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 凯瑟琳·M Mazor，联合项目负责人;托马斯H. Gallagher，联合项目负责人 癌症患者在护理中经常遇到问题，其中许多问题是由沟通引起的 故障一些沟通障碍会导致不良事件甚至有害的错误。 医患沟通的缺陷会加重患者的痛苦，降低护理质量， 破坏医患关系很少有关于患者和提供者的经验的研究， 导致不良事件和错误的沟通障碍，或对以下问题的有效反应 这些事件。正因为如此，癌症提供者不确定如何与这些患者沟通， 困难的情况。该研究的目的是改善以患者为中心的沟通 癌症治疗中的不良事件和错误。我们的具体目标是：1）描述患者的 在癌症护理中围绕不良事件和错误进行沟通的经验，2）描述 提供者在癌症护理中围绕不良事件和错误进行沟通的经验和实践， 3)制定实用建议，提供培训材料和患者教育材料， 改善癌症护理中不良事件和错误的沟通，4）传播 建议和材料，通过三个健康计划，和5）进行初步评估， 材料的实用性和影响力。我们将首先对乳房进行采访， 在3癌症研究网络中经历过不良事件或错误的结直肠癌患者 (CRN)健康计划（佐治亚州亚特兰大;华盛顿州西雅图和马萨诸塞州伍斯特）。访谈将集中在 患者认为更好的沟通可能会防止不良事件或错误，或 减轻了事件的影响。接下来，我们将进行焦点小组讨论，以了解供应商的态度， 这些沟通困境的经验，并使用模拟来描述供应商的 沟通实践。最后，我们将采访健康计划负责人，以确定 影响与患者就不良事件和错误进行沟通。这些观点将是 合成以创建患者和提供者教育材料，以改善沟通。三 咨询小组：病人咨询小组、健康计划咨询小组和传播咨询小组 小组（包括所有14个CRN健康计划）将帮助制定和传播这些教育干预措施。 传播将在三个核心临床中心进行。我们使用患者和提供者调查来评估 教材的影响。该评价将为完善研究产品提供证据基础 然后在CRN和其他地方广泛传播。该项目将具有以下优势： CRN基础设施，CRN临床沟通研究中心，并由国家领导 公认的通信研究者。

Effective Communication for Preventing and Responding to Oncology Adverse Events Kathleen M. Mazor, Co-Project Leader; Thomas H. Gallagher, Co-Project Leader Cancer patients often experience problems in their care, many of which are caused by communication breakdowns. Some communication breakdowns lead to adverse events and even harmful errors. Deficiencies in provider-patient communication can compound patients' distress, lower the quality of care, and disrupt patient-provider relationships. There is little research on patients' and providers' experiences of the communication breakdowns that precipitate adverse events and errors, or on effective responses to these events. Because of this, cancer providers are unsure how to communicate with patients in these difficult situations. The goal of the proposed study is to improve patient-centered communication around adverse events and errors in cancer care. Our specific aims are: 1) To describe patients' experiences with communication around adverse events and errors in cancer care, 2) To describe providers' experiences and practices with communication around adverse events and errors in cancer care, 3) To develop practical recommendations, provider training materials and patient educational materials for improving communication around adverse events and errors in cancer care, 4) To disseminate the recommendations and materials through three health plans, and 5) To conduct a preliminary evaluation of the perceived usefulness and impact of the materials. We will first conduct interviews with breast and colorectal cancer patients who have experienced adverse events or errors at 3 Cancer Research Network (CRN) health plans (Atlanta, GA; Seattle, WA and Worcester, MA). The interviews will focus on instances where patients believe that better communication might have prevented an adverse event or error, or mitigated the event's impact. Next we will conduct focus groups to understand providers' attitudes and experiences with these communication dilemmas, and use simulations to describe providers' communication practices. Finally, we will interview health plan leaders to identify the systems factors that influence communication with patients around adverse events and errors. These perspectives will be synthesized to create patient and provider educational material for improving communication. Three advisory panels: a Patient Advisory Panel, a Health Plan Advisory Panel and a Dissemination Advisory Panel (including all 14 CRN health plans) will help create and disseminate these educational interventions. Dissemination will occur at the three core clinical sites. We use patient and provider surveys to evaluate the educational materials' impact. This evaluation will provide the evidence-base to refine the study products before widespread dissemination throughout the CRN and beyond. The project will have the advantage of the CRN infrastructure, the CRN Clinical Communication Research Center, and is led by nationally recognized communication researchers.