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Search results for "Transparency and Accountability"
- Information Professionals
- Transparency and Accountability
Journal Article > Commentary
Blease CR, Bell SK. Diagnosis (Berl). 2019 Apr 30; [Epub ahead of print].
Despite growing support for patient involvement in safety and quality improvement, little is known about engaging patients as partners in reducing diagnostic error. This commentary summarizes research on how sharing notes with patients can improve the timeliness of follow-up to confirm a diagnosis, identify documentation errors, and strengthen communication between the clinical team and the patient. The authors discuss challenges to the successful implementation of this strategy and areas of focus needed for future development. A PSNet interview discussed use of OpenNotes to engage patients in their care.
Legislation/Regulation > Sentinel Event Alerts
Sentinel Event Alert. December 10, 2018;(60):1-8.
Although adverse events and near misses are common in health care, they are almost ubiquitously underreported. Barriers to reporting include health care provider fear of repercussions, insufficient integration of reporting systems into the electronic health record, and cultural factors. This new sentinel event alert explores how organizations can change their culture to promote reporting. It highlights bright spots: organizations that use a just culture approach to investigating errors, celebrate employees who report safety hazards, and whose leaders prioritize reporting. The Joint Commission proposes actions for all organizations to take, including developing incident reporting systems, promoting leadership buy-in, engaging in systemwide communication, and implementing transparent accountability structures. An Annual Perspective reviewed the context of the no-blame movement and the recent shift toward a framework of a just culture.
Journal Article > Commentary
Ratwani RM, Hodgkins M, Bates DW. JAMA. 2018;320:2533-2534.
Transparency in health care has been heralded as a cornerstone to improvement. This commentary spotlights how electronic health record vendors prevent health care organizations from sharing information about usability and safety issues, hindering efforts to research weaknesses and design improvements for electronic health records.
Boodman SG. Washington Post. March 26, 2018.
Although providing patients with access to physician notes and test results supports transparency and patient engagement, it can also introduce certain challenges. This newspaper article reports on unintended psychological stresses associated with direct patient access to test results without appropriate contextual information. Improvement strategies include use of graphics, timely patient-centered communication, and scheduling appointments to discuss results. A PSNet perspective explored how patient-facing technologies can empower patients and improve safety.
Journal Article > Study
Choice, transparency, coordination, and quality among direct-to-consumer telemedicine websites and apps treating skin disease.
Resneck JS Jr, Abrouk M, Steuer M, et al. JAMA Dermatol. 2016;152:768-775.
Telemedicine is being more widely used in order to increase access to care. A relatively new aspect of telemedicine is direct-to-consumer telemedicine, including teledermatology. Using secret shoppers who submitted photographs and clinical information to teledermatology sites, this study found poor diagnostic accuracy and failure to elicit important information. Other studies have also raised concerns about the diagnostic accuracy of virtual clinical visits.