--- title: "Pt and family engagement: survey of US hospital practices. | Sutter Health" description: "There is large variation in hospital implementation of pt & family engagemt practices, with competing organisational priorities being the most common barrier." url: "https://www.sutterhealth.org/research/publications/pt-family-engagement-survey-us-hosp-practices-1055312463" --- 1. [Home](https://www.sutterhealth.org/) / 2. [Research](https://www.sutterhealth.org/research) / 3. [Research publications](https://www.sutterhealth.org/research/publications) / 4. Pt and family engagement: survey of US hospital practices. # Patient and family engagement: a survey of US hospital practices. Herrin J, Harris KG, Kenward K, Hines S, Joshi MS, & Frosch DL. _BMJ Qual Saf. pii: bmjqs-2015-004006. doi: 10.1136/bmjqs-2015-004006. \[Epub ahead of print\]_ 2015-06-16 ## Abstract BACKGROUND: Patient and family engagement (PFE) in healthcare is an important element of the transforming healthcare system; however, the prevalence of various PFE practices in the USA is not known. OBJECTIVE: We report on a survey of hospitals in the USA regarding their PFE practices during 2013-2014. RESULTS: The response rate was 42%, with 1457 acute care hospitals completing the survey. We constructed 25 items to summarise the responses regarding key practices, which fell into three broad categories: (1) organisational practices, (2) bedside practices and (3) access to information and shared decision-making. We found a wide range of scores across hospitals. Selected findings include: 86% of hospitals had a policy for unrestricted visitor access in at least some units; 68% encouraged patients/families to participate in shift-change reports; 67% had formal policies for disclosing and apologising for errors; and 38% had a patient and family advisory council. The most commonly reported barrier to increased PFE was 'competing organisational priorities'. SUMMARY: Our findings indicate that there is a large variation in hospital implementation of PFE practices, with competing organisational priorities being the most commonly identified barrier to adoption. [PubMed abstract](http://www.ncbi.nlm.nih.gov/pubmed/26082560) ## Research topics - [Disease Management](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Disease+Management%5C%22%22) - [Health Services](https://www.sutterhealth.org/research-search-results?query=%22%5C%22Health+Services%5C%22%22) ## Related publications [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) - Publication ### [Collaborative deliberation: a model for patient care.](https://www.sutterhealth.org/research/publications/collaborative-deliberation-pt-care-model-1055312489) Elwyn G, Lloyd A, May C, van der Weijden T, Stiggelbout A, Edwards A, Frosch DL, Rapley T, Barr P, Walsh T, Grande SW, Montori V, Epstein R. Patient Educ Couns. 97(2):158-64. doi: 10.1016/j.pec.2014.07.027. Epub 2014 Aug 13. 2014 Nov 01 - Publication ### [An exploratory mixed-methods crossover study comparing DVD- vs. Web-based patient decision support in three conditions: The importance of patient perspectives.](https://www.sutterhealth.org/research/publications/dvd-vs-web-based-pt-decision-spt-1055312529) Halley MC, Rendle KA, Gillespie KA, Stanley KM, Frosch DL. Health Expect. 18(6):2880-91. doi: 10.1111/hex.12273. Epub 2014 Sep 29. 2015 Dec 01 - Publication ### ["Many miles to go …": a systematic review of the implementation of patient decision support interventions into routine clinical practice.](https://www.sutterhealth.org/research/publications/review-implementation-pt-dec-spt-interventions-1055312535) Elwyn G, Scholl I, Tietbohl C, Mann M, Edwards AG, Clay C, Légaré F, van der Weijden T, Lewis CL, Wexler RM, Frosch DL. BMC Med Inform Decis Mak. 13(suppl 2):S14. doi: 10.1186/1472-6947-13-S2-S14. Epub 2013 Nov 29. 2013 Jan 01 - Publication ### [Shared decision making in clinical medicine: past research and future directions.](https://www.sutterhealth.org/research/publications/shared-decision-making-in-clinical-medicine-1055312527) Frosch DL, Kaplan RM. Am J Prev Med. 17(4):285-94. 1999 Nov 01 - Publication ### [Implementing shared decision-making: consider all the consequences.](https://www.sutterhealth.org/research/publications/shared-decision-making-allconsequences-1055312516) Elwyn G, Frosch DL, Kobrin S. Implement Sci. 11:114. doi: 10.1186/s13012-016-0480-9. 2016 Aug 08 [View all publications](https://www.sutterhealth.org/research-search-results?verticalKey=research_publication) ```json {"@context":"https://schema.org","@type":"MedicalOrganization","name":"Sutter Health","@id":"https://www.sutterhealth.org/#medicalorganization","url":"https://www.sutterhealth.org","logo":"https://www.sutterhealth.org/static/images/sutter-health-logo.svg","address":{"@type":"PostalAddress","streetAddress":"2200 River Plaza Drive","addressLocality":"Sacramento","addressRegion":"CA","postalCode":"95833","addressCountry":"US"},"areaServed":{"@type":"AdministrativeArea","name":"California"},"sameAs":["https://www.facebook.com/SutterHealth","https://www.instagram.com/sutterhealth/","https://x.com/SutterHealth","https://www.youtube.com/sutterhealth","https://www.linkedin.com/company/sutter-health","https://en.wikipedia.org/wiki/Sutter_Health"]} ``` ```json {"@context":"https://schema.org","@type":"BreadcrumbList","@id":"https://www.sutterhealth.org/research/publications/pt-family-engagement-survey-us-hosp-practices-1055312463#breadcrumblist","itemListElement":[{"@type":"ListItem","position":1,"name":"Home","item":"https://www.sutterhealth.org/"},{"@type":"ListItem","position":2,"name":"Research","item":"https://www.sutterhealth.org/research"},{"@type":"ListItem","position":3,"name":"Research publications","item":"https://www.sutterhealth.org/research/publications"},{"@type":"ListItem","position":4,"name":"Pt and family engagement: survey of US hospital practices."}]} ``` ```json {"@context":"https://schema.org","@type":"MedicalScholarlyArticle","@id":"https://www.sutterhealth.org/research/publications/pt-family-engagement-survey-us-hosp-practices-1055312463#medicalscholarlyarticle","name":"Patient and family engagement: a survey of US hospital practices.","headline":"Pt and family engagement: survey of US hospital practices.","abstract":"BACKGROUND: Patient and family engagement (PFE) in healthcare is an important element of the transforming healthcare system; however, the prevalence of various PFE practices in the USA is not known. OBJECTIVE: We report on a survey of hospitals in the USA regarding their PFE practices during 2013-2014. RESULTS: The response rate was 42%, with 1457 acute care hospitals completing the survey. We constructed 25 items to summarise the responses regarding key practices, which fell into three broad categories: (1) organisational practices, (2) bedside practices and (3) access to information and shared decision-making. We found a wide range of scores across hospitals. Selected findings include: 86% of hospitals had a policy for unrestricted visitor access in at least some units; 68% encouraged patients/families to participate in shift-change reports; 67% had formal policies for disclosing and apologising for errors; and 38% had a patient and family advisory council. The most commonly reported barrier to increased PFE was 'competing organisational priorities'. 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