Patient and Family Engagement in the Emergency Department

Slide Presentation

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Patient and Family Engagement in the ED

Sue Collier, RN, MSN, FABC
Clinical Content Development Lead
Health Research & Education Trust
American Hospital Association

Image: Photo of Sue Collier, RN.

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Learning Objectives

  1. Define patient and family engagement.
  2. Describe examples of engaging patients and families in CAUTI prevention in the ED.
  3. Discuss how to address barriers to patient and family engagement in the ED.

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Definition of Patient and Family Engagement

"Patient and family engagement [is defined] as patients, families, their representatives, and health professionals working in active partnership at various levels across the health care system - direct care, organizational design, and governance, and policy making - to improve health and health care."

—Carman et al, 2013, Health Affairs

Images: Three photos of patients, their families, and health professionals interacting.

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Image: Screen shot of the top of the journal article titled "Evidence Boost: A Review of Research Highlighting How Patient Engagement Contributes to Improved Care" by Gg. Ross Baker, Ph.D. August 2014.

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Creating the Environment for PFE

  • Mutual respect for skills and knowledge
  • Honest, clear, two-way communication
  • Understanding and empathy by being accessible and responsive
  • Mutually agreed upon goals through joint planning and evaluation
  • Shared planning and decision-making (doing things with patients-families, not for or to them)

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Examples of PFE Practices in the ED

  • Including patient/family in bedside rounds
  • Supporting family presence
  • Including patient/family in CAUTI prevention education
  • Sharing patient stories in ED quality team meetings
  • Supporting patient-family advisor roles and councils for ED and/or the hospital
  • Encouraging patient advisors to serve on ED safety and quality performance improvement teams

Images: Three photos of families and health professionals meeting.

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Your ED’s PFE Practices

  • How does your department demonstrate the principles and practices of patient and family engagement in infection prevention, especially CAUTI prevention?
  • What is your ED’s long-term plan to advance patient- and family-centered care?
  • Who are the champions guiding the department’s efforts in PFE?

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Patient and Family Engagement (PFE)

Consider these elements as you help promote PFE among patients, family members and staff:

  • Concerns/fears: What are the unique concerns or issues?
  • Skills/Knowledge : What do they need to know to be fully engaged as a partner on the team?
  • System support: What can the system do to promote PFE?

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PFE in the ED: Tips for Success

  • Ensure visible and supportive leadership
  • Identify concerns and barriers
  • Allocate resources to support the work
  • Recognize accomplishments and progress
  • Educate staff and patients/families
  • Select one or two best practices to begin to expand PFE efforts
  • Foster an open, non-punitive culture

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AHRQ CUSP Toolkit, Patient Family Engagement. Retrieved from /professionals/education/curriculum-tools/cusptoolkit/modules/patfamilyengagement/index.html.

Association for Professional in infection Control and Epidemiology. Patient safety resources for consumers. Retrieved from http://www.apic.org/For-Consumers/Patient-safety-resources.

Institute for Patient and Family Centered Care. Retrieved from http://www.ipfcc.org/advance/topics.html.

Centers for Disease Control and Prevention. FAQs about Catheter-Associated Urinary Tract Infection. Retrieved from http://www.cdc.gov/HAI/ca_uti/uti.html

Carman KL, Dardess P, Maurer ME, Workman T, Ganachari D, Pathak-Sen E. A Roadmap for Patient and Family Engagement in Healthcare Practice and Research. September 2014. www.patientfamilyengagement.org and  http://patientfamilyengagement.org/#sthash.ACZ81zY8.dpuf

Guide to Patient and Family Engagement in Hospital Quality and Safety, Rockville, MD; Agency for Healthcare Research and Quality; May 2013, AHRQ Publication No. 13-0033. http://www.ahrq.gov/professionals/systems/hospital/engagingfamilies/index.html

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Thank you!

Questions?

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Funding

Prepared by the Health Research & Educational Trust of the American Hospital Association with contract funding provided by the Agency for Healthcare Research and Quality through the contract, “National Implementation of Comprehensive Unit-based Safety Program (CUSP) to Reduce Catheter-Associated Urinary Tract Infection (CAUTI), project number HHSA290201000025I/HHSA29032001T, Task Order #1.”

Return to CAUTI Toolkit Information for Specialty Audiences Page

 

 

 

Page last reviewed December 2017
Page originally created November 2015
Internet Citation: Patient and Family Engagement in the Emergency Department. Content last reviewed December 2017. Agency for Healthcare Research and Quality, Rockville, MD. http://www.ahrq.gov/professionals/quality-patient-safety/hais/cauti-tools/archived-webinars/patient-family-engagement-ed-slides.html