In they are involved in the decision-making process.

In a world of continuously and fast growing medical knowledge and technology, it’s critical to
not forget the human being undergoing the treatment. Each patient has their own experience and
opinion so what suits one patient may not suit the other even if they have the same disease. In
this essay I will discuss the importance of engaging the patient in decision-making process.
Patient and carer engagement is composed of involving patients in making decisions about their
care, promoting patients’ choice, involving patients in service provision and planning. As any
health-care intervention has some degree of uncertainty whether it will improve the health of the
patient, every patient has the right to receive detailed information about the care they will
receive, especially if they will have an invasive intervention. Consumer engagement activities
that naturally divides into two dimensions: (i) opportunities for learning and healing after an
adverse event has occurred; and (ii) engagement of patients in preventing harm.
Taking informed consent from patients is an effective way to ensure they are involved in the
decision-making process. The consent process has two main phases, elements that inform the
patient and elements that enable the patient’s decision-making process. The elements which
inform the patient include information provided by the health-care practitioner and
comprehension of that information by the patient. Elements that enable the patient to make a
decision include time to absorb the information disclosed and perhaps consult with family/carers.
That gives the chance to make a free and voluntary choice and the competence of the care
providers.
Open disclosure is a term used to describe the process of informing patients and their families of
an adverse event related to treatment or diagnosis, not the bad outcomes that are expected from
the disease. It is a communicating process with the patient after a patient-related error. It consists
of four objectives: 1) an apology to the patient with explanation of what went wrong and how it
happened, 2) assuring the patient that such an adverse event will be prevented and involve the
patient in the prevention plan, 3) holding the accountability of the incident, being transparent
with the patient, and 4) compensation for the patient unneeded pain or loss, and sometimes,
punishment for the involved staff. Unfortunately, there are some barriers that prevent a health
care provider from disclosing. Most common of which are the fear of a consequent legal action,
the fear of confronting an angry patient and their family, the fear of losing reputation or job, or
the mere feeling of shame and embarrassment.
In order to prevent errors from recurring, the health care provider must find the events that
caused the occurrence of them in the first place. That can be obtained by improving the
communication with the patient involved and making them a part in the prevention plan. The
patient have valuable information that once shared with the health care providers, it will solve
many mysteries surrounding the adverse event, and it will give a clear picture to what happened
and how to prevent it. Besides, the communication between the healthcare team is very vital in
maintaining patient safety so every team member has a say in the service being delivered.
Finally, the administration must have a role in supervising the health care team and responding
effectively to the patient complaints.
To sum up, engaging the patient in the treating process has a significant impact on the
effectiveness of treatment and avoiding adverse events. Plus, the patient must be informed about
the adverse event when it occurs as it is the patient right to know and because the patient point of
view can be very helpful in preventing the error recurrence

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