#AMERICAN MEDICAL CONFERENCES 2016 HOW TO#
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A just culture recognizes that competent professionals make mistakes and acknowledges that even competent professionals may develop unhealthy norms, but has zero tolerance for reckless behavior 11.

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Promoting a just culture enables frontline personnel to feel comfortable disclosing errors while maintaining professional accountability. Removing blame, however, does not eliminate individual responsibility. To reduce these concerns, health care facilities should establish a nonpunitive, blame-free culture that encourages staff to report adverse events and near misses (close calls) without fear of retaliation.

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Patient advocacy groups, patient safety experts, ethicists, policy makers, accrediting organizations, and physician groups all advocate the adoption of policies related to the disclosure and discussion of adverse events 7.īarriers to full disclosure are many and include fear of retribution for reporting an adverse event, lack of training, a culture of blame, and fear of lawsuits 8 9 10. The call for health care organizations to develop processes for full disclosure is broad based. Research demonstrates that disclosure of adverse events is associated with higher ratings of quality by patients, an improved rate of recovery, a decrease in the number of malpractice suits, and a decrease in the average settlement amount 5 6. Surveys have shown that patients are less likely to pursue litigation if they perceive that the event was honestly disclosed 3 4.

Studies show that after an adverse outcome, patients expect and want timely and full disclosure of the event, an acknowledgement of responsibility, an understanding of what happened, expressions of sympathy, and a discussion of what is being done to prevent recurrence 1 2. Beyond disclosure, health care teams also must look to each other, identifying and assisting health care practitioners and ancillary staff who become deeply affected by the adverse outcomes-the so-called second victims.ĭisclosing information about adverse events has benefits for the patient and the physician and, ideally, strengthens the patient–physician relationship and promotes trust.

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Thus, health care practitioners and institutions should understand how to best disclose and discuss adverse events with patients and their families. Most importantly, these events affect patients, but they also affect health care practitioners. A commitment on the part of all health care practitioners and institutions to establish programs and develop the tools needed to help patients, families, health care practitioners, and staff members deal with adversity is essential.Īdverse outcomes, preventable or otherwise, are a reality of medical care. Having a responsive process to inform and aid the patient, loved ones, and practitioners is required. Health care institutions should have written policies that address the management of adverse events. To reduce these concerns, it is recommended that health care facilities establish a nonpunitive, blame-free culture that encourages staff to report adverse events and near misses (close calls) without fear of retaliation. Barriers to full disclosure are many and include fear of retribution for reporting an adverse event, lack of training, a culture of blame, and fear of lawsuits. Surveys have shown that patients are less likely to pursue litigation if they perceive that the event was honestly disclosed. Studies show that after an adverse outcome, patients expect and want timely and full disclosure of the event, an acknowledgment of responsibility, an understanding of what happened, expressions of sympathy, and a discussion of what is being done to prevent recurrence. Disclosing information about adverse events has benefits for the patient and the physician and, ideally, strengthens the patient–physician relationship and promotes trust. Most importantly, adverse events affect patients, but they also affect health care practitioners. ABSTRACT: Adverse outcomes, preventable or otherwise, are a reality of medical care.

American medical conferences 2016