Patient experience in co-production of care: perceptions about patient safety protocols.
Diovane Ghignatti da Costa, Gisela Maria Schebella Souto de Moura, Simone Silveira Pasin and 2 others
PMID 32491126WHAT IT FOUND
Patients and families knew many safety protocols, but often stayed silent when staff missed identification checks or hand hygiene.
Nurses should invite patients to confirm these steps rather than assume trust will prevent errors.
Key findings
01Patients and family members recognised many safety protocols, but they often did not challenge staff when identification checks or hand hygiene were missed.
02Observed medication administration did not consistently include the identification check.
03The data showed active fall prevention guidance and surgical site marking, but medication checking depended on proactive patients.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The interviews happened during hospitalization, so they may not have captured the whole stay. Patients and families may have avoided saying negative things because they still depended on the team for care. The study was done in a certified public hospital, so its routines may not match other services. It excluded patients who could not verbalise their perceptions, so it does not cover people who could not communicate. The observation stage focused on units chosen by indicator results, so it may not represent all hospital areas.
The easy way to misread this
Do not conclude that patients and families are to blame for missed safety checks. The study describes perceptions and observed care, not outcomes, and it found professionals often did not invite checking.