@article{458, keywords = {interprofessional team, medical error disclosure, qualitative mixed methods, relational dialectics, southeastern United States, tensions}, author = {Mandy Jones and Jennifer Scarduzio and Elzaba Mathews and Paula Holbrook and Darlene Welsh and Lee Wilbur and Douglas Carr and Curtis Cary and Christopher I. Doty and James A. Ballard}, title = {Individual and Team-Based Medical Error Disclosure: Dialectical Tensions Among Health Care Providers.}, abstract = {

Researchers from disciplines of education, health communication, law and risk management, medicine, nursing, and pharmacy examined communication tensions among interprofessional (IP) health care providers regarding medical error disclosure utilizing patient simulation. Using relational dialectics theory, we examined how communication tensions manifested in both individual-provided medical error disclosure and IP team-based disclosure. Two dialectical tensions that health care providers experienced in disclosure conversations were identified: (a) leadership and support, and (b) transparency and protectionism. Whereas these tensions were identified in an IP education setting using simulation, findings support the need for future research in clinical practice, which may inform best practices for various disclosure models. Identifying dialectical tensions in disclosure conversations may enable health communication experts to effectively engage health care providers, risk management, and patient care teams in terms of support and education related to communicating about medical errors.

}, year = {2019}, journal = {Qual Health Res}, volume = {29}, pages = {1096-1108}, month = {12/2019}, issn = {1049-7323}, doi = {10.1177/1049732319837224}, language = {eng}, }