• Commentary
  • Published November 2017

A piece of my mind. Despite my best intentions.

Kahn JS. JAMA. 2017;318:1653-1654.

End-of-life care can be difficult for patients, families, and the care team. This commentary offers insights from a physician's experience with a conversation that was psychologically detrimental to a patient and his family. The author suggests that focusing on the empathetic relationship with patients and families can provide the support needed to care for the patient while exercising judgement and engaging in shared decision making about next steps.

PubMed citation Available at Disclaimer

Related Resources

Journal Article › Review

Association of emotional intelligence with malpractice claims: a review.

Shouhed D, Beni C, Manguso N, IsHak WW, Gewertz BL. JAMA Surg. 2019 Jan 30; [Epub ahead of print].

Journal Article › Commentary

Engineering a foundation for partnership to improve medication safety during care transitions.

Xiao Y, Abebe E, Gurses AP. J Patient Saf Risk Manag. 2019 Jan 11; [Epub ahead of print].

Journal Article › Study

Patient safety after implementation of a coproduced family centered communication programme: multicenter before and after intervention study.

Khan A, Spector ND, Baird JD, et al. BMJ. 2018;363:k4764.

Journal Article › Study

Prevalence of and factors associated with patient nondisclosure of medically relevant information to clinicians.

Levy AG, Scherer AM, Zikmund-Fisher BJ, Larkin K, Barnes GD, Fagerlin A. JAMA Netw Open. 2018;1:e185293.

Journal Article › Study

Case-based simulation empowering pediatric residents to communicate about diagnostic uncertainty.

Olson ME, Borman-Shoap E, Mathias K, Barnes TL, Olson APJ. Diagnosis (Berl). 2018;5:243-248.

Legislation/Regulation › Organizational Policy/Guidelines

Principles for Patient and Family Partnership in Care: An American College of Physicians Position Paper.

Nickel WK, Weinberger SE, Guze PA; Patient Partnership in Healthcare Committee of the American College of Physicians. Ann Intern Med. 2018;169:796-799.

Newspaper/Magazine Article

Check your medical records for dangerous errors.

Graham J. Kaiser Health News. November 21, 2018.

Press Release/Announcement

FDA Safety Communication: use caution with implanted pumps for intrathecal administration of medicines for pain management.

MedWatch Safety Alert. Silver Spring, MD: US Food and Drug Administration; November 14, 2018.

Journal Article › Commentary

Holding out for an apology.

BMJ. 2018;363:k3033.

Journal Article › Study

Learning from patients' experiences related to diagnostic errors is essential for progress in patient safety.

Giardina TD, Haskell H, Menon S, et al. Health Aff (Milwood). 2018;37:1821-1827.

Newspaper/Magazine Article

The star of the diagnostic journey: assessing patient perspectives.

Gipson K. PA-PSRS Pa Patient Saf Advis. 2018 Oct 31;15(suppl 1):39-45.

Journal Article › Study

Provider interruptions and patient perceptions of care: an observational study in the emergency department.

Schneider A, Wehler M, Weigl M. BMJ Qual Saf. 2018 Oct 18; [Epub ahead of print].

Journal Article › Study

Patient groups, clinicians and healthcare professionals agree—all test results need to be seen, understood and followed up.

Dahm MR, Georgiou A, Herkes R, et al. Diagnosis (Berl). 2018;5:215-222.

Journal Article › Study

Assessment of attitudes toward deprescribing in older Medicare beneficiaries in the United States.

Reeve E, Wolff JL, Skehan M, Bayliss EA, Hilmer SN, Boyd CM. JAMA Intern Med. 2018;178:1673-1680.

Journal Article › Commentary

Defensive medicine: it is time to finally slow down an epidemic.

Vento S, Cainelli F, Vallone A. World J Clin Cases. 2018;6:406-409.

Journal Article › Commentary

Ten principles for more conservative, care-full diagnosis.

Schiff GD, Martin SA, Eidelman DH, et al. Ann Intern Med. 2018;169:643-645.

Newspaper/Magazine Article

Speaking up for safety—it’s not simple.

Liberatore K. PA-PSRS Patient Saf Advis. 2018;15(3).

Journal Article › Review

Patient-mediated interventions to improve professional practice.

Fønhus MS, Dalsbø TK, Johansen M, Fretheim A, Skirbekk H, Flottorp SA. Cochrane Database Syst Rev. 2018;9:CD012472.

Perspectives on Safety

In Conversation With… Rebecca Lawton, PhD

Perspectives on Safety

In Conversation With… Sigall K. Bell, MD

Journal Article › Study

Failures in the respectful care of critically ill patients.

Law AC, Roche S, Reichheld A, et al. Jt Comm J Qual Patient Saf. 2018 Aug 28; [Epub ahead of print].

Journal Article › Study

Patient participation in patient safety—an exploration of promoting factors.

Sahlström M, Partanen P, Azimirad M, Selander T, Turunen H. J Nurs Manag. 2019;27:84-92.

Journal Article › Commentary

The role of the patient in patient safety: what can we learn from healthcare's history?

Leistikow I, Huisman F. J Patient Saf Risk Manag. 2018;23:139-141.

Newspaper/Magazine Article

With scarce access to interpreters, immigrants struggle to understand doctors' orders.

Eldred SM. Health Shots. National Public Radio. August 15, 2018.

Newspaper/Magazine Article

The doctor doesn't listen to her. But the media is starting to.

Fetters A. The Atlantic. August 10, 2018.

View More
Back to Top