{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,14]],"date-time":"2026-10-14T08:47:33Z","timestamp":1791967653601,"version":"4.3.4"},"update-to":[{"DOI":"10.12688\/hrbopenres.14428.1","type":"new_version","label":"New version","source":"publisher","updated":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T00:00:00Z","timestamp":1784937600000}}],"reference-count":78,"publisher":"F1000 Research Ltd","license":[{"start":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T00:00:00Z","timestamp":1784937600000},"content-version":"tdm","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010414","name":"Health Research Board","doi-asserted-by":"publisher","award":["ILP-HSR-2024-002"],"award-info":[{"award-number":["ILP-HSR-2024-002"]}],"id":[{"id":"10.13039\/100010414","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["hrbopenresearch.org"],"crossmark-restriction":false},"short-container-title":["HRB Open Res"],"abstract":"<ns3:p>Background Internationally, there is a growing emphasis on the importance and value of the patient\u2019s \u201cvoice\u201d, and the unique insights patients and their families have into healthcare system functioning. However, despite international policy shifts toward empowering patients to support patient safety, there remains a lack of knowledge regarding the full range of existing approaches for facilitating patient involvement in measuring and monitoring patient safety (MMS) in the hospital. This umbrella review will aim to identify existing approaches to involving adult inpatients (or family\/partners\/carers communicating on their behalf ) in MMS in hospital settings, along with evidence supporting their use. Methods The current review will adhere to the Joanna Briggs Institute guidance for umbrella reviews and the Preferred Reporting Items for Overviews of Reviews (PRIOR) checklist. Systematic searches will be conducted across five electronic databases (MEDLINE, CINAHL, PsycINFO, Scopus, and Academic Search Complete) to identify existing reviews that consider patient-involvement in MMS in hospital settings. Data will be extracted on the characteristics of approaches identified (e.g., surveys, interviews, incident reporting) any evidence of their feasibility, contextual appropriateness and psychometric properties, along with any reported barriers or facilitators relating to their implementation. Methodological quality will be appraised using the CASP checklist, and certainty of evidence will be assessed via a hybrid GRADE and GRADE-CERQual approach. Conclusions This umbrella review will deliver a comprehensive profile of each different approach to involving patients, families and carers in MMS in hospital settings. By evaluating the psychometric evidence and practical feasibility (APEASE criteria and reported barriers and facilitators to use) of these approaches, the findings will support the ascertainment of best practice to involving patients in MMS in hospital settings, ultimately reflecting the important shift in the historical framing of patients as passive recipients of care to active partners in safe and effective care delivery.<\/ns3:p>","DOI":"10.12688\/hrbopenres.14428.2","type":"journal-article","created":{"date-parts":[[2026,7,25]],"date-time":"2026-07-25T07:04:07Z","timestamp":1784963047000},"page":"45","update-policy":"https:\/\/doi.org\/10.12688\/hrbopenres.crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Involving adult inpatients, family, partners and\/or carers in measuring and monitoring patient safety in acute care hospitals: Protocol for an umbrella review"],"prefix":"10.12688","volume":"9","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3748-1744","authenticated-orcid":false,"given":"R\u00f3is\u00edn","family":"O'Malley","sequence":"first","affiliation":[{"name":"Irish Centre for Applied Patient Safety and Simulation, School of Medicine Galway County Galway University of Galway"},{"name":"Discipline of General Practice, School of Medicine Galway County Galway University of Galway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Caoimhe","family":"Madden","sequence":"additional","affiliation":[{"name":"Irish Centre for Applied Patient Safety and Simulation, School of Medicine Galway County Galway University of Galway"},{"name":"Discipline of Medical Education, School of Medicine Galway County Galway University of Galway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Paul","family":"O'Connor","sequence":"additional","affiliation":[{"name":"Discipline of General Practice, School of Medicine Galway County Galway University of Galway"},{"name":"Irish Centre for Applied Patient Safety and Simulation, School of Medicine Galway County Galway University of Galway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Warren","family":"Reilly","sequence":"additional","affiliation":[{"name":"Irish Centre for Applied Patient Safety and Simulation, School of Medicine Galway County Galway University of Galway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Elaine","family":"Toomey","sequence":"additional","affiliation":[{"name":"Centre for Health Research Methodology, School of Nursing and Midwifery Galway County Galway University of Galway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tom","family":"Reader","sequence":"additional","affiliation":[{"name":"Department of Psychological and Behavioural Science London England The London School of Economics and Political Science"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"John","family":"Fitzsimons","sequence":"additional","affiliation":[{"name":"Temple Street Dublin Children's Health Ireland"},{"name":"Clinical Director for Quality Improvement, National Quality and Patient Safety Dublin County Dublin Health Service Executive"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ronan","family":"Mahon","sequence":"additional","affiliation":[{"name":"Discipline of Economics, School of Business and Economics Galway County Galway University of Galway"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-5700-4350","authenticated-orcid":false,"given":"Sin\u00e9ad","family":"Lydon","sequence":"additional","affiliation":[{"name":"Discipline of General Practice, School of Medicine Galway County Galway University of Galway"},{"name":"Irish Centre for Applied Patient Safety and Simulation, School of Medicine Galway County Galway University of Galway"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"2560","published-online":{"date-parts":[[2026,7,25]]},"reference":[{"key":"ref1","doi-asserted-by":"crossref","first-page":"685-699","DOI":"10.1136\/bmjqs-2011-000213","article-title":"Can patients report patient safety incidents in a hospital setting? 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