclusions:

  • Patient and care partner knowledge on safety is essential for mitigating harm.
  • Incorporating these perspectives promotes well-being, positive outcomes, and enhanced experiences.