Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture

使用团队模拟改善对患者的错误披露和安全文化

基本信息

  • 批准号:
    7288294
  • 负责人:
  • 金额:
    $ 29.97万
  • 依托单位:
  • 依托单位国家:
    美国
  • 项目类别:
  • 财政年份:
    2006
  • 资助国家:
    美国
  • 起止时间:
    2006-09-30 至 2009-09-30
  • 项目状态:
    已结题

项目摘要

DESCRIPTION (PROVIDED BY APPLICANT): Transparency is the cornerstone of a positive patient safety culture. Yet harmful errors are frequently not disclosed to patients, diminishing satisfaction and impairing healthcare quality. Important disclosure barriers include healthcare workers' lack of prior training as well as insufficient consideration of healthcare teams' role in disclosure. Following errors, teams of healthcare workers must reach consensus on difficult issues such as whether the event was an error, blame and responsibility, and whether to disclose the event. Our prior published experience suggests that simulation using standardized patients is an ideal modality for training healthcare workers to communicate more effectively with each other and with patients following errors. Therefore, we propose a pre/post simulation project with the following specific aims: 1) To determine whether team-based simulation training enhances healthcare workers' knowledge, attitudes, and skills in disclosing harmful errors to patients; 2) To determine whether team-based simulation training improves healthcare workers' knowledge, attitudes, and skills about team-communication; 3) To determine whether coaches demonstrate enhanced knowledge, attitudes, and skills compared to participants around team-based disclosure conversations. Participants represent diverse practice settings, and include 70 physicians and nurses, and 12 disclosure coaches from 4 University of Washington hospitals and a large health maintenance organization. The simulation involves teams responding to two cases of harmful errors by: 1) discussing the event, responsibility and blame, why the error happened, and how recurrences will be prevented; 2) planning whether and how to disclose the event to the patient; 3) disclosing the error to a standardized patient. A disclosure coach will help the teams discuss the error, plan the disclosure, and provide feedback. To enhance the clinical realism, a "standardized team member" (trained actor) will ensure teams confront key challenges such as discussing blame and resolving conflicts. The primary outcome is a pre/post analysis of the simulations' impact on healthcare workers' team communication and disclosure knowledge, attitudes, and skills as measured by a web-based assessment. Improving team communication and disclosure following harmful errors can enhance transparency and safety culture, increase patient satisfaction, and ultimately promote patient safety.
描述(由申请人提供):透明度是积极的患者安全文化的基石。然而,有害的错误往往不会向患者披露,从而降低了满意度并损害了医疗保健质量。重要的信息披露障碍包括卫生保健工作者缺乏事先培训以及对卫生保健团队在信息披露中的作用考虑不足。在发生错误后,医护人员团队必须就诸如事件是否为错误、责任和责任以及是否披露事件等棘手问题达成共识。我们之前发表的经验表明,使用标准化患者进行模拟是培训医护人员更有效地相互沟通以及与出现错误的患者进行沟通的理想方式。因此,我们提出了一个前后模拟项目,其具体目的如下:1)确定基于团队的模拟培训是否能提高医护人员的知识、态度和技能

项目成果

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THOMAS Henry GALLAGHER其他文献

THOMAS Henry GALLAGHER的其他文献

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{{ truncateString('THOMAS Henry GALLAGHER', 18)}}的其他基金

ACHIEVING BETTER CANCER DIAGNOSIS (ABCD): Identifying, supporting, and learning from marginalized patients who experience delayed cancer diagnosis
实现更好的癌症诊断 (ABCD):识别、支持癌症诊断延迟的边缘化患者并向其学习
  • 批准号:
    10708958
  • 财政年份:
    2022
  • 资助金额:
    $ 29.97万
  • 项目类别:
ACHIEVING BETTER CANCER DIAGNOSIS (ABCD): Identifying, supporting, and learning from marginalized patients who experience delayed cancer diagnosis
实现更好的癌症诊断 (ABCD):识别、支持癌症诊断延迟的边缘化患者并向其学习
  • 批准号:
    10640529
  • 财政年份:
    2022
  • 资助金额:
    $ 29.97万
  • 项目类别:
CRP Certification: Promoting Accountability and Learning After Adverse Events
CRP 认证:在不良事件发生后促进问责制和学习
  • 批准号:
    9072668
  • 财政年份:
    2016
  • 资助金额:
    $ 29.97万
  • 项目类别:
Communication to Prevent and Respond to Medical Injuries: WA State Collaborative
预防和应对医疗伤害的沟通:西澳州合作组织
  • 批准号:
    8016114
  • 财政年份:
    2010
  • 资助金额:
    $ 29.97万
  • 项目类别:
Training Doctors to Disclose Unanticipated Outcomes to Patients: Randomized Trial
培训医生向患者披露意外结果:随机试验
  • 批准号:
    7925570
  • 财政年份:
    2008
  • 资助金额:
    $ 29.97万
  • 项目类别:
Training Doctors to Disclose Unanticipated Outcomes to Patients: Randomized Trial
培训医生向患者披露意外结果:随机试验
  • 批准号:
    8145644
  • 财政年份:
    2008
  • 资助金额:
    $ 29.97万
  • 项目类别:
Effective Communication for Preventing and Responding to Oncology Adverse Events
预防和应对肿瘤不良事件的有效沟通
  • 批准号:
    7612914
  • 财政年份:
    2008
  • 资助金额:
    $ 29.97万
  • 项目类别:
Training Doctors to Disclose Unanticipated Outcomes to Patients: Randomized Trial
培训医生向患者披露意外结果:随机试验
  • 批准号:
    7689191
  • 财政年份:
    2008
  • 资助金额:
    $ 29.97万
  • 项目类别:
Using Team Simulation to Improve Error Disclosure to Patients and Safety Culture
使用团队模拟改善对患者的错误披露和安全文化
  • 批准号:
    7236283
  • 财政年份:
    2006
  • 资助金额:
    $ 29.97万
  • 项目类别:
Enhancing the Disclosure of Medical Errors to Patients
加强向患者披露医疗错误
  • 批准号:
    6704397
  • 财政年份:
    2003
  • 资助金额:
    $ 29.97万
  • 项目类别:

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