Engaging older adults in diagnostic safety: implementing a diagnostic communication note sheet in a primary care setting.

IF 1.6 Q3 HEALTH CARE SCIENCES & SERVICES
Frontiers in health services Pub Date : 2025-01-13 eCollection Date: 2024-01-01 DOI:10.3389/frhs.2024.1474195
Alberta Tran, Leah Blackall, Mary A Hill, William Gallagher
{"title":"Engaging older adults in diagnostic safety: implementing a diagnostic communication note sheet in a primary care setting.","authors":"Alberta Tran, Leah Blackall, Mary A Hill, William Gallagher","doi":"10.3389/frhs.2024.1474195","DOIUrl":null,"url":null,"abstract":"<p><strong>Introduction: </strong>Adults over the age of 65 are at a higher risk for diagnostic errors due to a myriad of reasons. In primary care settings, a large contributor of diagnostic errors are breakdowns in information gathering and synthesis throughout the patient-provider encounter. Diagnostic communication interventions, such as the Agency for Healthcare Research and Quality's \"Be the Expert on You\" note sheet, may require adaptations to address older adults' unique needs.</p><p><strong>Methods: </strong>We recruited and partnered with older adult patients (<i>n</i> = 6) in focus group sessions to understand their perspectives on diagnostic communication and the existing AHRQ note sheet. A two-page communication and clinic workflow tool was developed and implemented over a 6-month period using three Plan-Do-Check-Act cycles. Physicians, nurses, staff, and patients were surveyed.</p><p><strong>Results: </strong>Most older adult patients (<i>n</i> = 31) found the tailored diagnostic communication note sheet to be easy-to-use, helpful for provider communication, and would recommend its use to other patients. Physicians and staff members were satisfied with the note sheet and described few challenges in using it in practice.</p><p><strong>Discussion: </strong>Our findings contribute to the growing body of evidence around diagnostic safety interventions and patient engagement by demonstrating the feasibility and benefits of actively involving older adult patients in quality initiatives.</p>","PeriodicalId":73088,"journal":{"name":"Frontiers in health services","volume":"4 ","pages":"1474195"},"PeriodicalIF":1.6000,"publicationDate":"2025-01-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11769972/pdf/","citationCount":"0","resultStr":null,"platform":"Semanticscholar","paperid":null,"PeriodicalName":"Frontiers in health services","FirstCategoryId":"1085","ListUrlMain":"https://doi.org/10.3389/frhs.2024.1474195","RegionNum":0,"RegionCategory":null,"ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/1/1 0:00:00","PubModel":"eCollection","JCR":"Q3","JCRName":"HEALTH CARE SCIENCES & SERVICES","Score":null,"Total":0}
引用次数: 0

Abstract

Introduction: Adults over the age of 65 are at a higher risk for diagnostic errors due to a myriad of reasons. In primary care settings, a large contributor of diagnostic errors are breakdowns in information gathering and synthesis throughout the patient-provider encounter. Diagnostic communication interventions, such as the Agency for Healthcare Research and Quality's "Be the Expert on You" note sheet, may require adaptations to address older adults' unique needs.

Methods: We recruited and partnered with older adult patients (n = 6) in focus group sessions to understand their perspectives on diagnostic communication and the existing AHRQ note sheet. A two-page communication and clinic workflow tool was developed and implemented over a 6-month period using three Plan-Do-Check-Act cycles. Physicians, nurses, staff, and patients were surveyed.

Results: Most older adult patients (n = 31) found the tailored diagnostic communication note sheet to be easy-to-use, helpful for provider communication, and would recommend its use to other patients. Physicians and staff members were satisfied with the note sheet and described few challenges in using it in practice.

Discussion: Our findings contribute to the growing body of evidence around diagnostic safety interventions and patient engagement by demonstrating the feasibility and benefits of actively involving older adult patients in quality initiatives.

让老年人参与诊断安全:在初级医疗机构实施诊断交流记录单。
导读:由于各种原因,65岁以上的成年人诊断错误的风险更高。在初级保健环境中,诊断错误的主要原因是在整个患者与提供者接触过程中信息收集和综合的失败。诊断性沟通干预措施,如医疗保健研究和质量机构的“成为你的专家”笔记表,可能需要进行调整,以满足老年人的独特需求。方法:我们在焦点小组会议中招募并与老年患者(n = 6)合作,了解他们对诊断沟通和现有AHRQ笔记表的看法。通过三个计划-执行-检查-行动周期,开发并实施了一个两页的沟通和临床工作流程工具。对医生、护士、工作人员和患者进行了调查。结果:大多数老年患者(n = 31)认为定制的诊断沟通记录表易于使用,有助于医生沟通,并会向其他患者推荐使用。医生和工作人员对笔记表感到满意,并描述了在实践中使用它的一些挑战。讨论:我们的研究结果通过证明积极让老年患者参与质量倡议的可行性和益处,为围绕诊断安全干预和患者参与提供了越来越多的证据。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
求助全文
约1分钟内获得全文 求助全文
来源期刊
CiteScore
1.00
自引率
0.00%
发文量
0
×
引用
GB/T 7714-2015
复制
MLA
复制
APA
复制
导出至
BibTeX EndNote RefMan NoteFirst NoteExpress
×
提示
您的信息不完整,为了账户安全,请先补充。
现在去补充
×
提示
您因"违规操作"
具体请查看互助需知
我知道了
×
提示
确定
请完成安全验证×
copy
已复制链接
快去分享给好友吧!
我知道了
右上角分享
点击右上角分享
0
联系我们:info@booksci.cn Book学术提供免费学术资源搜索服务,方便国内外学者检索中英文文献。致力于提供最便捷和优质的服务体验。 Copyright © 2023 布克学术 All rights reserved.
京ICP备2023020795号-1
ghs 京公网安备 11010802042870号
Book学术文献互助
Book学术文献互助群
群 号:481959085
Book学术官方微信