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Search results for "Hospitals"
Journal Article > Review
Srinivasa S, Gurney J, Koea J. JAMA Surg. 2019;154:451-457.
As many as half of all clinicians may be involved in a serious adverse event during their career, and these events may have profound professional consequences. This systematic review examined the effect of patient complications on surgeons' well-being. Patient complications had significant adverse consequences for surgeons' emotional health, to which surgeons responded with coping mechanisms ranging from adaptive (discussing cases with colleagues or utilizing professional support) to maladaptive (alcohol or substance use). Studies reported varying perceptions of institutional support. Many surgeons derived benefit from the support of trusted mentors or senior colleagues after a serious patient complication, but lack of formal organizational support was commonly noted. Surgeons reported taking various corrective actions after a complication, such as personal development and system-level quality improvement efforts. The authors make several recommendations for helping surgeons after complications, including developing formal structures to aid surgeons in the coping process. Books by British neurosurgeon Dr. Henry Marsh and patient safety leader Dr. Atul Gawande explore the professional and personal consequences of adverse events in vivid detail.
Accreditation Council for Graduate Medical Education.
Implementation of resident duty hours, meant to address fatigue in health care, has long been a subject of patient safety discussions. This website provides a summary of proposed changes to the current ACGME residency Common Program Requirements that shape working hours, offers rationale for the revisions.
Perspectives on Safety > Interview
Medical Education and Patient Safety, February 2010
Thomas J. Nasca, MD, is the executive director and chief executive officer of the Accreditation Council for Graduate Medical Education (ACGME). Prior to joining the ACGME in 2007, Dr. Nasca, a nephrologist, was dean of Jefferson Medical College and Senior Vice President for Academic Affairs of Thomas Jefferson University. We asked him to speak with us about the role of the ACGME in patient safety.
Perspectives on Safety > Perspective
with commentary by Arpana R. Vidyarthi, MD; Robert B. Baron, MD, MS, Medical Education and Patient Safety, February 2010
Clear health communication is increasingly recognized as essential for promoting patient safety. Yet according to a recent Joint Commission report, What Did the Doctor Say? Improving Health Literacy to Protect Patient Safety, communication problems among health care providers, patients, and families are common and a leading root cause of adverse outcomes.(1) Addressing health literacy—the capacity of individuals to obtain, process, and understand basic health information and services needed to make appropriate health decisions—has become a primary objective for many health systems in order to protect patients from harm.
Cases & Commentaries
- Spotlight Case
- Web M&M
Ernest J. Ring, MD; Jane E. Hirsch, RN, MS; October 2009
Cardiology consultation on an elderly man admitted to the orthopedic service following a hip fracture reveals aortic stenosis. The cardiologist recommends against surgery, due to the risk of anesthesia. When the nurse reads these recommendations to the orthopedic resident, he calls her "stupid" and contacts the OR to schedule the surgery anyway. The Chief Medical Officer is called to intervene.