ISQUA16-2578
CAN PATIENT INVOLVEMENT IMPROVE PATIENT SAFETY? A CLUSTER RANDOMIZED CONTROL TRIAL OF THE PATIENT REPORTING AND ACTION FOR A SAFE ENVIRONMENT (PRASE) INTERVENTION

Extract

Objectives

To evaluate the efficacy of a patient feedback intervention (PRASE). This hospital intervention comprised two tools: i) a questionnaire which asked patients about factors contributing to safety (PMOS) ii) a proforma for patients to report both safety concerns and positive experiences (PIRT). A report to wards was produced summarising this feedback and action planning meetings were organized with ward staff to develop improvements in safety to address this feedback.

Methods: Design

A multi-centre, cluster randomized controlled trial

Setting

Thirty three hospital wards across five hospitals in the UK.

Patients

All patients able to give informed consent were eligible to take part. Wards were allocated to the intervention or control condition.

Measurements

Primary outcomes were routinely collected harm free care (HFC) scores and patient feedback on safety (PMOS).

Results

Intervention 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 (i.e. those for which the wards were directly accountable) intervention wards did show greater, though non-significant, improvement when compared to the control wards. These differences were largest for wards that showed the greatest compliance with the intervention.