Can staff and patient perspectives on hospital safety predict harm-free care?

"The findings suggest that although the views of patients and staff predict some overlapping variance in patient safety outcomes, both also offer a unique perspective on patient safety, contributing independently to the prediction of safety outcomes."

Can staff and patient perspectives on hospital safety predict harm-free care? An analysis of staff and patient survey data and routinely collected outcomes
R Lawton, JK O'Hara, L Sheard, C Reynolds, K Cocks, G Armitage, J Wright
BMJ Quality and Safety 2015;24:369-376 doi:10.1136/bmjqs-2014-003691

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An ethnographic study of patient perceptions and influence on quality improvement

"When including patient voices in measuring and defining ‘quality’, governments and public health practitioners need to be aware of how neoliberal rationalities at the heart of the policy and services context could prevent patients from seeing themselves as subjects of rights to quality care and as actors “with ‘the right to claim rights” to quality care."

Developing patient-centred care: an ethnographic study of patient perceptions and influence on quality improvement
A Renedo, C Marston
BMC Health Services Research 2015, 15:122  doi:10.1186/s12913-015-0770-y

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Service user involvement: impact and participation: a survey of service user and staff perspectives

"The findings have shown that there is a high level of participation in service user involvement activity and a general endorsement that involvement has a positive impact. The percentage of service users and professionals who reported positive outcomes from activities they have been involved with was high, regardless of the type of activity they had experienced and their level of engagement in user involvement work."

Service user involvement: impact and participation: a survey of service user and staff perspectives
E Omeni, M Barnes, D MacDonald, M Crawford, D Rose
BMC Health Services Research 2014, 14:491  doi:10.1186/s12913-014-0491-7

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Bite-size guides to support patient and public participation

NHS England has developed four bite-size guides to support patient and public participation in the NHS. These guides are linked to the Transforming participation in Health and Social Care guidance (published September 2013).

Access the guides via the following links:

1. Principles for Participation in Commissioning
2. Governance for Participation
3. Planning for Participation
4. Budgeting for Participation

Patient-initiated questions: how can doctors encourage them and improve the consultation process?

"This study highlights the importance of careful explanation of diagnostic evidence as a factor contributing to increased patient involvement."

Patient-initiated questions: how can doctors encourage them and improve the consultation process? A qualitative study
GM Murtagh, L Furber, AL Thomas
BMJ Open, 2013, 3:e003112

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Transforming participation in health and care

"This guide will help clinical commissioning groups (CCGs) and other commissioners of health and care services to involve:

• patients and carers in decisions relating to care and treatment
• the public in commissioning processes and decisions."

Transforming participation in health and care
NHS England
September 2013

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Engaging health care users

"The American Hospital Association (AHA) in its framework for health reform, Health for Life, embraces the need to engage patients and families and contemplates the role of hospitals and health care systems in improving the total health of the population and community they are serving."

Engaging health care users: a framework for health individuals and communities
American Hospital Association
January 2013

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Involving patients in improving safety

"An important learning point from the evidence scan is that patient engagement in improving safety is not solely about patients themselves, but also depends fundamentally on the attitudes and behaviours of health professionals and the extent to which the organisational climate and infrastructure is supportive."

Involving patients in improving safety
The Health Foundation
January 2013

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Personal experiences, public value: changing relationships in the NHS

"Intended to stimulate discussion, this paper is the first in a series looking at interactions between the NHS, individuals and communities. A further four papers in the run up to the 2012 NHS Confederation annual conference and exhibition will explore:

• putting people first through shared decision-making
• information and the power paradigm
• micro-enterprises and building community assets
• building social value within the system and society."

An uneasy consensus: patients, citizens and the NHS: Paper 1: Personal experiences, public value: changing relationships in the NHS
NHS Confederation
February 2012
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