Expert perspectives on the active role of patients in their safety: Toward a framework using Delphi methodology

Aims To develop a framework for Patient Engagement in Safety (PEPS) hospital. Methods The Delphi technique was embraced to involve group of knowledgeable healthcare experts the discussion and rating components PEPS framework. On 5-point Likert scale, every item separately rated based on three aspects, which include applicability, clarity validity. included items with 75% or more participants scoring 4–5 all aspects. Items not attaining agreement aspects were either changed discarded, after underwent another round rerating. Results A total 17 members participated consensus-building process. Following two rounds rating, consensus reached final consisted 28 four dimensions, relating professionals, patients, community, helth system, substituted patient empowerment, effective communication patient-centeredness. Conclusion development is stimulus strengthen human resources health capabilities, sustain high level quality outcomes, improve system. Further studies identify strategies are needed successful implementation this