Skip to main content

Table 1 Intersection of the domains of the framework for safe, reliable and effective care and direct patient and family engagement (Adapted from Frankel et al., [9])

From: Structured approaches to promote patient and family engagement in treatment in acute care hospital settings: protocol for a systematic scoping review

IHI domain Patient and family engagement strategies
Leadership and accountability Patients and the healthcare need to agree on goals and clearly define roles and accountability for goal achievement
Clinical team members offer advice on clinical components
Patients and families give their perspectives until there is agreement on goals
Teamwork and communication Patients and families are considered part of the team and receive accurate, timely, and relevant communication about their health and care
Psychological safety Patients should feel psychologically safe to share their concerns with the clinical team
Healthcare team members receive patient perspectives openly and without judgment
Patients are encouraged to be transparent about clinical signs, symptoms and treatment adherence
Negotiation The healthcare team engages in collaborative negotiation with patients and families
Healthcare team knows the patients’ priorities, worries, and desired outcomes
Transparency Transparency with patients and families, particularly with respect to adverse events, is promoted
Opportunities for patients and families to engage in care, making use of opportunities such as patient portals
Reliability Patients can help to develop ways to make the process more reliable
Improvement and measurement Patients share perspectives, experiences, and ideas about ongoing improvement efforts