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https://www.readbyqxmd.com/read/29142538/patient-safety-awareness-among-postgraduate-students-and-nurses-in-a-tertiary-health-care-facility
#1
Attia Bari, Uzma Jabeen, Iqbal Bano, Ahsan Waheed Rathore
Objective: To determine the knowledge of patient safety among postgraduate residents (PGR) and nurses in a tertiary care hospital. Methods: This casual comparative study was conducted among the postgraduate residents and nurses working at The Children's Hospital Lahore in the month of July, August 2017. Both PGR and nurses were asked to complete APSQ-IV questionnaire about patient safety on 7 point Likert scale. Data was analyzed using SPSS version 20 and t-test was used to compare the mean score between two groups...
September 2017: Pakistan Journal of Medical Sciences Quarterly
https://www.readbyqxmd.com/read/29075381/a-checklist-to-help-faculty-assess-acgme-milestones-in-a-video-recorded-osce
#2
L Jane Easdown, Marsha L Wakefield, Matthew S Shotwell, Michael R Sandison
BACKGROUND : Faculty members need to assess resident performance using the Accreditation Council for Graduate Medical Education Milestones. OBJECTIVE : In this randomized study we used an objective structured clinical examination (OSCE) around the disclosure of an adverse event to determine whether use of a checklist improved the quality of milestone assessments by faculty. METHODS : In 2013, a total of 20 anesthesiology faculty members from 3 institutions were randomized to 2 groups to assess 5 videos of trainees demonstrating advancing levels of competency on the OSCE...
October 2017: Journal of Graduate Medical Education
https://www.readbyqxmd.com/read/29052704/patients-experiences-with-communication-and-resolution-programs-after-medical-injury
#3
MULTICENTER STUDY
Jennifer Moore, Marie Bismark, Michelle M Mello
Importance: Dissatisfaction with medical malpractice litigation has stimulated interest by health care organizations in developing alternatives to meet patients' needs after medical injury. In communication-and-resolution programs (CRPs), hospitals and liability insurers communicate with patients about adverse events, use investigation findings to improve patient safety, and offer compensation when substandard care caused harm. Despite increasing interest in this approach, little is known about patients' and family members' experiences with CRPs...
November 1, 2017: JAMA Internal Medicine
https://www.readbyqxmd.com/read/28904910/complications-acknowledging-managing-and-coping-with-human-error
#4
REVIEW
Sevann Helo, Carol-Anne E Moulton
Errors are inherent in medicine due to the imperfectness of human nature. Health care providers may have a difficult time accepting their fallibility, acknowledging mistakes, and disclosing errors. Fear of litigation, shame, blame, and concern about reputation are just some of the barriers preventing physicians from being more candid with their patients, despite the supporting body of evidence that patients cite poor communication and lack of transparency as primary drivers to file a lawsuit in the wake of a medical complication...
August 2017: Translational Andrology and Urology
https://www.readbyqxmd.com/read/28863125/ethical-considerations-on-disclosure-when-medical-error-is-discovered-during-medicolegal-death-investigation
#5
Dwayne A Wolf, Stacy A Drake, Francine K Snow
In the course of fulfilling their statutory role, physicians performing medicolegal investigations may recognize clinical colleagues' medical errors. If the error is found to have led directly to the patient's death (missed diagnosis or incorrect diagnosis, for example), then the forensic pathologist has a professional responsibility to include the information in the autopsy report and make sure that the family is appropriately informed. When the error is significant but did not lead directly to the patient's demise, ethical questions may arise regarding the obligations of the medical examiner to disclose the error to the clinicians or to the family...
December 2017: American Journal of Forensic Medicine and Pathology
https://www.readbyqxmd.com/read/28829995/factors-affecting-nursing-students-intention-to-report-medication-errors-an-application-of-the-theory-of-planned-behavior
#6
Merav Ben Natan, Ira Sharon, Marlen Mahajna, Sara Mahajna
BACKGROUND: Medication errors are common among nursing students. Nonetheless, these errors are often underreported. OBJECTIVES: To examine factors related to nursing students' intention to report medication errors, using the Theory of Planned Behavior, and to examine whether the theory is useful in predicting students' intention to report errors. DESIGN: This study has a descriptive cross-sectional design. SETTINGS: Study population was recruited in a university and a large nursing school in central and northern Israel...
August 15, 2017: Nurse Education Today
https://www.readbyqxmd.com/read/28816851/clinical-practice-guideline-safe-medication-use-in-the-icu
#7
Sandra L Kane-Gill, Joseph F Dasta, Mitchell S Buckley, Sandeep Devabhakthuni, Michael Liu, Henry Cohen, Elisabeth L George, Anne S Pohlman, Swati Agarwal, Elizabeth A Henneman, Sharon M Bejian, Sean M Berenholtz, Jodie L Pepin, Mathew C Scanlon, Brian S Smith
OBJECTIVE: To provide ICU clinicians with evidence-based guidance on safe medication use practices for the critically ill. DATA SOURCES: PubMed, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, CINAHL, Scopus, and ISI Web of Science for relevant material to December 2015. STUDY SELECTION: Based on three key components: 1) environment and patients, 2) the medication use process, and 3) the patient safety surveillance system...
September 2017: Critical Care Medicine
https://www.readbyqxmd.com/read/28759586/apology-in-cases-of-medical-error-disclosure-thoughts-based-on-a-preliminary-study
#8
Sonia Dahan, Dominique Ducard, Laurence Caeymaex
BACKGROUND: Disclosing medical errors is considered necessary by patients, ethicists, and health care professionals. Literature insists on the framing of this disclosure and describes the apology as appropriate and necessary. However, this policy seems difficult to put into practice. Few works have explored the function and meaning of the apology. OBJECTIVE: The aim of this study was to explore the role ascribed to apology in communication between healthcare professionals and patients when disclosing a medical error, and to discuss these findings using a linguistic and philosophical perspective...
2017: PloS One
https://www.readbyqxmd.com/read/28756146/two-year-experience-implementing-a-curriculum-to-improve-residents-patient-centered-communication-skills
#9
Amber W Trickey, Anna B Newcomb, Melissa Porrey, Franco Piscitani, Jeffrey Wright, Paula Graling, Jonathan Dort
OBJECTIVES: Surgery milestones from The Accreditation Council for Graduate Medical Education have encouraged a focus on training and assessment of residents' nontechnical skills, including communication. We describe our 2-year experience implementing a simulation-based curriculum, results of annual communication performance assessments, and resident evaluations. DESIGN: Eight quarterly modules were conducted on various communication topics. Former patient volunteers served as simulation participants (SP) who completed annual assessments using the Communication Assessment Tool (CAT)...
July 26, 2017: Journal of Surgical Education
https://www.readbyqxmd.com/read/28742712/specialist-physicians-attitudes-and-practice-patterns-regarding-disclosure-of-pre-referral-medical-errors
#10
Lesly A Dossett, Rondi M Kauffmann, Jay S Lee, Harkamal Singh, M Catherine Lee, Arden M Morris, Reshma Jagsi, Gwendolyn P Quinn, Justin B Dimick
OBJECTIVE: Our objective was to determine specialist physicians' attitudes and practices regarding disclosure of pre-referral errors. SUMMARY BACKGROUND DATA: Physicians are encouraged to disclose their own errors to patients. However, no clear professional norms exist regarding disclosure when physicians discover errors in diagnosis or treatment that occurred at other institutions before referral. METHODS: We conducted semistructured interviews of cancer specialists from 2 National Cancer Institute-designated Cancer Centers...
July 24, 2017: Annals of Surgery
https://www.readbyqxmd.com/read/28671908/development-of-the-barriers-to-error-disclosure-assessment-tool
#11
Darlene Welsh, Dominique Zephyr, Andrea L Pfeifle, Douglas E Carr, Joseph L Fink, Mandy Jones
OBJECTIVES: An interprofessional group of health colleges' faculty created and piloted the Barriers to Error Disclosure Assessment tool as an instrument to measure barriers to medical error disclosure among health care providers. METHODS: A review of the literature guided the creation of items describing influences on the decision to disclose a medical error. Local and national experts in error disclosure used a modified Delphi process to gain consensus on the items included in the pilot...
June 30, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/28671905/the-impact-of-incident-disclosure-behaviors-on-medical-malpractice-claims
#12
Priscila Giraldo, Luke Sato, Xavier Castells
OBJECTIVES: To provide preliminary estimates of incident disclosure behaviors on medical malpractice claims. METHODS: We conducted a descriptive analysis of data on medical malpractice claims obtained from the Controlled Risk Insurance Company and Risk Management Foundation of Harvard Medical Institutions (Cambridge, Massachusetts) between 2012 and 2013 (n = 434). The characteristics of disclosure and apology after medical errors were analyzed. RESULTS: Of 434 medical malpractice claims, 4...
June 30, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/28645408/disclosure-of-medical-errors
#13
EDITORIAL
(no author information available yet)
No abstract text is available yet for this article.
July 2017: Annals of Emergency Medicine
https://www.readbyqxmd.com/read/28594537/surgeon-patient-communication-disclosing-unanticipated-medical-outcomes-and-errors
#14
Michael R Marks
The disclosure of unanticipated medical outcomes and errors is essential as physicians strive to create a safer, higher quality healthcare delivery system. Physicians and other healthcare providers should use an organized approach to guide the disclosure of unanticipated medical outcomes and errors. An expression of sympathy or an apology on behalf of a physician depends on whether the medical outcome or error occurred after appropriate care (maloccurrence) or there was a deviation from the standard of care (malpractice)...
February 15, 2017: Instructional Course Lectures
https://www.readbyqxmd.com/read/28526169/the-second-victim-a-review
#15
REVIEW
B Coughlan, D Powell, M F Higgins
Amongst the lay and media population there is a perception that pregnancy, labour and delivery is always physiological, morbidity and mortality should be "never events" and that error is the only cause of adverse events. Those working in maternity care know that it is an imperfect art, where adverse outcomes and errors will occur. When errors do occur, there is a domino effect with three groups being involved - the patient (first victim), the staff (second victims) and the organization (third victims). If the perceived expectation of patients on all clinicians is that of perfection, then clinicians may suffer the consequences of adverse outcomes in isolation and silence...
June 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/28523743/applying-lessons-from-social-psychology-to-transform-the-culture-of-error-disclosure
#16
Jason Han, Denise LaMarra, Neha Vapiwala
CONTEXT: The ability to carry out prompt and effective error disclosure has been described in the literature as an essential skill among physicians that can lead to improved patient satisfaction, staff well-being and hospital outcomes. However, few studies have addressed the social psychology principles that may influence physician behaviour. METHODS: The authors provide an overview of recent administrative measures designed to encourage physicians to disclose error, but note that deliberate practice, buttressed with lessons from social psychology, is needed to implement further productive behavioural changes...
May 18, 2017: Medical Education
https://www.readbyqxmd.com/read/28492422/increasing-patient-clinician-concordance-about-medical-error-disclosure-through-the-patient-tips-model
#17
William Martinez, David Browning, Pamela Varrin, Barbara Sarnoff Lee, Sigall K Bell
OBJECTIVE: To test whether an educational model involving patients and family members (P/F) in medical error disclosure training for interprofessional clinicians can narrow existing gaps between clinician and P/F views about disclosure. METHOD: Parallel presurveys/postsurveys using Likert scale questions for clinicians and P/F. RESULTS: Baseline surveys were completed by 91% (50/55) of clinicians who attended the workshops and 74% (65/88) of P/F from a hospital patient and family advisory council...
May 10, 2017: Journal of Patient Safety
https://www.readbyqxmd.com/read/28490844/attitudes-of-dental-professional-staff-and-auxiliaries-in-riyadh-saudi-arabia-toward-disclosure-of-medical-errors
#18
Nora S Al-Nomay, Abdulghani Ashi, Aljohara Al-Hargan, Abdulaziz Alshalhoub, Emad Masuadi
AIM: To collect empirical data on the attitudes of dental professionals and dental auxiliaries in Riyadh, Saudi Arabia, regarding the disclosure of medical errors. METHODS: A cross-sectional study was conducted, involving the administration of a questionnaire to a sample of 586 participants recruited from over 10 government and private dental institutions in Riyadh between August 2015 and January 2016. The questionnaire collected information regarding participant opinions on (a) personal beliefs, norms, and practices regarding medical errors, (b) the nature of errors that should be disclosed, and (c) who should disclose errors...
April 2017: Saudi Dental Journal
https://www.readbyqxmd.com/read/28466465/what-constitutes-competent-error-disclosure-insights-from-a-national-focus-group-study-in-switzerland
#19
Annegret F Hannawa
The question is no longer whether to disclose an error to a patient. Many studies have established that medical errors are co-owned by providers and patients and thus must be disclosed. However, little evidence is available on the concrete communication skills and contextual features that contribute to patients' perceptions of "competent disclosures" as a key predictor of objective disclosure outcomes. This study operationalises a communication science model to empirically characterise what messages, behaviours and contextual factors Swiss patients commonly consider "competent" during medical error disclosures, and what symptoms and behaviours they experience in response to competent and incompetent disclosures...
May 3, 2017: Swiss Medical Weekly
https://www.readbyqxmd.com/read/28362155/pathologists-perspectives-on-disclosing-harmful-pathology-error
#20
Suzanne M Dintzis, Emily K Clennon, Carolyn D Prouty, Lisa M Reich, Joann G Elmore, Thomas H Gallagher
CONTEXT: - Medical errors are unfortunately common. The US Institute of Medicine proposed guidelines for mitigating and disclosing errors. Implementing these recommendations in pathology will require a better understanding of how errors occur in pathology, the relationship between pathologists and treating clinicians in reducing error, and pathologists' experiences with and attitudes toward disclosure of medical error. OBJECTIVE: - To understand pathologists' attitudes toward disclosing pathology error to treating clinicians and patients...
June 2017: Archives of Pathology & Laboratory Medicine
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