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J Med Humanit. 2019 Jul 24. doi: 10.1007/s10912-019-09563-z. [Epub ahead of print]

Third Things as Inspiration and Artifact: A Multi-Stakeholder Qualitative Approach to Understand Patient and Family Emotions after Harmful Events.

Author information

1
Harvard Medical School, Boston, MA, USA. Elizabeth_gaufberg@hms.harvard.edu.
2
The Cambridge Health Alliance, Cambridge, MA, USA. Elizabeth_gaufberg@hms.harvard.edu.
3
University of Vermont, Burlington, VT, USA.
4
Harvard Medical School, Boston, MA, USA.
5
Beth Israel Deaconess Medical Center, Boston, MA, USA.

Abstract

Patient and family emotional harm after medical errors may be profound. At an Agency for Healthcare Research and Quality (AHRQ) conference to establish a research agenda on this topic, the authors used visual images as a gateway to personal reflections among diverse stakeholders. Themes identified included chaos and turmoil, profound isolation, organizational denial, moral injury and betrayal, negative effects on families and communities, importance of relational skills, and healing effects of human connection. The exercise invited storytelling, enabled psychological safety, and fostered further collaborative discussion. The authors discuss implications for quality/safety, educational innovation, and qualitative research.

KEYWORDS:

Apology and disclosure; Compassion; Conflict resolutions; Empathy; Health care quality; Hidden curriculum; Humanities; Interpersonal and communication skills; Medical culture; Medical error; Narrative; Patient experience of care; Patient/family advisors; Professionalism; Reflective practice

PMID:
31342297
DOI:
10.1007/s10912-019-09563-z

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