SynthesisBMJ quality & safety2014
Promoting engagement by patients and families to reduce adverse events in acute care settings: a systematic review.
Synthesis in BMJ quality & safety, 2014. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 65 papers, 4 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
65 citing papers in PubMed, 4 syntheses or guidelines pooled it, 205 citations in OpenAlex.
- Is the Active Involvement of Family Caregivers in Adult Hospital Care Effective to Improve Patient Outcomes? A Systematic Review.Journal of clinical nursing · 2026Pooled it
- Family participation to enhance care and tackle health worker shortages in resource-limited hospitals: A systematic review.Journal of global health · 2023Pooled it
- Exploring the theory, barriers and enablers for patient and public involvement across health, social care and patient safety: a systematic review of reviews.Health research policy and systems · 2021Pooled it
- Interventions to increase patient and family involvement in escalation of care for acute life-threatening illness in community health and hospital settings.The Cochrane database of systematic reviews · 2020Pooled it
- Patients' and healthcare workers' recommendations for a surgical patient safety checklist - a qualitative study.BMC health services research · 2020Trial
- Can patient involvement improve patient safety? A cluster randomised control trial of the Patient Reporting and Action for a Safe Environment (PRASE) intervention.BMJ quality & safety · 2017Trial
- Collaborative safety: The impact of patient and caregiver engagement in perioperative care.PEC innovation · 2026Article
- Patient and family engagement in patient safety efforts in low-resource settings: a scoping review.BMJ open · 2025Article
- Patient safety culture research within the chiropractic profession: a scoping review.Chiropractic & manual therapies · 2025Article
- The NOSO-COVID study: a large-scale survey assessing stakeholder perspectives on patient and family engagement in infection prevention, informed by Q-methodology findings.BMC health services research · 2025Article
- Evaluation of a Patient Safety Advisory Among Inpatients-A Mixed Methods Study.Scandinavian journal of caring sciences · 2025Article
- The effect of a patient empowerment hand hygiene programme: a single-centre study in Japan.Infection prevention in practice · 2025Article
- Comparative study between the Patient Participation Culture Tool and the Hospital Survey on Patient Safety Culture using retrospective data from 2014 to 2021.BMJ open quality · 2025Article
- Nurses' experiences of barriers and facilitators to family participation in the care for hospitalized older adult patients: A qualitative study.Journal of education and health promotion · 2025Article
- The Current Status and Influencing Factors of Hospitalized Patients' Propensity to Engage in Patient Safety: A Descriptive Cross-Sectional Study.Journal of nursing management · 2025Article
- Patient and family engagement in patient safety in the Eastern Mediterranean Region: a scoping review.BMC health services research · 2024Article
- Towards understanding and improving medication safety for patients with mental illness in primary care: A multimethod study.Health expectations : an international journal of public participation in health care and health policy · 2024Article
- The role of healthcare providers and caregivers in monitoring critically ill children: a qualitative study in a tertiary hospital, southern Malawi.BMC health services research · 2024Article
- Measuring in-hospital quality multidimensionally by integrating patients', kin's and healthcare professionals' perspectives: development and validation of the FlaQuM-Quickscan.BMC health services research · 2023Article
- The elephant in the room: Exploring the influence and participation of patients in infection-related care across surgical pathways in South Africa and India.Health expectations : an international journal of public participation in health care and health policy · 2023Article
5 more citing papers are in PubMed but not listed here.
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
5 authors at 3 institutions in 1 country.
Funding
Abstract
introductionPatient-centeredness is central to healthcare. Hospitals should address patients' unique needs to improve safety and quality. Patient engagement in healthcare, which may help prevent adverse events, can be approached as an independent patient safety practice (PSP) or as part of a multifactorial PSP.
objectivesThis review examines how interventions encouraging this engagement have been implemented in controlled trials.
methodsWe searched Medline, CINAHL, Embase and Cochrane from 2000 to 2012 for English language studies in hospital settings with prospective controlled designs, addressing the effectiveness or implementation of patient/family engagement in PSPs. We separately reviewed interventions implemented as part of selected broader PSPs by way of example: hand hygiene, ventilator-associated pneumonia, rapid response systems and care transitions.
resultsSix articles met the inclusion criteria for effectiveness with a primary focus on patient engagement. We identified 12 studies implementing patient engagement as an aspect of selected broader PSPs. A number of studies relied on patients' possible function as a reporter of error to healthcare workers and patients as a source of reminders regarding safety behaviours, while others relied on direct activation of patients or families. Definitions of patient and family engagement were lacking, as well as evidence regarding the types of patients who might feel comfortable engaging with providers, and in what contexts.
conclusionsWhile patient engagement in safety is appealing, there is insufficient high-quality evidence informing real-world implementation. Further work should evaluate the effectiveness of interventions on patient and family engagement and clarify the added benefit of incorporating engagement in multifaceted approaches to improve patient safety endpoints. In addition, strategies to assess and overcome barriers to patients' willingness to actively engage in their care should be investigated.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.