Improving Communication and Resolution Following Adverse Events Using a Patient-Created Simulation Exercise.
Improving Communication and Resolution Following Adverse Events Using a Patient-Created Simulation Exercise.
复制标题
使用患者创建的模拟练习改善不良事件后的沟通和解决。
DOI：
10.1111/1475-6773.12601
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发表时间：
2016
影响因子：
3.4
通讯作者：
Thomas,EricJ
中科院分区：
文献类型：
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作者：
Gallagher,ThomasH;Etchegaray,JasonM;Bergstedt,Brandelyn;Chappelle,AmeliaM;Ottosen,MadeleneJ;Sedlock,EmilyW;Thomas,EricJ
对不良事件的反应可能缺乏以患者为中心，这可能是因为相关机构和其他利益相关者误解了患者和家庭在护理失败后的经历。研究背景华盛顿和德克萨斯州。研究设计健康契约患者和家庭咨询理事会（PFAC）创建并领导了一个五阶段模拟演习，以帮助利益相关者了解患者在不良事件后的经历。半天的练习进行了两次。数据收集和分析从计划说明、参与者评估和练习讨论笔记中综合了与练习的开发和进行相关的经验教训。主要结果194人参加了练习（86人参加华盛顿和108人参加德克萨斯）。这些练习的收获包括，对不良事件的反应可能很复杂、孤立且不协调。参与这一模拟演习导致利益相关者和患者倡导者表示有兴趣继续collaboration.ConclusionsA PFAC设计的模拟可以帮助利益相关者了解患者和家庭的不良事件后的经验，并可能提高他们对这些事件的反应。
ObjectiveThe response to adverse events can lack patient‐centeredness, perhaps because the involved institutions and other stakeholders misunderstand what patients and families go through after care breakdowns.Study SettingWashington and Texas.Study DesignThe HealthPact Patient and Family Advisory Council (PFAC) created and led a five‐stage simulation exercise to help stakeholders understand what patients experience following an adverse event. The half‐day exercise was presented twice.Data Collection and AnalysisLessons learned related to the development and conduct of the exercise were synthesized from planning notes, attendee evaluations, and exercise discussion notes.Principal FindingsOne hundred ninety‐four individuals attended (86 Washington and 108 Texas). Take‐homes from these exercises included the fact that the response to adverse events can be complex, siloed, and uncoordinated. Participating in this simulation exercise led stakeholders and patient advocates to express interest in continued collaboration.ConclusionsA PFAC‐designed simulation can help stakeholders understand patient and family experiences following adverse events and potentially improve their response to these events.