Jt Comm J Qual Patient Saf. 2020 Mar;46(3):158-166. doi: 10.1016/j.jcjq.2019.12.001. Epub 2020 Jan 10.
Effective patient- and family-centered care requires a dedication to engaging patients and family members in health system redesign to improve the quality, safety, and experience of care. Provided here are lessons learned six years after establishing an infrastructure of patient and family advisory councils (PFACs) focused on improving health care quality and safety.
A large regional health care system with multiple hospitals and ambulatory care delivery sites in the eastern United States adopted a systemwide approach to Patient and Family Advisory Councils on Quality and Safety (PFACQS) in 2012.
This conceptual article describes the barriers and facilitators of adopting, implementing, and sustaining the PFACQS model across a large, geographically diffuse health system. Successful strategies that emerged include active board engagement, co-creation and mentorship by experienced patient advocates to support enhanced engagement by local PFACQS community members, and clear alignment with and line of sight on organizational quality and safety goals.
Implementing a robust network of PFACQS focused on improving quality and patient safety requires leadership commitment to transparency, as well as mutual respect and trust. Establishing clear guidelines, structures, and processes supports early adoption. Openness to continuous improvement and adaptations are important to program success and contribute to program sustainability.
有效的以患者和家庭为中心的护理需要致力于让患者和家庭成员参与到医疗体系的重新设计中，以提高护理的质量、安全性和体验。本文提供了在建立专注于改善医疗质量和安全的患者和家庭咨询委员会 (PFAC) 基础设施六年后所获得的经验教训。
一家位于美国东部的大型区域医疗保健系统拥有多家医院和门诊护理服务点，于 2012 年采用了一种针对患者和家庭咨询委员会质量和安全 (PFACQS) 的系统方法。
本文通过概念性文章描述了在一个大型、地域分散的医疗系统中采用、实施和维持 PFACQS 模式的障碍和促进因素。成功的策略包括：董事会的积极参与、有经验的患者代言人的共同创造和指导，以支持当地 PFACQS 社区成员的增强参与，以及与组织质量和安全目标的明确对齐和可见性。
实施一个专注于提高质量和患者安全的强大 PFACQS 网络需要领导层对透明度的承诺，以及相互尊重和信任。建立明确的指导方针、结构和流程有助于早期采用。对持续改进和调整的开放性对于项目的成功和可持续性至关重要。
