Perceptions and Experiences of Consumer Representatives on Patient Safety Investigation Teams: A Qualitative Analysis

ABSTRACT Introduction There is growing recognition of the importance of consumer representatives (CRs), consumers with lived experience, and advisors and volunteers in health systems to foster consumer‐oriented care. As part of this changing perception, some health services are inviting CRs to be on...

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Main Authors: Peter D. Hibbert, Yinghua Yu, Charlotte J. Molloy, Matthew Ames, Duncan Brown, Jenny Berrill, Zoe Fernance, Jennifer Morris, Liat Watson
Format: Article
Language:English
Published: Wiley 2025-06-01
Series:Health Expectations
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Online Access:https://doi.org/10.1111/hex.70281
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author Peter D. Hibbert
Yinghua Yu
Charlotte J. Molloy
Matthew Ames
Duncan Brown
Jenny Berrill
Zoe Fernance
Jennifer Morris
Liat Watson
author_facet Peter D. Hibbert
Yinghua Yu
Charlotte J. Molloy
Matthew Ames
Duncan Brown
Jenny Berrill
Zoe Fernance
Jennifer Morris
Liat Watson
author_sort Peter D. Hibbert
collection DOAJ
description ABSTRACT Introduction There is growing recognition of the importance of consumer representatives (CRs), consumers with lived experience, and advisors and volunteers in health systems to foster consumer‐oriented care. As part of this changing perception, some health services are inviting CRs to be on patient safety investigation teams. However, little is known from empirical studies about these representatives’ experiences and perceptions of their roles. This paper aims to contribute to understanding CR's involvement on investigation teams by examining the benefits, challenges, and other aspects of their participation. Methods The study takes a qualitative approach and draws on data from interviews with 11 CRs and 10 focus groups comprising health service staff from Victoria, Australia, and a data interpretation workshop with an advisory panel of six consumers across four Australian states. Thematic analysis was used for data analysis. Results We found that CRs have positive experiences in patient safety investigation teams, and their involvement often leads to more patient‐focused reviews and outcomes, and use of plain language. However, they also experienced some challenges, such as not being fully respected as equal members of the team, feeling uncomfortable speaking up, and practical issues such as payments and access to documents. The chair/facilitator plays a significant role in engaging with CRs meaningfully, and directly shapes the behaviours of the entire investigation team. Both CRs and chairs/facilitators require considerable institutional and systematic training and support within health services. Conclusion The benefit of CRs on investigation teams outweighs the challenges across the individual, team/organisational and health systems levels. More resources and policies are needed to support CRs' sustainable inclusion, diversity and involvement in our current and future health services. Patient or Public Contribution Eleven individuals with experience as CRs in patient safety investigation teams were interviewed. As indicated by the co‐authors of this paper, six consumers from four states who are members of a research consumer advisory committee have been involved in co‐designing the study methodology, interpreting the data, and writing this paper with the research team.
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spelling doaj-art-ad7a74fc462d4bc4b4571824a88655122025-06-27T05:43:05ZengWileyHealth Expectations1369-65131369-76252025-06-01283n/an/a10.1111/hex.70281Perceptions and Experiences of Consumer Representatives on Patient Safety Investigation Teams: A Qualitative AnalysisPeter D. Hibbert0Yinghua Yu1Charlotte J. Molloy2Matthew Ames3Duncan Brown4Jenny Berrill5Zoe Fernance6Jennifer Morris7Liat Watson8Australian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences Macquarie University Sydney New South Wales AustraliaAustralian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences Macquarie University Sydney New South Wales AustraliaAustralian Institute of Health Innovation, Faculty of Medicine, Health and Human Sciences Macquarie University Sydney New South Wales AustraliaIndependent Consumer Advisor Brisbane Queensland AustraliaIndependent Consumer Advisor Sydney New South Wales AustraliaIndependent Consumer Advisor Canberra Australian Capital Territory AustraliaIndependent Consumer Advisor Sydney New South Wales AustraliaIndependent Consumer Advisor Melbourne Victoria AustraliaIndependent Consumer Advisor Melbourne Victoria AustraliaABSTRACT Introduction There is growing recognition of the importance of consumer representatives (CRs), consumers with lived experience, and advisors and volunteers in health systems to foster consumer‐oriented care. As part of this changing perception, some health services are inviting CRs to be on patient safety investigation teams. However, little is known from empirical studies about these representatives’ experiences and perceptions of their roles. This paper aims to contribute to understanding CR's involvement on investigation teams by examining the benefits, challenges, and other aspects of their participation. Methods The study takes a qualitative approach and draws on data from interviews with 11 CRs and 10 focus groups comprising health service staff from Victoria, Australia, and a data interpretation workshop with an advisory panel of six consumers across four Australian states. Thematic analysis was used for data analysis. Results We found that CRs have positive experiences in patient safety investigation teams, and their involvement often leads to more patient‐focused reviews and outcomes, and use of plain language. However, they also experienced some challenges, such as not being fully respected as equal members of the team, feeling uncomfortable speaking up, and practical issues such as payments and access to documents. The chair/facilitator plays a significant role in engaging with CRs meaningfully, and directly shapes the behaviours of the entire investigation team. Both CRs and chairs/facilitators require considerable institutional and systematic training and support within health services. Conclusion The benefit of CRs on investigation teams outweighs the challenges across the individual, team/organisational and health systems levels. More resources and policies are needed to support CRs' sustainable inclusion, diversity and involvement in our current and future health services. Patient or Public Contribution Eleven individuals with experience as CRs in patient safety investigation teams were interviewed. As indicated by the co‐authors of this paper, six consumers from four states who are members of a research consumer advisory committee have been involved in co‐designing the study methodology, interpreting the data, and writing this paper with the research team.https://doi.org/10.1111/hex.70281adverse eventconsumer representativepatient safetypatient safety investigation
spellingShingle Peter D. Hibbert
Yinghua Yu
Charlotte J. Molloy
Matthew Ames
Duncan Brown
Jenny Berrill
Zoe Fernance
Jennifer Morris
Liat Watson
Perceptions and Experiences of Consumer Representatives on Patient Safety Investigation Teams: A Qualitative Analysis
Health Expectations
adverse event
consumer representative
patient safety
patient safety investigation
title Perceptions and Experiences of Consumer Representatives on Patient Safety Investigation Teams: A Qualitative Analysis
title_full Perceptions and Experiences of Consumer Representatives on Patient Safety Investigation Teams: A Qualitative Analysis
title_fullStr Perceptions and Experiences of Consumer Representatives on Patient Safety Investigation Teams: A Qualitative Analysis
title_full_unstemmed Perceptions and Experiences of Consumer Representatives on Patient Safety Investigation Teams: A Qualitative Analysis
title_short Perceptions and Experiences of Consumer Representatives on Patient Safety Investigation Teams: A Qualitative Analysis
title_sort perceptions and experiences of consumer representatives on patient safety investigation teams a qualitative analysis
topic adverse event
consumer representative
patient safety
patient safety investigation
url https://doi.org/10.1111/hex.70281
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