Emergency Medicine Research Team, Faculty of Medicine, Tabriz University of Medical Sciences, Tabriz, Iran.
Department of Healthcare Management, Research Center for Evidence-Based Health Management, Maragheh University of Medical Sciences, Maragheh, Iran.
PLoS One. 2022 May 11;17(5):e0267823. doi: 10.1371/journal.pone.0267823. eCollection 2022.
Patient engagement in patient safety is aimed at increasing the awareness and participation of patients in error-prevention strategies. The aim of this project was to improve the patient safety with the patient engagement within the local context of a maternity hospital by implementing best practice.
A clinical audit was conducted using the JBI Practical Application of Clinical Evidence System tool. The current project was conducted in surgical ward of Shahid-Beheshti maternity hospital, Iran. The sample size was 46 patients and 46 healthcare practitioners for both the baseline and follow-up. In phase 1, four audit criteria were used and a baseline audit was conducted for this project. In phase 2, barriers to compliance were identified, and strategies were adopted to promote best practice. In phase 3, a follow-up audit was conducted.
The results showed varying levels of compliance with the four criteria used in this project. The criterion 1, which was related to training of healthcare practitioners on how they can support patients, has the highest compliance at 87% in baseline and follow up data collection. Furthermore, compared with the baseline data (criterion 2 = 52%; criterion 3 = 37%; criterion 4 = 61%), compliance with criteria 2, 3, and 4 notably improved at 85, 76, and 92%, respectively.
The present project successfully implements patient engagement in Iran and reveals varying results on compliance and the increasing knowledge of healthcare practitioners and patients on evidence-based patient engagement in order to improve the patient safety. The used strategies can facilitate implementation of evidence based procedures in clinical practice.
患者参与患者安全旨在提高患者对预防错误策略的意识和参与度。本项目的目的是通过实施最佳实践，在一家妇产医院的当地环境中提高患者安全，实现患者参与。
使用 JBI 实用临床证据系统工具进行临床审核。本项目在伊朗沙希德·贝赫什提妇产医院的外科病房进行。样本量为 46 名患者和 46 名医护人员，分别用于基线和随访。在第 1 阶段，使用了四项审核标准，并对本项目进行了基线审核。在第 2 阶段，确定了遵守标准的障碍，并采取了策略来促进最佳实践。在第 3 阶段，进行了后续审核。
结果显示，本项目使用的四项标准的遵守程度各不相同。标准 1 与医护人员培训有关，培训内容为他们如何支持患者，在基线和随访数据收集时的遵守率最高，为 87%。此外，与基线数据相比（标准 2 = 52%；标准 3 = 37%；标准 4 = 61%），标准 2、3 和 4 的遵守率分别显著提高到 85%、76%和 92%。
本项目成功地在伊朗实施了患者参与，并揭示了在遵守情况和提高医护人员和患者对基于证据的患者参与以提高患者安全的知识方面的不同结果。所使用的策略可以促进基于证据的程序在临床实践中的实施。
