Trial reportBMJ quality & safety2017
Can patient involvement improve patient safety? A cluster randomised control trial of the Patient Reporting and Action for a Safe Environment (PRASE) intervention.
Trial report in BMJ quality & safety, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT03837912 (Intervention Based on the Use of Patient Feedback Collected for Improving Patient Safety in Spanish Primary Care), which is not on this map. Cited by 63 papers, 5 of them syntheses that pooled it.
What it found
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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.
Intervention Based on the Use of Patient Feedback Collected for Improving Patient Safety in Spanish Primary Care (PC) Centres
Who cites it
63 citing papers in PubMed, 5 syntheses or guidelines pooled it.
- Using consumer engagement strategies to improve healthcare safety for young people: An exploration of the relevance and suitability of current approaches.Health expectations : an international journal of public participation in health care and health policy · 2022Pooled it
- Do patient engagement interventions work for all patients? A systematic review and realist synthesis of interventions to enhance patient safety.Health expectations : an international journal of public participation in health care and health policy · 2021Pooled it
- Effects of consumers and health providers working in partnership on health services planning, delivery and evaluation.The Cochrane database of systematic reviews · 2021Pooled it
- Health system responsiveness: a systematic evidence mapping review of the global literature.International journal for equity in health · 2021Pooled it
- Patient-mediated interventions to improve professional practice.The Cochrane database of systematic reviews · 2018Pooled it
- What can patients tell us about the quality and safety of hospital care? Findings from a UK multicentre survey study.BMJ quality & safety · 2018Trial
- Involving adult inpatients, family, partners and/or carers in measuring and monitoring patient safety in acute care hospitals: Protocol for an umbrella review.HRB open research · 2026Article
- Coproducing data-driven organizational safety with patients: development and cognitive testing of a multisetting patient-reported safety concern tool.International journal for quality in health care : journal of the International Society for Quality in Health Care · 2025Article
- Evaluation of a Patient Safety Advisory Among Inpatients-A Mixed Methods Study.Scandinavian journal of caring sciences · 2025Article
- Transforming healthcare: Saudi Arabia's vision 2030 healthcare model.Journal of pharmaceutical policy and practice · 2025Article
- Benefits and challenges of implementing statutory duty of candour in Victoria, Australia: a mixed methods analysis of healthcare provider perspectives.Frontiers in health services · 2025Article
- Barriers to integration of health and equity into urban design policies in Regina, Saskatchewan.Health promotion international · 2024Article
- A qualitative study of patient competence for patient engagement in their safety--from the perspective of nurses and patients.BMC nursing · 2024Article
- Motivation for patient engagement in patient safety: a multi-perspective, explorative survey.BMC health services research · 2024Article
- The benefits and opportunities: Engaging patients in identifying and reporting patient safety incidents.Healthcare management forum · 2024Article
- Patient and family engagement in patient safety in the Eastern Mediterranean Region: a scoping review.BMC health services research · 2024Article
- Transitional care for older persons with need of geriatric rehabilitation nursing interventions.BMC nursing · 2024Article
- Promoting a Patient-Centered Understanding of Safety in Acute Mental Health Wards: A User-Centered Design Approach to Develop a Real-Time Digital Monitoring Tool.JMIR formative research · 2024Article
- Evaluating the content and face validity of Arabic-translated Patient Measures of Safety survey PMOS-30.PloS one · 2024Article
- Article
3 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
12 authors.
Funding
Abstract
objectiveTo evaluate the efficacy of the Patient Reporting and Action for a Safe Environment intervention.
designA multicentre cluster randomised controlled trial.
settingClusters were 33 hospital wards within five hospitals in the UK.
participantsAll patients able to give informed consent were eligible to take part. Wards were allocated to the intervention or control condition.
interventionThe ward-level intervention comprised two tools: (1) a questionnaire that asked patients about factors contributing to safety (patient measure of safety (PMOS)) and (2) a proforma for patients to report both safety concerns and positive experiences (patient incident reporting tool). Feedback was considered in multidisciplinary action planning meetings. MEASUREMENTS: Primary outcomes were routinely collected ward-level harm-free care (HFC) scores and patient-level feedback on safety (PMOS).
resultsIntervention uptake and retention of wards was 100% and patient participation was high (86%). We found no significant effect of the intervention on any outcomes at 6 or 12 months. However, for new harms (ie, those for which the wards were directly accountable) intervention wards did show greater, though non-significant, improvement compared with control wards. Analyses also indicated that improvements were largest for wards that showed the greatest compliance with the intervention. LIMITATIONS: Adherence to the intervention, particularly the implementation of action plans, was poor. Patient safety outcomes may represent too blunt a measure.
conclusionsPatients are willing to provide feedback about the safety of their care. However, we were unable to demonstrate any overall effect of this intervention on either measure of patient safety and therefore cannot recommend this intervention for wider uptake. Findings indicate promise for increasing HFC where wards implement ≥75% of the intervention components. TRIAL REGISTRATION NUMBER: ISRCTN07689702; pre-results.
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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.