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Search results for "Communication Improvement"
- Communication Improvement
- Non-Health Care Professionals
- Psychological and Social Complications
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Journal Article > Commentary
Shapiro J, Galowitz P. Acad Med. 2016;91:1200-1204.
Peer support programs can help clinicians cope with symptoms of burnout. This commentary describes a well-established program that emphasizes one-on-one counseling for vulnerable clinicians and offers insights on its development and structure. The authors provide specific steps toward initiating appropriate and effective support for clinicians when they need it.
Journal Article > Study
Hannawa AF. Patient Educ Couns. 2014;94:310-313.
To evaluate how nonverbal communication affects patients' perceptions of disclosure, this video vignette study compared two medical error disclosures that were verbally effective, one with engaged nonverbal communication and another without. Nonverbal communication included appropriate body orientation, head nodding, and smiling. Patients who watched the vignette with engaged nonverbal communication demonstrated better understanding of the error, underscoring the value of empathy in disclosing adverse events.
Legislation/Regulation > Sentinel Event Alerts
A follow-up report on preventing suicide: focus on medical/surgical units and the emergency department.
Sentinel Event Alert. 2010 Nov 17;(46):1-4.
Suicide among hospitalized patients remains an under-recognized never event, as it has ranked among the most common sentinel events reported to The Joint Commission over the past decade. While specialized psychiatric units are designed and staffed to minimize suicide risk, emergency departments and general medical wards are not, and prior research has shown that a significant proportion of inpatient suicide attempts occur in these settings. This Sentinel Event Alert reviews risk factors for inpatient suicide, and delineates prevention strategies hospitals can use to minimize risk. A case of an inpatient suicide attempt on a general medical ward is discussed in this AHRQ WebM&M commentary.
Journal Article > Study
Iedema R, Jorm C, Wakefield J, Ryan C, Sorensen R. J Lang Social Psychol. 2009;28:139-157.
Open disclosure is an important principle and policy in health care, with varying views on its implementation among providers and varying practices in different countries. This article discusses the broad context of an open disclosure policy and provides an empirical analysis of the impact on clinicians.
Journal Article > Review
McDonnell WM, Guenther E. Ann Intern Med. 2008;149:811-815.
Multiple studies have demonstrated that patients clearly want errors to be fully disclosed, and desire that clinicians apologize for the errors. However, clinicians frequently cite fear of malpractice lawsuits as a reason to avoid apologizing for an error. This study reviewed statutes from all 50 states to determine the current legal climate regarding physician apologies. Thirty-six states have enacted apology laws. Of these, 28 states prohibit "expressions of sympathy" from being used as evidence in a malpractice suit, but "admissions of fault" (i.e., full disclosure of an error) are protected in only 8 states. Most of these laws were enacted within the past 3 years, and thus the authors were unable to determine their effect on patient–physician communication of errors. A prior study used economic modeling to forecast that full disclosure of errors, with or without legal protection, would likely lead to an overall increase in malpractice lawsuits.