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Patients' willingness and ability to participate actively in the reduction of clinical errors: A systematic literature review

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  • Doherty, Carole
  • Stavropoulou, Charitini

Abstract

This systematic review identifies the factors that both support and deter patients from being willing and able to participate actively in reducing clinical errors. Specifically, we add to our understanding of the safety culture in healthcare by engaging with the call for more focus on the relational and subjective factors which enable patients' participation (Iedema, Jorm, & Lum, 2009; Ovretveit, 2009). A systematic search of six databases, ten journals and seven healthcare organisations' web sites resulted in the identification of 2714 studies of which 68 were included in the review. These studies investigated initiatives involving patients in safety or studies of patients' perspectives of being actively involved in the safety of their care. The factors explored varied considerably depending on the scope, setting and context of the study. Using thematic analysis we synthesized the data to build an explanation of why, when and how patients are likely to engage actively in helping to reduce clinical errors. The findings show that the main factors for engaging patients in their own safety can be summarised in four categories: illness; individual cognitive characteristics; the clinician–patient relationship; and organisational factors. We conclude that illness and patients' perceptions of their role and status as subordinate to that of clinicians are the most important barriers to their involvement in error reduction. In sum, patients' fear of being labelled “difficult” and a consequent desire for clinicians' approbation may cause them to assume a passive role as a means of actively protecting their personal safety.

Suggested Citation

  • Doherty, Carole & Stavropoulou, Charitini, 2012. "Patients' willingness and ability to participate actively in the reduction of clinical errors: A systematic literature review," Social Science & Medicine, Elsevier, vol. 75(2), pages 257-263.
  • Handle: RePEc:eee:socmed:v:75:y:2012:i:2:p:257-263
    DOI: 10.1016/j.socscimed.2012.02.056
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    References listed on IDEAS

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    Cited by:

    1. Mojtaba Vaismoradi & Sue Jordan & Mari Kangasniemi, 2015. "Patient participation in patient safety and nursing input – a systematic review," Journal of Clinical Nursing, John Wiley & Sons, vol. 24(5-6), pages 627-639, March.
    2. Doherty, Carole & Saunders, Mark N.K., 2013. "Elective surgical patients' narratives of hospitalization: The co-construction of safety," Social Science & Medicine, Elsevier, vol. 98(C), pages 29-36.
    3. Julia M. Kim & Catalina Suarez-Cuervo & Zackary Berger & Joy Lee & Jessica Gayleard & Carol Rosenberg & Natalia Nagy & Kristina Weeks & Sydney Dy, 2018. "Evaluation of Patient and Family Engagement Strategies to Improve Medication Safety," The Patient: Patient-Centered Outcomes Research, Springer;International Academy of Health Preference Research, vol. 11(2), pages 193-206, April.
    4. Sutton, E. & Martin, G. & Eborall, H. & Tarrant, C., 2023. "Undertaking risk and relational work to manage vulnerability: Acute medical patients’ involvement in patient safety in the NHS," Social Science & Medicine, Elsevier, vol. 320(C).
    5. Debra Jackson & Stacey Wilson & Marie Hutchinson, 2016. "Editorial: Harm‐free care or harm‐free environments: expanding our definitions and understandings of safety in health care," Journal of Clinical Nursing, John Wiley & Sons, vol. 25(21-22), pages 3081-3083, November.
    6. Sun Hwa Shin & Mi Jung Kim & Ho Jin Moon & Eun Hye Lee, 2021. "Development and Effectiveness of a Patient Safety Education Program for Inpatients," IJERPH, MDPI, vol. 18(6), pages 1-16, March.

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