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- Communication Improvement 3
- Education and Training 2
- Error Reporting and Analysis
- Human Factors Engineering 1
- Legal and Policy Approaches 2
- Quality Improvement Strategies 1
Search results for "Gynecology"
- Patient Disclosure
Journal Article > Commentary
ACOG Committee on Patient Safety and Quality Improvement and Committee on Professional Liability. Obstet Gynecol. 2016;128:e257-e261.
Disclosure of errors and adverse events is now endorsed by a broad array of organizations. This statement discusses the importance of disclosure and provides resources to help health care organizations develop policies and programs that support a blame-free, learning approach to error that encourages reporting.
Perspectives on Safety > Interview
Disclosing Errors and Other Innovations in Risk Management, March 2012
An attorney and chief risk officer for the University of Michigan Health System, Mr. Boothman developed a pioneering approach to medical mistakes and risk management, emphasizing an honest approach to errors, early apology, and rapid settlement offers when the system was at fault.
Journal Article > Study
Assessing residents' communication skills: disclosure of an adverse event to a standardized patient.
Posner G, Nakajima A. J Obstet Gynaecol Can. 2011;33:262-268.
Formal teaching of error disclosure techniques improved obstetrics and gynecology residents' ability to fully disclose adverse events.
Journal Article > Study
Wu AW, Huang IC, Stokes S, Pronovost PJ. J Gen Intern Med. 2009;24:1012-1017.
Error disclosure is an increasingly important skill for clinicians and was endorsed by the National Quality Forum as one of its "safe practices." Past studies have discussed the impact of error disclosure on malpractice liability, while toolkits and web resources have become increasingly available to guide providers. This study used a volunteer community sample of patients who were asked to observe error disclosure practices by physicians. Investigators found that patients responded more favorably to physicians who apologized and took responsibility for an error and that their perception of this interaction, rather than the actual words expressed, was more important. The authors advocate for continued error disclosure training among providers with further study of the impact of this training on patients' experiences in receiving such disclosure. A past AHRQ WebM&M perspective and conversation discuss the science and systems around error disclosure.
Cases & Commentaries
- Spotlight Case
- Web M&M
Charles Vincent, PhD; October 2003
Trusting his memory more than the chart, a surgeon directs a resident to remove the wrong side on a patient with unilateral vulvar cancer.