Applying Coproduction Methods to Research, Clinical Care, Quality Improvement, and Education in PHM

Area of Science:

• Pediatric Hospital Medicine
• Patient and Family Engagement
• Healthcare Collaboration

Background:

• Traditional medical hierarchies often exclude key partners like patients, families, nurses, and trainees.
• Coproduction actively involves these partners, leveraging their unique perspectives in healthcare initiatives.
• This approach challenges established norms in research, clinical care, quality improvement, and medical education.

Purpose of the Study:

• To describe strategies for applying coproduction in pediatric hospital medicine.
• To illustrate coproduction's application through case examples, including the Patient and Family Centered I-PASS Study Group.
• To highlight the benefits of coproduction in research, clinical care, quality improvement, and medical education.

Main Methods:

• Utilizing multiple pediatric coproduction initiatives as case examples.
• Detailing the application of coproduction in research, clinical care, quality improvement, and medical education.
• Examining the Patient and Family Centered I-PASS Study Group's decade-long efforts in reducing medical errors and implementing family-centered communication.

Main Results:

• Coproduction can be effectively applied to codesigning research instruments and measuring patient-reported outcomes.
• It enhances clinical care through improved treatment effectiveness and shared decision-making.
• It refines quality improvement by measuring and enhancing intervention adherence and medical education through family, nurse, and trainee training.

Conclusions:

• Successful coproduction requires attention to diversity, equity, inclusion, engagement, compensation, and team management.
• This collaborative model fosters higher quality, safer, and more equitable healthcare.
• Coproduction leads to improved content development, refined implementation methods, and enhanced learning for all stakeholders.