Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management最新文献_第3页

Because I knew you 因为我了解你

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2024-07-01 DOI: 10.1002/jhrm.21577

Robert F. Bunting Jr. PhD, MSA, CPHRM, CPHQ, MT(ASCP), DFASHRM, DSA

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Case law update 判例法更新。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2024-05-07 DOI: 10.1002/jhrm.21568

Christopher J. Allman JD, CPHRM, DFASHRM, Maggie Neustadt JD, CPHRM, DFASHRM

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Exploring the dynamics of physician-patient relationships: Factors affecting patient satisfaction and complaints 探索医患关系的动态：影响患者满意度和投诉的因素。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2024-05-05 DOI: 10.1002/jhrm.21567

Mehrnaz Mostafapour PhD, Jacqueline H. Fortier MSc, Gary Garber MD, FRCPC, FACP, FIDSA, CCPE

{"title":"Exploring the dynamics of physician-patient relationships: Factors affecting patient satisfaction and complaints","authors":"Mehrnaz Mostafapour PhD, Jacqueline H. Fortier MSc, Gary Garber MD, FRCPC, FACP, FIDSA, CCPE","doi":"10.1002/jhrm.21567","DOIUrl":"10.1002/jhrm.21567","url":null,"abstract":"This review identifes the factors influencing the relationship between physicians and patients that can lead to patients' dissatisfaction and medical complaints. Utilizing a systemic approach 92 studies were retrieved which included quantitative, qualitative, and mixed method studies. Through a thematic analysis of the literature, we identified three interrelated main themes that can influence the relationship between physicians and patients, patients' satisfaction, and the decision to file a medico-legal complaint. The main themes include patient and physician characteristics; the interpersonal relationship between physicians and patients; and the health care system and policies, with relevant subthemes. These themes are demonstrated in a descriptive model. The review suggests areas of focus for physicians who may wish to increase their awareness around the potential sources of relational problems with their patients. Identifying these issues may assist in improvements in the therapeutic relationship with patients, can reduce their medico-legal risk, and enhance the quality of their clinical practice. The findings can also be utilized to support andragogical principles for medical learners. The article can serve as a structured framework to identify potential problems and gaps to design and test effective interventions to mitigate these potential relational problems between physician-patient.","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"43 4","pages":"16-25"},"PeriodicalIF":0.0,"publicationDate":"2024-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhrm.21567","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140871752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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The evolution of healthcare risk management 医疗风险管理的演变。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2024-03-20 DOI: 10.1002/jhrm.21566

Robert F. Bunting Jr. PhD, MSA, CPHRM, CPHQ, MT(ASCP), DFASHRM, DSA

引用次数: 0

Application of broken windows theory to identify flow disruptions in neurosurgery procedure 应用破窗理论识别神经外科手术过程中的流程中断。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2024-01-30 DOI: 10.1002/jhrm.21565

Asfandyar Khan MSc, Aimen Farooq MD, Wissam Elfallal DO, Ravi Gandhi MD, Federico Vinas MD, Albert J. Boquet PhD

{"title":"Application of broken windows theory to identify flow disruptions in neurosurgery procedure","authors":"Asfandyar Khan MSc, Aimen Farooq MD, Wissam Elfallal DO, Ravi Gandhi MD, Federico Vinas MD, Albert J. Boquet PhD","doi":"10.1002/jhrm.21565","DOIUrl":"10.1002/jhrm.21565","url":null,"abstract":"Addressing flow disruptions (FDs) in neurosurgery requires a multifaceted approach. Strategies like improved communication protocols, minimizing interruptions, improving coordination among team, optimizing operating room layout, and promoting user-centered design can help mitigate the challenges and enhance the overall flow and safety of neurosurgical procedures. Thirty neurosurgery cases were observed at two tertiary care facilities. The data collected were from wheels into the operating room to wheels out from the operating room. Data points were categorized using a human factors taxonomy known as RIPCHORD-TWA (Realizing Improved Patient Care Through Human-Centered Operating Room Design for Threat Window Analysis). Of the 541 total disruptions observed, coordination issues were the most prevalent (26.25%), followed by layout issues (26.06%), issues related to interruption (22.55%), communication (22.37%), equipment issues (2.40%) and usability issues (0.37%) comprised the remainder of the observations. This translated into one disruption every 2.7 min. Instead of focusing exclusively on errors and adverse events, we propose conceptualizing the accumulation of disruptions as “threat windows” to analyze potential threats to the integrity of the care system. This perspective allows for the improved identification of system weaknesses or threats, affording us the ability to address these inefficiencies and intervene before errors and adverse events may occur.","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"43 4","pages":"7-15"},"PeriodicalIF":0.0,"publicationDate":"2024-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139643100","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Starting anew 重新开始

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2024-01-25 DOI: 10.1002/jhrm.21561

Robert F. Bunting Jr. PhD, MSA, CPHRM, CPHQ, MT(ASCP), DFASHRM, DSA

引用次数: 0

Case law update 判例法更新。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2024-01-05 DOI: 10.1002/jhrm.21564

Christopher J. Allman JD, CPHRM, DFASHRM

引用次数: 0

An analysis of medical malpractice claims against medical oncologists from a national database: Implications for safer practice 从国家数据库中分析针对肿瘤内科医生的医疗事故索赔：对更安全诊疗的启示。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2023-12-14 DOI: 10.1002/jhrm.21563

Jim W. Doolin MD, Adam C. Schaffer MD, MPH, Roy B. Tishler MD, PhD, Joseph O. Jacobson MD, MSc

{"title":"An analysis of medical malpractice claims against medical oncologists from a national database: Implications for safer practice","authors":"Jim W. Doolin MD, Adam C. Schaffer MD, MPH, Roy B. Tishler MD, PhD, Joseph O. Jacobson MD, MSc","doi":"10.1002/jhrm.21563","DOIUrl":"10.1002/jhrm.21563","url":null,"abstract":"Malpractice claims data include valuable information about patient safety. We used mixed methods to analyze claims against medical oncologists (MO) from 2008 to 2019 using a national database. MO claims were compared to a group of other internal medicine subspecialties (OIMS). Logistic regression was used to examine correlates of closing with an indemnity payment. A subset of claims against MO were thematically analyzed using a validated safety incident taxonomy as a framework. 456 claims against MO were compared with 5771 claims against OIMS. MO claims closed with indemnity payments 29.8% of the time versus OIMS 30.3% (p = 0.87). Median MO and OIMS indemnity payments were similar ($190,591 vs. $233,432; p = 0.20). Correlates of MO claims closing with payment included patient assessment, communication among providers, and safety and security as contributing factors. Thematic analysis identified provider cognitive error, adverse drug events and relational problems as the most common safety incidents. MO malpractice claims have similar outcomes to OIMS. We demonstrate the proof-of-concept of applying a safety incident taxonomy to medical malpractice. Finding ways to reduce patient exposure to provider cognitive errors, adverse drug reactions, and communication breakdowns should be strategic priorities for safer cancer care.","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"43 3","pages":"18-28"},"PeriodicalIF":0.0,"publicationDate":"2023-12-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhrm.21563","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138810220","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

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Medico-legal cases associated with older physicians’ cognitive ability to practice medicine 与老年医生行医认知能力相关的医学法律案件。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2023-11-22 DOI: 10.1002/jhrm.21562

Genevieve Casey MSc, MBBS, FRCPC, Karen Lemay RN, CPPS, Jun Ji MHA, Qian Yang MSc, Anna MacIntyre RN, Dianne Heroux BScN, Gary Garber MD FRCPC FACP FIDSA CCPE

{"title":"Medico-legal cases associated with older physicians’ cognitive ability to practice medicine","authors":"Genevieve Casey MSc, MBBS, FRCPC, Karen Lemay RN, CPPS, Jun Ji MHA, Qian Yang MSc, Anna MacIntyre RN, Dianne Heroux BScN, Gary Garber MD FRCPC FACP FIDSA CCPE","doi":"10.1002/jhrm.21562","DOIUrl":"10.1002/jhrm.21562","url":null,"abstract":"Background: Dementia increases as individuals age. Aging physicians represent a growing population. Studies have demonstrated there are physicians with cognitive impairments practicing medicine. The medico-legal consequences of physicians with cognitive impairments have not been investigated.Methods: The Canadian Medical Protective Association (CMPA) is a national medical association with 108,000 members who advise and assist doctors with medico-legal matters. They maintain a national repository of legal actions and complaints to regulatory bodies and hospitals. We looked at civil-legal and regulatory college cases closed over a 10-year period associated with physicians aged ≥55. A word search of the cases was conducted using “Dementia, Alzheimer, Cognitive impairment, Cognitive decline, Memory loss, Memory issues, Fit for/to practice.”Results: The CMPA closed 67,566 cases between 2012 and 2021 and 16% (10,599) involved members ≥55. A mixed methodology approach identified 65 cases associated with physician's cognitive ability to practice medicine. Of these 65 cases, the average age of physician was 71.3 (56.1–88.5). The proportion of cases where concern was associated with a physician's cognitive ability to practice medicine increased, from 0.2% of cases in 55–60-year-olds, to 7.7% in physicians over 80.Interpretation: As physicians age, concerns about cognitive impairment are more likely to contribute to medico-legal matters.","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"43 3","pages":"14-17"},"PeriodicalIF":0.0,"publicationDate":"2023-11-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/jhrm.21562","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138296206","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

A health system's journey to preventing workplace violence: Use of multidisciplinary teamwork to unify efforts across a health system 卫生系统预防工作场所暴力的历程：利用多学科团队合作统一整个卫生系统的努力。

Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management Pub Date : 2023-09-27 DOI: 10.1002/jhrm.21557

Jamie E. Malone MSN, RN, NPD-BC, Thomas P. Campbell MD, MPH, Ann M. Curtis MS

{"title":"A health system's journey to preventing workplace violence: Use of multidisciplinary teamwork to unify efforts across a health system","authors":"Jamie E. Malone MSN, RN, NPD-BC, Thomas P. Campbell MD, MPH, Ann M. Curtis MS","doi":"10.1002/jhrm.21557","DOIUrl":"10.1002/jhrm.21557","url":null,"abstract":"Workplace violence (WPV) is known to threaten the safety of patients and staff. In 2018, a wellness survey showed many employees had not received training on WPV prevention and felt unprepared to manage aggression. The health network's leaders knew they needed to take action. From various multidisciplinary committees, the leaders were able to create a comprehensive WPV prevention program. Some of the highlights of this program include forming a centralized security department, codes of conduct, and crisis response process, adopting tools to predict violence, and providing a range of education. Data from WPV events showed the health network had a statistically significant reduction in WPV events from 2020 to 2021. However, WPV events increased in 2022. This increase in 2022 mirrors national trends in WPV. There are a number of factors that may have impacted this increase. Regardless, the leaders at the health network are dedicated to continuously improving the WPV prevention program. Some of the ongoing projects include improving data collection methods and building a long-term notification for highly violent individuals. This WPV prevention program relies on the commitment of its multidisciplinary team members and focuses on taking care of patients while also prioritizing the wellness of the staff.","PeriodicalId":39819,"journal":{"name":"Journal of healthcare risk management : the journal of the American Society for Healthcare Risk Management","volume":"43 3","pages":"29-38"},"PeriodicalIF":0.0,"publicationDate":"2023-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41139134","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0