TY - JOUR T1 - Patient and family engagement: a survey of US hospital practices JF - BMJ Quality & Safety JO - BMJ Qual Saf DO - 10.1136/bmjqs-2015-004006 SP - bmjqs-2015-004006 AU - Jeph Herrin AU - Kathleen G Harris AU - Kevin Kenward AU - Stephen Hines AU - Maulik S Joshi AU - Dominick L Frosch Y1 - 2015/06/16 UR - http://qualitysafety.bmj.com/content/early/2015/06/16/bmjqs-2015-004006.abstract N2 - 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. ER -