Biasibetti et al.(2222 Biasibetti C, Hoffmann LM, Rodrigues FA, Wegner W, Rocha PK. Communication for patient safety in pediatric hospitalizations. Rev Gaucha Enferm. 2019;40(esp):e20180337. https://doi.org/10.1590/1983-1447.2019.20180337 https://doi.org/10.1590/1983-1447.2019.2...
) “Comunicação para a segurança do paciente em internações pediátricas” |
2019 Brazil |
To analyze the perception of health professionals and companions/family members regarding the development of communication for patient safety in pediatric hospitalizations. |
Type of study: Qualitative. Sample: 44 health professionals and 94 companions. Scenario: Pediatric clinical-surgical inpatient units. |
Participants identified problems in the academic training of health professionals, failures in institutional organization, lack of professional commitment and lack of integration between the health team and companions. As for the tools to qualify communication, the participants pointed out strategies such as the organization and compliance with standardized, computerized and bureaucratic processes, as well as the participation of all actors involved in care for the development of improvements related to pediatric patient safety through of effective communication. |
6 |
Corbaly et al.(2323 Corbally MT, Tierney E. Parental involvement in the preoperative surgical safety checklist is welcomed by both parents and staff. Int J Pediatr. 2014;2014:791490. https://doi.org/10.1155/2014/791490 https://doi.org/10.1155/2014/791490...
) “Parental involvement in the preoperative surgical safety checklist is welcomed by both parents and staff” |
2014 Ireland |
To establish how the surgical team and parents accept parental involvement during the Safe Surgery Checklist. |
Type of study: Qualitative. Sample: 42 parents and 42 professionals. Scenario: Mother and child hospital. |
Parents feel that family participation during the safe surgery checklist should be mandatory. The healthcare team recognized that parental participation is important to promote patient safety. |
6 |
Gonçalves et al.(2424 Gonçalves KMM, Costa MTTCA, Silva DCB, Baggio ME, Corrêa AR, Manzo BF. Ludic strategy for promoting engagement of parents and caregivers in the safety of pediatric patients. Rev Gaucha Enferm. 2020;41:e20190473. https://doi.org/10.1590/1983-1447.2020.20190473 https://doi.org/10.1590/1983-1447.2020.2...
) “Estratégia lúdica para promoção do engajamento de pais e acompanhantes na segurança do paciente pediátrico” |
2020 Brazil |
To evaluate a playful strategy developed to promote the engagement of parents and companions in pediatric patient safety actions. |
Type of study: Qualitative. Sample: 17 parents and companions. Scenario: Pediatric inpatient unit. |
Participants evaluated the game as a playful, innovative, informative and educational resource regarding the process of family involvement in patient safety. Furthermore, they highlighted the change in behavior in favor of patient safety after experiencing the game. |
6 |
Hoffman et al.(2525 Hoffman MR, Wegner W, Biasibetti C, Peres MA, Gerhardt LM, Breigeiron MK. Patient safety incidents identified by the caregivers of hospitalized children. Rev Bras Enferm. 2019;72(3):707-14. http://doi.org/10.1590/0034-7167-2018-0484 http://doi.org/10.1590/0034-7167-2018-04...
) “Identificação de incidentes de segurança do paciente pelos acompanhantes de crianças hospitalizadas” |
2019 Brazil |
Describe the security incidents identified by the companions of hospitalized children. |
Type of study: Qualitative. Sample: 40 companions. Scenario: Pediatric Inpatient Units. |
The incidents identified by the companions were related to falls, identification, dietary errors, medication errors, hygiene and communication failures. |
6 |
Hoffman et al.(2626 Hoffman LM, Rodrigues FA, Biasibetti C, Peres MA, Vaccari A, Wegner W. Patient safety incidents reported by relatives of hospitalized children Rev Gaucha Enferm. 2020;41(esp):e20190172. https://doi.org/10.1590/1983-1447.2020.20190172 https://doi.org/10.1590/1983-1447.2020.2...
) “Patient safety incidents reported by relatives of hospitalized children” |
2020 Brazil |
To know the main safety incidents reported by family members of patients admitted to pediatric units. |
Type of study: Qualitative. Sample: 91 family members. Scenario: Intensive care unit Pediatrics and Pediatric Emergency Room. |
Family members recognized incidents related to medication administration, communication failures, incorrect hand hygiene, incorrect use of Personal Protective equipment, failures in patient identification and monitoring of visits. |
6 |
Khan et al.(2727 Khan A, Coffey M, Litterer KP, Baird JD, Furtak SL, Garcia BM. et al. Families as partners in hospital error and adverse event surveillance. JAMA Pediatr. 2017;171(4):372-81. https://doi.org/10.1001/jamapediatrics.2016.4812 https://doi.org/10.1001/jamapediatrics.2...
) “Families as partners in hospital error and adverse event surveillance” |
2017 United States |
Perform comparison of adverse events records: 1)With the presence and report of the family and without the family; 2)Reported by family and physicians; 3)Reported by the family and rate established by the hospital. |
Type of study: Quantitative. Sample: 717 companions and 77 nursing and medical residents. Scenario: Pediatric units. |
1)The rates of adverse events reported in the presence of family members were 1.1 times higher than rates without family members. 2) Families and physicians reported similar error rates (10.0 vs 12.8 per 1000 patient-days; and AEs (8.5 vs 6.2 per 1000 patient-days). 3) Family-reported error rates were 5.0 times higher than adverse events rates reported by hospital incident reports. |
4 |
Lydon et al.(2828 Lyndon A, Jacobson CH, Fagan KM, Wisner K, Franck LS. Parents' perspectives on safety in neonatal intensive care: a mixed-methods study. BMJ Qual Saf. 2014;23(11):902-9. https://doi.org/10.1136/bmjqs-2014-003009 https://doi.org/10.1136/bmjqs-2014-00300...
) “Parents’ perspectives on safety in neonatal intensive care: a mixed-methods study” |
2014 United States |
To examine parents’ perspectives regarding the safety of the patient in the Neonatal Intensive Care Unit. |
Type of study: Qualitative and quantitative. Sample: 46 parents responded to the questionnaires and 14 of these parents also participated in 10 interviews. Scenario: Neonatal Intensive Care. |
Parents showed little concern about the safety of the procedures. Therefore, participants suggested engagement strategies that address clinical treatment articulated to the domains of physical, developmental and emotional safety, which may result in safety improvements. |
6 |
Massa et al.(2929 Massa ER, Hooker AC, García Martínez DG. Condiciones de seguridad percibidas por cuidadores familiares en atención pediátrica. Rev Cienc Cuidad. 2019;16(3):80-92. https://doi.org/10.22463/17949831.1574 https://doi.org/10.22463/17949831.1574...
) “Condiciones de seguridad percibidas por cuidadores familiares en atención pediátrica” |
2020 Colombia |
To identify the perception of caregivers about the safety conditions of care in a pediatric hospital. |
Type of study: Quantitative. Sample: 163 caregivers. Scenario: Pediatric Units. |
86% of caregivers perceived safety in the child’s hospitalization and, according to them, 60.2% of professionals explained the procedures to caregivers. Communication is clear for 70% of caregivers, 58.3% of them are alert to detect possible risks, 75.5% follow the recommendations given and 70.5% of caregivers trust the professionals. |
6 |
Peres et al.(3030 Peres MA, Wegner W, Cantarelli-Kantorski KJ, Gerhardt LM, Magalhães AMM. Perception of family members and caregivers regarding patient safety in pediatric inpatient units. Rev Gaucha Enferm. 2018;39:e2017-0195. http://doi.org/10.1590/1983-1447.2018.2017-0195 http://doi.org/10.1590/1983-1447.2018.20...
) “Percepção de familiares e cuidadores quanto à segurança do paciente em unidades de internação pediátrica” |
2018 Brazil |
To recognize the perceptions of family members and companions regarding patient safety in a pediatric inpatient unit. |
Type of study: Qualitative. Sample: 24 companions. Scenario: Pediatric Inpatient Units. |
Several respondents have never heard of patient safety. Family members believe that their main role is to provide emotional support for the child, but they recognize that they can help to prevent mistakes. Adverse events related to medication, procedure and lack of communication are the most worrying of parents. |
6 |
Rodrigues et al.(3131 Rodrigues FA, Wegner W, Kantorski KJC, Pedro ENR. Patient safety in a neonatal unit: concerns and strategies experienced by parent. Cogitare Enferm. 2018;23(2):e52166. http://doi.org/10.5380/ce.v23i1.52166 http://doi.org/10.5380/ce.v23i1.52166...
) “Segurança do paciente em unidade neonatal: preocupações e estratégias vivenciadas por pais” |
2018 Brazil |
To analyze how parents identify patient safety in a neonatal unit. |
Type of study: Qualitative. Sample: 23 family members. Scenario: Neonatal inpatient unit. |
The parents spoke about patient safety, mentioning their concerns regarding the flow of people, inefficient communication, problems with patient identification, the risk of infection, the risk of falling and injury due to the use of a medical device, and strategies that could prevent these incidents. |
6 |
Rosenberg et al.(3232 Rosenberg RE, Williams E, Ramchandani N, Rosenfeld P, Silber B, Schlucter J, et al. Provider perspective on partnering with parents of hospitalized children to improve safety. Hosp Pediatr. 2018;8(6):330-7. https://doi.org/10.1542/hpeds.2017-0159 https://doi.org/10.1542/hpeds.2017-0159...
) “Provider perspectives on partnering with parents of hospitalized children to improve safety” |
2017 United States |
To explore the perspectives and experiences of pediatric professionals regarding family participation in pediatric patient safety. |
Type of study: Qualitative. Sample: 20 health professionals. Scenario: Pediatric teaching hospital. |
Professionals believe that parental involvement should not be mandatory, but that it helps to reduce errors. They presented, as facilitating aspects for patient safety, the clear definition of roles, the gain of trust, sympathy and effective communication. As barriers, they mentioned role conflicts, the lack of skill and time to put parents in safety, in addition to the concern with overloading the family. |
6 |
Silva et al.(3333 Silva TD, Wegner W, Pedro EN. Segurança da criança hospitalizada na UTI: compreendendo os eventos adversos sob a ótica do acompanhante. Rev Eletr Enferm. 2012;14(2):337-44. http://doi.org/10.5216/ree.v14i2.12977 http://doi.org/10.5216/ree.v14i2.12977...
) “Segurança da criança hospitalizada na UTI: compreendendo os eventos adversos sob a ótica do acompanhante” |
2014 Brazil |
To describe the adverse events identified by the family member/caregiver in a Pediatric Intensive Care Unit. |
Type of study: Qualitative. Sample: 13 companions. Scenario: Pediatric Intensive Care Unit. |
The family member/caregiver realized that many of the adverse events were related to a lack of scientific knowledge on the part of the nursing team to safely perform some procedures. Regarding the medical team, there were problems related to communication with family members/caregivers, especially the form and content of the information received. |
6 |
Sousa et al.(3434 Souza FCP, Montenegro LC, Goveia VR, Corrêa AR, Rocha PK, Manzo BF. Family participation in patient safety in neonatal units from the nursing perspective. Texto Contexto Enferm. 2017;26(3):e1180016. https://doi.org/10.1590/0104-07072017001180016 https://doi.org/10.1590/0104-07072017001...
) ‘’A participação da família na segurança do paciente em unidades neonatais na perspectiva do enfermeiro” |
2017 Brazil |
To understand family participation in patient safety in Neonatal Intensive Care Units from the perspective of nurses. |
Type of study: Qualitative. Sample: 14 nurses. Scenario: Intermediate Care and Neonatal Intensive Care Unit. |
Nurses recognize the importance of family participation in neonatal patient safety, as well as in the prevention of incidents. However, they highlighted the lack of preparation to deal with the family member in their daily work. They also highlighted that the welcoming and guidance of family members are important strategies for family involvement in patient safety actions. |
6 |