ArticleInternational journal for quality in health care : journal of the International Society for Quality in Health Care2022
A qualitative study exploring patient shadowing as a method to improve patient-centred care: 10 principles for a new gold standard.
Article in International journal for quality in health care : journal of the International Society for Quality in Health Care, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.
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Who cites it
1 citing paper in PubMed.
- Impediments to transforming the healthcare delivery system: shifting the paradigm from provider centric to patient centric.Frontiers in health services · 2026Article
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3 authors.
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No grant is acknowledged in the PubMed record.
Abstract
backgroundIn recent years, there has been an increased emphasis on patient experience as a dimension of quality in healthcare and subsequently a drive to understand care from the patient's perspective. Patient shadowing is an approach that has been used in service improvement projects, but its potential as a quality improvement (QI) method has not been studied in practical and replicable detail.
objectiveThis new research aimed to produce clear guidance on patient shadowing for future Quality Improvement projects.
methodsQualitative interviews were conducted with 20 clinical and non-clinical participants of a national QI programme in UK, which focused on improving the experience of patients at the end of life. All participants had shadowed patients. Data were analysed using a thematic analysis.
resultsThere were two broad themes: (i) The process of shadowing: how participants went about shadowing, adopting different approaches and making judgements about the care they observed and any challenges they had encountered. (ii) The impact of shadowing: on the engagement and motivation of those who shadowed and in terms of service changes to benefit patients and their families.
conclusionThe findings led to a new set of 'gold standard' principles to benefit both staff and patients where shadowing is used as a QI method. These, together with new guidance, will ensure that shadowing is conducted as a team exercise, that all those involved are more robustly prepared and supported and that its purpose as a method to improve patient experience will be better understood.
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