• Rachel E Davis, Anna Pinto, Nick Sevdalis, Charles Vincent, Rachel Massey, and Ara Darzi.
• Clinical Safety Research Unit, Department of Surgery and Cancer, QEQM, St. Mary's Hospital, London, UK. rachel.davis@imperial.ac.uk
• J Eval Clin Pract. 2012 Aug 1;18(4):848-53.

Rationale, Aims And ObjectivesPatients can play an important role in reducing health care harm. Finding strategies to encourage patients to take on an active role in issues related to the quality and safety of their care is therefore essential. The aim of this study was to examine patients' and health care professionals' attitudes towards a video aimed at promoting patient involvement in safety-related behaviours.MethodA within-subjects design was used where participants were required to complete a questionnaire pre and post screening of a patient safety video. Participants are 201 patients aged 19-103 years (mean 52) and 95 health care professionals aged 23-48 years (mean 32). Main outcome measures include (i) patients' willingness to participate and perceived importance in participating in safety-related behaviours; and (ii) health care professionals' willingness to support patient involvement.ResultsAfter watching the video patients elicited more positive attitudes towards asking doctors and nurses if they had washed their hands and notifying them about issues to do with personal hygiene. No significant effects were observed in relation to patients notifying staff if they have not received their medication or if they were in pain or feeling unwell. In relation to health care professionals, doctors and nurses were more willing to support patient involvement in asking about hand hygiene after they had watched the video.ConclusionVideo may be effective at changing patients' and health care professionals' attitudes towards patient involvement in some, but not all safety-related behaviours. Our findings suggest video may be most effective at encouraging involvement in behaviours patients are less inclined to participate in and health care professionals are less willing to support.© 2011 Blackwell Publishing Ltd.

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