Involving patients in patient safety programmes: A scoping review and consensus procedure by the LINNEAUS collaboration on patient safety in primary care.
BACKGROUND
Patient involvement has only recently received attention as a potentially useful approach to patient safety in primary care.


OBJECTIVE
To summarize work conducted on a scoping review of interventions focussing on patient involvement for patient safety; to develop consensus-based recommendations in this area.


METHODS
Scoping review of the literature 2006-2011 about methods and effects of involving patients in patient safety in primary care identified evidence for previous experiences of patient involvement in patient safety. This information was fed back to an expert panel for the development of recommendations for healthcare professionals and policy makers.


RESULTS
The scoping review identified only weak evidence in support of the effectiveness of patient involvement. Identified barriers included a number of patient factors but also the healthcare workers' attitudes, abilities and lack of training. The expert panel recommended the integration of patient safety in the educational curricula for healthcare professionals, and expected a commitment from professionals to act as first movers by inviting and encouraging the patients to take an active role. The panel proposed a checklist to be used by primary care clinicians at the point of care for promoting patient involvement.


CONCLUSIONS
There is only weak evidence on the effectiveness of patient involvement in patient safety. The recommendations of the panel can inform future policy and practice on patient involvement in safety in primary care.
a The Danish Society for Patient Safety , Hvidovre , Denmark.
Hans
H
Trier
Jose M
JM
Valderas
Michel
M
Wensing
Helle Max
HM
Martin
Jonas
J
Egebart
D006801:Humans; D032921:Consensus; D019300:Medical Errors / Q000517:prevention & control; D010358:Patient Participation; D061214:Patient Safety; D018802:Patient-Centered Care; D011320:Primary Health Care
LINNEAUS collaboration; Patient-participation; medical errors; patient safety; patient-centred care; primary care