Evidence map›Paper›PMID 30395509›Full record

ArticleHealth affairs (Project Hope)2018

Patient Engagement In Health Care Safety: An Overview Of Mixed-Quality Evidence.

Anjana E Sharma, Natalie A Rivadeneira, Jill Barr-Walker, Rachel J Stern, Amanda K Johnson, Urmimala Sarkar

Abstract read
In one paragraph

Article in Health affairs (Project Hope), 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 58 papers, 6 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
58citing papers in PubMed, 6 pooled it
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

3 · Its place in the literature

Who cites it

58 citing papers in PubMed, 6 syntheses or guidelines pooled it.

  1. Pooled it
  2. Pooled it
  3. 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 · 2022
    Pooled it
  4. 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 · 2021
    Pooled it
  5. Nurses' Adherence to Patient Safety Principles: A Systematic Review.International journal of environmental research and public health · 2020
    Pooled it
  6. Pooled it
  7. Promoting Patient Safety Through Patient Engagement at the Organisational Level: A Delphi-Based Needs Assessment Among Patient and Family Advisory Councils.Health expectations : an international journal of public participation in health care and health policy · 2025
    Trial
  8. Observational
  9. Frameworks for Action: A Scoping Review of Organisational Patient Engagement Models in Healthcare.The International journal of health planning and management · 2026
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Anjana E SharmaAnjana E. Sharma ( anjana.sharma@ucsf.edu ) is an assistant professor of family and community medicine at the University of California San Francisco (UCSF) and a primary care physician at Zuckerberg San Francisco General Hospital's Family Health Center.
Natalie A RivadeneiraNatalie A. Rivadeneira is a research data analyst at the Center for Vulnerable Populations in the UCSF Division of General Internal Medicine at Zuckerberg San Francisco General Hospital and Trauma Center.
Jill Barr-WalkerJill Barr-Walker is a clinical librarian at the Zuckerberg San Francisco General Hospital and Trauma Center and UCSF.
Rachel J SternRachel J. Stern is an assistant professor of medicine at UCSF and a primary care physician and hospitalist at the Zuckerberg San Francisco General Hospital and Trauma Center.
Amanda K JohnsonAmanda K. Johnson is director of ambulatory care integration and a primary care physician at NYC Health+Hospitals, in New York City.
Urmimala SarkarUrmimala Sarkar is an associate professor of medicine in the Division of General Internal Medicine, UCSF, and a primary care physician at Zuckerberg San Francisco General Hospital's Richard H. Fine People's Clinic.

Funding

Institutional Career Development Core SupplementKL2TR001870 · NCATS · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI KANAYA, ALKA M., SARKAR, URMIMALA · 2016 to 2025
$19.7M
Improving Survivorship Care for Diverse Cancer Patients Cared for in Safety-net SettingsK24CA212294 · NCI · UNIVERSITY OF CALIFORNIA, SAN FRANCISCO · PI SARKAR, URMIMALA · 2017 to 2021
$831k
NCATS NIH HHS KL2 TR001870NCI NIH HHS K24 CA212294
6 · The paper itself

Abstract

Patients and caregivers play a central role in health care safety in the hospital, ambulatory care setting, and community. Despite this, interventions to promote patient engagement in safety are still underexplored. We conducted an overview of review articles on patient engagement interventions in safety to examine the current state of the evidence. Of the 2,795 references we evaluated, 52 articles met our full-text inclusion criteria for synthesis in 2018. We identified robust evidence supporting patients' self-management of anticoagulation medications and mixed-quality evidence supporting patient engagement in medication and chronic disease self-management, adverse event reporting, and medical record accuracy. Promising modes of patient engagement in safety, such as anticoagulation management and patient portal access, are not widely implemented. We discuss major implementation priorities and propose directions for future research and policy to enhance patient partnership within safety efforts.

Indexed as

Patient ParticipationPatient SafetyAmbulatory CareHospitalsHumansMedication ErrorsReview Literature as TopicSafety ManagementChronic CareConsumer IssuesOrganization and Delivery of CarePatient engagementPatient safety

Identifiers

PMID30395509
PMCPMC7060147

What OpenQuestion holds

Textmetadata
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Read underepoch 390

Registered trials

None linked

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.