@article{3592,
  keywords = {Healthcare quality improvement, Leadership, Patient-centred care},
  author = {Jeph Herrin and Kathleen G. Harris and Kevin Kenward and Stephen Hines and Maulik S. Joshi and Dominick L. Frosch},
  title = {Patient and family engagement: a survey of US hospital practices.},
  abstract = {<p><b>BACKGROUND: </b>Patient and family engagement (PFE) in healthcare is an important element of the transforming healthcare system; however, the prevalence of various PFE practices in the USA is not known.</p><p><b>OBJECTIVE: </b>We report on a survey of hospitals in the USA regarding their PFE practices during 2013-2014.</p><p><b>RESULTS: </b>The response rate was 42%, with 1457 acute care hospitals completing the survey. We constructed 25 items to summarise the responses regarding key practices, which fell into three broad categories: (1) organisational practices, (2) bedside practices and (3) access to information and shared decision-making. We found a wide range of scores across hospitals. Selected findings include: 86% of hospitals had a policy for unrestricted visitor access in at least some units; 68% encouraged patients/families to participate in shift-change reports; 67% had formal policies for disclosing and apologising for errors; and 38% had a patient and family advisory council. The most commonly reported barrier to increased PFE was 'competing organisational priorities'.</p><p><b>SUMMARY: </b>Our findings indicate that there is a large variation in hospital implementation of PFE practices, with competing organisational priorities being the most commonly identified barrier to adoption.</p>},
  year = {2016},
  journal = {BMJ Qual Saf},
  volume = {25},
  pages = {182-9},
  month = {03/2016},
  issn = {2044-5423},
  doi = {10.1136/bmjqs-2015-004006},
  language = {eng},
}