Problem Definition

Family presence in the Emergency Department Empower family members to be part of patient care - physical presence, communication, involvement in care

Potential Ideas

Collapsible chairs - chairs that come out of hallway beds or that could me moved around in a patient room; maybe they could come out of the wall somehow

Resources

http://www.familycenteredcare.org/

Boudreaux, Edwin D, PHD, Jennifer L Francis, MA, and Tommy Loyacano, MPA. “Family Presence During Invasive Procedures and Resuscitations in the Emergency Department.” Annals of Emergency Medicine 40.2 (Aug. 2002): 193-205.

“Family Member Presence in the Emergency Department.” American College of Emergency Physicians. 2008. 11 Sept. 2008 <http://www.acep.org/patients.aspx?id=25904>.

Saccheti, Alfred, PHD. “Acceptance of Family Member Presence During Pediatric Resuscitations in the Emergency Department.” Pediatric Emergency Care 16.2 (Apr. 2002): 85-87.

France, Daniel J PhD, MPH, Does Patient-Centered Design Guarantee Patient Safety?: Using Human Factors Engineering to Find a Balance Between Provider and Patient Needs. Journal of Patient Safety. http://www.journalpatientsafety.com/pt/re/jps/abstract.01209203-200509000-00006.htm;jsessionid=LHTTQDLJLWyjJTp17YTDCbGLv8TGhHkvNCkq52mMt8rxYWdvSzZb!-1101774500!181195629!8091!-1

Lambert, Bruce. Provider-Patient Communication, Patient-Centered Care, and Mangle of Practice. Health Communication; 1997, Vol. 9 Issue 1, p27, 17p. http://www.library.gatech.edu:2048/login?url=http://search.ebscohost.com/login.aspx?direct=true&db=ufh&AN=7391990&site=ehost-live

Jaya K. Rao, MD, MHS; Morris Weinberger, PhD; Kurt Kroenke, MD. Visit-Specific Expectations and Patient-Centered Outcomes. Archives of Family Medicine. http://archfami.ama-assn.org/cgi/reprint/9/10/1148

Edward Krupat, PhDRobert A. Bell, PhDRichard L. Kravitz, MD, MSPHDavid Thom, MD, PhDRahman Azari, PhD. When Physicians and Patients Think Alike: Patient-Centered Beliefs and Their Impact on Satisfaction and Trust. The Journal of Family Practice. http://www.jfponline.com/Pages.asp?AID=2407&issue=December_2001&UID=

Next Steps

Get access to a family council or talk to real family members

Look at children's hospitals for lessons learned

Issues

Keeping family members involved but not get in the way of care

Large families, kids

Distant family members