Patient-centered care and quality: Activating the system and the patient

• Published in: Seminars in pediatric surgery Vol. 24; no. 6; pp. 319 - 322
• Main Authors: Richards, Morgan K., MD, MPH, Goldin, Adam B., MD, MPH
• Format: Journal Article
• Language: English
• Published: United States Elsevier Inc 01.12.2015
• Subjects: Child; Child, Preschool; Gastrostomy - standards; Gastrostomy tube; Humans; Infant; Intubation, Gastrointestinal - standards; Patient activation; Patient engagement; Patient Safety - standards; Patient-centered care; Patient-Centered Care - methods; Patient-Centered Care - organization & administration; Patient-Centered Care - standards; PCORI; Pediatrics; Quality improvement; Quality Improvement - organization & administration; Surgery; United States; United States; Patient activation; Gastrostomy tube; Quality improvement; Patient engagement; PCORI; Patient-centered care
• ISSN: 1055-8586; 1532-9453
• DOI: 10.1053/j.sempedsurg.2015.08.012

Abstract Patient-centered care is an expectation in our current environment, yet it is only one of the six domains that the Institute of Medicine has described as critical in redesigning the architecture of a medical system. Patients requiring long-term feeding tube access represent a particularly complex group of patients who stress the mechanisms placed within a healthcare system to optimize quality and safety. We describe the implementation of a new approach to this patient population that serves as an example of redesigning a system of care to optimize safety using the principles of patient-centered care while delivering safe, effective, timely, efficient, and equitable care.