Third Things as Inspiration and Artifact: A Multi-Stakeholder Qualitative Approach to Understand Patient and Family Emotions after Harmful Events

被引：13

作者：

Gaufberg, Elizabeth ^{[1
,2
]}

Olmsted, Molly Ward ^{[3
]}

Bell, Sigall K. ^{[1
,4
]}

机构：

[1] Harvard Med Sch, Boston, MA 02115 USA

[2] Cambridge Hlth Alliance, Cambridge, MA 02139 USA

[3] Univ Vermont, Burlington, VT USA

[4] Beth Israel Deaconess Med Ctr, Boston, MA 02215 USA

来源：

JOURNAL OF MEDICAL HUMANITIES | 2019年 / 40卷 / 04期

基金：

美国医疗保健研究与质量局;

关键词：

Health care quality; Medical error; Humanities; Reflective practice; Professionalism; Interpersonal and communication skills; Medical culture; Hidden curriculum; Apology and disclosure; Conflict resolutions; Narrative; Empathy; Compassion; Patient; family advisors; Patient experience of care; MEDICAL-EDUCATION; PHYSICIANS; DISCLOSURE; PERSPECTIVE; WISDOM; SAFETY;

D O I：

10.1007/s10912-019-09563-z

中图分类号：

C [社会科学总论];

学科分类号：

03 ; 0303 ;

摘要：

Patient and family emotional harm after medical errors may be profound. At an Agency for Healthcare Research and Quality (AHRQ) conference to establish a research agenda on this topic, the authors used visual images as a gateway to personal reflections among diverse stakeholders. Themes identified included chaos and turmoil, profound isolation, organizational denial, moral injury and betrayal, negative effects on families and communities, importance of relational skills, and healing effects of human connection. The exercise invited storytelling, enabled psychological safety, and fostered further collaborative discussion. The authors discuss implications for quality/safety, educational innovation, and qualitative research.

引用

页码：489 / 504

页数：16

共 41 条

[1]

[Anonymous], QUAL SOCIOL

[2] Coproduction of healthcare service [J].

Batalden, Maren ;

Batalden, Paul ;

Margolis, Peter ;

Seid, Michael ;

Armstrong, Gail ;

Opipari-Arrigan, Lisa ;

Hartung, Hans .

BMJ QUALITY & SAFETY, 2016, 25 (07) :509-517

[3] Brain networks underlying novel metaphor production [J].

Beaty, Roger E. ;

Silvia, Paul J. ;

Benedek, Mathias .

BRAIN AND COGNITION, 2017, 111 :163-170

[4] A Multi-Stakeholder Consensus-Driven Research Agenda for Better Understanding and Supporting the Emotional Impact of Harmful Events on Patients and Families [J].

Bell, Sigall K. ;

Etchegaray, Jason M. ;

Gaufberg, Elizabeth ;

Lowe, Elizabeth ;

Ottosen, Madelene J. ;

Sands, Kenneth E. ;

Lee, Barbara Sarnoff ;

Thomas, Eric J. ;

Van Niel, Melinda ;

Kenney, Linda .

JOINT COMMISSION JOURNAL ON QUALITY AND PATIENT SAFETY, 2018, 44 (07) :424-435

[5]

Center for Creative Leadership, 2017, VIS EXPL FAC GUID

[6]

Cooperrider D.L., 1987, RES ORG CHANGE DEV, V1, P129

[7] Guilty, afraid, and alone - Struggling with medical error [J].

Delbanco, Tom ;

Bell, Sigall K. .

NEW ENGLAND JOURNAL OF MEDICINE, 2007, 357 (17) :1682-1683

[8] The wisdom of patients and families: ignore it at our peril [J].

Donaldson, Liam J. .

BMJ QUALITY & SAFETY, 2015, 24 (10) :603-604

[9]

Franklin RW, 2005, POEMS E DICKINSON RE

[10] Patients' physicians' attitudes regarding the disclosure of medical errors [J].

Gallagher, TH ;

Waterman, AD ;

Ebers, AG ;

Fraser, VJ ;

Levinson, W .

JAMA-JOURNAL OF THE AMERICAN MEDICAL ASSOCIATION, 2003, 289 (08) :1001-1007

← 1 2 3 4 5 →