Affiliation:
1. aPatient and Family Centered I-PASS SCORE Family Advisory Council, Boston, Massachusetts
2. bOffice of Experience
3. cPatient Safety and Quality Improvement Committee, St Christopher’s Hospital for Children, Philadelphia, Pennsylvania
4. dBoston Combined Residency Program
5. eInstitute for Nursing and Interprofessional Research, Children’s Hospital Los Angeles, Los Angeles, California
6. fDivision of General Pediatrics, Department of Pediatrics, Boston Children’s Hospital, Boston, Massachusetts
7. gDepartment of Pediatrics, Harvard Medical School, Boston, Massachusetts
Abstract
Coproduction—actively collaborating with key partners and end-users toward a shared goal—challenges the traditional medical hierarchy. Each partner brings unique perspectives, knowledge, expertise, values, and preferences. In pediatric hospital medicine, coproduction involves collaborating with partners often excluded from research, clinical care, quality improvement, and medical education, including patients/families, nurses, and trainees. This article describes strategies for applying coproduction, using multiple pediatric coproduction initiatives as case examples, including efforts of the Patient and Family Centered I-PASS Study Group over the past decade to apply coproduction to studies to reduce harmful medical errors and implement family-centered rounds communication interventions. We describe how coproduction can be applied to (1) research (eg, codesigning instruments, measuring patient-reported outcomes), (2) clinical care (eg, improving treatment effectiveness, shared decision-making), (3) quality improvement (eg, measuring and improving adherence to intervention components), and (4) medical education (eg, training families, nurses, and trainees about communication, providing disease-specific education). Successful coproduction involves attention to diversity, equity, inclusion, engagement, compensation, and team management. Coproduction can lead to higher quality, safer, more equitable care, improved content development and delivery, refined methods and implementation, and more salient learning for all.
Publisher
American Academy of Pediatrics (AAP)