Patient and family empowerment as agents of ambulatory care safety and quality.

Debra L. Roter; Jennifer L. Wolff; Albert W. Wu; Annegret F. Hannawa

Commentary

Patient and family empowerment as agents of ambulatory care safety and quality.

September 7, 2016

Roter DL, Wolff JL, Wu AW, et al. BMJ Qual Saf. 2017;26(6):508-512.

View more articles from the same authors.

Effective team communication is a key component of safe care. This commentary discusses the role of patient–family partnerships in enhancing health care safety in ambulatory and home settings. The authors describe a communication intervention to improve patient and family collaboration during ambulatory care visits. Components of the approach included engaging family participation in routine visits and coaching them to ask questions.

PubMed citation

Available at

Related Resources From the Same Author(s)

The aspects of healthcare quality that are important to health professionals and patients: a qualitative study.

December 15, 2021

Shedding light on the dark side of doctor–patient interactions: verbal and nonverbal messages physicians communicate during error disclosures.

June 29, 2011

Negotiating medical virtues: toward the development of a physician mistake disclosure model.

August 26, 2009

Disclosing medical errors to patients: effects of nonverbal involvement.

May 14, 2014

"It matters what I think, not what you say": scientific evidence for a medical error disclosure competence (MEDC) model.

October 10, 2018

Medical errors: disclosure styles, interpersonal forgiveness, and outcomes.

April 20, 2016

Building bridges: future directions for medical error disclosure research.

July 24, 2013

Effectiveness and efficiency of root cause analysis in medicine.

February 27, 2008

Error disclosure and family members' reactions: does the type of error really matter?

February 18, 2015

Ethical and practical aspects of disclosing adverse events in the emergency department.

October 4, 2006

Medical error: the second victim.

November 21, 2012

Critical incident stress debriefing after adverse patient safety events.

August 9, 2017

Safety culture in Indian hospitals: a cultural adaptation of the Safety Attitudes Questionnaire.

May 21, 2014

What can patient safety teach us about clinician burnout?

January 8, 2020

Clinician mindfulness and patient safety.

December 15, 2010

Close calls in patient safety: should we be paying closer attention?

May 15, 2013

Medical error, incident investigation and the second victim: doing better but feeling worse?

April 4, 2012

Does one size fit all? Assessing the need for organizational second victim support programs.

April 7, 2021

Emotional influences in patient safety.

October 20, 2010

Time for transparent standards in quality reporting by health care organizations.

August 16, 2017

COVID-19: peer support and crisis communication strategies to promote institutional resilience.

April 22, 2020

How to discuss errors and adverse events with cancer patients.

June 16, 2010

On higher ground: ethical reasoning and its relationship with error disclosure.

April 24, 2013

A framework for encouraging patient engagement in medical decision making.

August 29, 2012

Do hospitals support second victims? Collective insights from patient safety leaders in Maryland.

July 19, 2017

Putting the patient in patient safety investigations: barriers and strategies for involvement.

June 3, 2020

Conflict of interest, Dr Charles Denham and the Journal of Patient Safety.

December 3, 2014

RISE: exploring volunteer retention and sustainability of a second victim support program.

February 3, 2021

Patient-assisted incident reporting: including the patient in patient safety.

June 1, 2011

Disclosing medical errors to patients: it's not what you say, it's what they hear.

July 22, 2009

Review of alternatives to root cause analysis: developing a robust system for incident report analysis.

September 18, 2019

Disclosure of patient safety incidents: a comprehensive review.

September 1, 2010

Health care workers as second victims of medical errors.

May 11, 2011

Patient safety reporting: a qualitative study of thoughts and perceptions of experts 15 years after 'To Err is Human.'

August 12, 2015

"That was a close call": endorsing a broad definition of near misses in health care.

October 2, 2013

How to develop a second victim support program: a toolkit for health care organizations.

May 2, 2012

To tell the truth: ethical and practical issues in disclosing medical mistakes to patients.

March 6, 2005

Underdiagnosis of dementia: an observational study of patterns in diagnosis and awareness in US older adults.

April 11, 2018

Disclosure of "nonharmful" medical errors and other events: duty to disclose.

March 29, 2012

The role of South--North partnerships in promoting shared learning and knowledge transfer.

September 6, 2017

Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States.

December 19, 2018

Residency schedule, burnout and patient care among first-year residents.

September 4, 2013

Supporting second victims of patient safety events: shouldn't these communications be covered by legal privilege?

February 12, 2014

Peer support for nurses as second victims: resilience, burnout, and job satisfaction.

November 20, 2019

Psychological and psychosomatic symptoms of second victims of adverse events: a systematic review and meta-analysis.

May 1, 2019

Do written disclosures of serious events increase risk of malpractice claims? One health care system's experience.

May 30, 2018

Implementing the RISE second victim support programme at the Johns Hopkins Hospital: a case study.

October 26, 2016

Case: a second victim support program in pediatrics: successes and challenges to implementation.

March 21, 2018

Unplanned transfers to a medical intensive care unit: causes and relationship to preventable errors in care.

January 12, 2011

The impact of adverse events on clinicians: what's in a name?

November 22, 2017

Inpatient safety outcomes following the 2011 residency work-hour reform.

April 2, 2014

Promoting the psychological well-being of healthcare providers facing the burden of adverse events: a systematic review of second victim support resources.

June 23, 2021

Planning and implementing a systems-based patient safety curriculum in medical education.

August 13, 2008

Medical error: the second victim.

March 9, 2011

Clinical benefits of electronic health record use: national findings.

January 15, 2014

Intraoperative code blue: improving teamwork and code response through interprofessional, in situ simulation.

October 26, 2022

ReCASTing the RCA: an improved model for performing root cause analyses.

May 26, 2010

Cost–benefit analysis of a support program for nursing staff.

May 24, 2017

Informing the design of a new pragmatic registry to stimulate near miss reporting in ambulatory care.

March 15, 2017

Massive open online course (MOOC) learning builds capacity and improves competence for patient safety among global learners: a prospective cohort study.

September 8, 2021

Using incident reporting to improve patient safety: a conceptual model.

March 28, 2007

Understanding pharmacist decision making for adverse drug event (ADE) detection.

April 15, 2009

The impact of computerized provider order entry on medication errors in a multispecialty group practice.

February 3, 2010

Core competencies for patient safety research: a cornerstone for global capacity strengthening.

February 2, 2011

Examining the diagnostic justification abilities of fourth-year medical students.

November 7, 2012

Residency Training—A Decade of Duty-Hour Regulations.

December 18, 2013

Integrating the intensive care unit safety reporting system with existing incident reporting systems.

October 5, 2005

Development of a modified early warning score using the electronic medical record.

August 31, 2011

Effect of outcome on physician judgments of appropriateness of care.

March 6, 2005

The experiences of risk managers in providing emotional support for health care workers after adverse events.

May 11, 2016

Risk managers' descriptions of programs to support second victims after adverse events.

May 13, 2015

Interventions for improving teamwork in intrapartem care: a systematic review of randomised controlled trials.

October 30, 2019

Bringing patients' own medications into an emergency department by ambulance: effect on prescribing accuracy when these patients are admitted to hospital.

October 14, 2009

Understanding interrater reliability and validity of risk assessment tools used to predict adverse clinical events.

March 15, 2017

Case studies of patient safety research classics to build research capacity in low- and middle-income countries.

December 11, 2013

Health care professionals as second victims after adverse events: a systematic review.

October 24, 2012

Supporting involved health care professionals (second victims) following an adverse health event: a literature review.

August 15, 2012

A systematic review of the effectiveness, compliance, and critical factors for implementation of safety checklists in surgery.

October 17, 2012

Classification of opioid dependence, abuse, or overdose in opioid-naive patients as a "Never Event".

August 5, 2020

High rates of adverse drug events in a highly computerized hospital.

May 25, 2005

Reducing health care hazards: lessons from the Commercial Aviation Safety Team.

April 15, 2009

Do faculty and resident physicians discuss their medical errors?

October 15, 2008

What have we learned about interventions to reduce medical errors?

February 10, 2010

Development and evaluation of a 3-day patient safety curriculum to advance knowledge, self-efficacy and system thinking among medical students.

April 18, 2012

Quantifying the burden of opioid medication errors in adult oncology and palliative care settings: a systematic review.

June 1, 2016

Trainee autonomy and patient safety.

December 6, 2017

A national patient safety curriculum in pediatric emergency medicine.

November 13, 2019

Nonopioid directives: unintended consequences in the operating room.

June 29, 2022

Effects of rounding on patient satisfaction and patient safety on a medical–surgical unit.

August 12, 2009

Guideline implementation: prevention of retained surgical items.

August 3, 2016

Identifying cross contaminants and specimen mix-ups in surgical pathology.

July 23, 2008

How will we know patients are safer? An organization-wide approach to measuring and improving safety.

June 7, 2006

A theoretical model of flow disruptions for the anesthesia team during cardiovascular surgery.

September 22, 2021

Learning from lawsuits: using malpractice claims data to develop care transitions planning tools.

August 31, 2016

An evidence and consensus-based definition of second victim: a strategic topic in healthcare quality, patient safety, person-centeredness and human resource management.

February 15, 2023

Mitigating the July effect.

July 7, 2021

Intensive care unit safety incidents for medical versus surgical patients: a prospective multicenter study.

October 3, 2007

A system factors analysis of "line, tube, and drain" incidents in the intensive care unit.

August 24, 2005

Adverse respiratory events in anesthesia: a closed claims analysis.

March 6, 2005

Surgical team training: the Northwestern Memorial Hospital experience.

February 25, 2009

Related Resources

Annual Perspective

Equity in Patient Safety

March 27, 2024

Annual Perspective

Communication During Transitions of Care

March 27, 2024

Interview

In Conversation With...Stephen Hines, PhD and Monika Haugstetter, MHA, MSN, RN, CPHQ about TeamSTEPPS 3.0

February 28, 2024

Perspective

Revising TeamSTEPPS: The Evolution of Patient Safety Teamwork Training

February 28, 2024

Patient Safety Innovations

Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes)

January 31, 2024

On Patient Safety.

November 7, 2023

Patient Safety Innovations

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

July 31, 2023

Patient Safety Innovations

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

May 31, 2023

Annual Perspective

Improving Diagnostic Safety and Quality

April 26, 2023

Patient Safety Innovations

Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes

March 29, 2023

What I wish I’d known: how experienced physician managers diagnose, treat and prevent disruptive behaviour.

September 21, 2022

Patient.

October 19, 2020

Patient safety incidents in advance care planning for serious illness: a mixed-methods analysis

October 9, 2019

Patient Safety.

September 25, 2019

Unleash the power of patients to make care safer around the world: an essay by Helen Haskell.

September 25, 2019

Consumers' perspectives on their involvement in recognizing and responding to patient deterioration—developing a model for consumer reporting.

July 24, 2019

Making infection prevention and control everyone's business? Hospital staff views on patient involvement.

June 5, 2019

Communication and Resolution After an Adverse Health Care Incident.

May 22, 2019

The Canadian Quality and Patient Safety Framework for Health and Social Services.

May 22, 2019

A systematic literature review and narrative synthesis on the risks of medical discharge letters for patients' safety.

April 24, 2019

Check your medical records for dangerous errors.

December 5, 2018

FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines for pain management.

November 28, 2018

Losing Laura.

November 14, 2018

Defensive medicine: it is time to finally slow down an epidemic.

November 7, 2018

My human doctor.

October 17, 2018

The role of the patient in patient safety: what can we learn from healthcare's history?

August 29, 2018

Seeking answers, hearing silence.

August 22, 2018

The doctor doesn't listen to her. But the media is starting to.

August 22, 2018

Speaking up about care concerns in the ICU: patient and family experiences, attitudes and perceived barriers.

August 8, 2018

A multi-stakeholder consensus-driven research agenda for better understanding and supporting the emotional impact of harmful events on patients and families.

July 11, 2018

See More About The Topic

Ambulatory Care

Physicians

Facility and Group Administrators

Patients

Family Members and Caregivers

Patient and family empowerment as agents of ambulatory care safety and quality.

Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes)

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Patient and family empowerment as agents of ambulatory care safety and quality.

Patient and Family Centered I-PASS (Family-Centered Communication Program to Reduce Medical Errors and Improve Family Experience and Communication Processes)

Ambulatory Safety Nets to Reduce Missed and Delayed Diagnoses of Cancer

Remote Response Team and Customized Alert Settings Help Improve Management of Sepsis

Enhancing Support for Patients’ Social Needs to Reduce Hospital Readmissions and Improve Health Outcomes

Connect With Us

Sign up for Email Updates

Agency for Healthcare Research and Quality

Submit Your Innovations

Continue as a Guest

Continue Logged In

Submit Your Innovations

Continue as a Guest

Continue logged in

New Users to the PSNet site