WIHI - A Podcast from the Institute for Healthcare Improvement
Health & Fitness:Medicine
Date: February 10, 2011
Featuring:
Every now and again, a physician begins writing a regular column for a publication and you find yourself hooked before you know it. Part of it has to do with our being offered a way to better understand “how doctors think” and what they think about.
In the case of Pauline Chen, what stands out is her frank honesty about what works and what isn’t working in medicine, not only affecting patients, but the ways physicians interact with one another, and with other practitioners. Many of Dr. Chen’s columns spring from her day-to-day experiences — from confronting assumptions about patients that physicians hold onto to confronting one’s own loss of confidence after making a mistake.
Here’s an excerpt from her May 2010 New York Times column, "When Patients Share Their Stories, Health May Improve":
"Devastated, I withdrew my needle and quickly took steps to confirm, then care for, his punctured lung. But a few days later in the ICU when one of the heart surgeons asked me to place a central line in another patient, I couldn’t help but hesitate. He repeated himself and then I confessed. I had lost my nerve with this once seemingly straightforward procedure."
WIHI host Madge Kaplan and Pauline Chen discuss a whole host of topics, starting with language and the ways in which certain words and formal ways of describing a patient’s condition create distance rather than any sort of bond. Dr. Chen also wonders about the human barriers inadvertently created between doctor and patient when the best infection prevention precautions are in place. And is there a danger of giving too much weight to what patients score or say in satisfaction surveys?
WIHI: Innovation and Improvement in Times of Crisis
WIHI: How to Navigate Power and Enhance Psychological Safety
WIHI: Which Way is North? Setting Your Compass for Population Health
WIHI: Workload, Stress, and Patient Safety: How Human Factors Can Help
WIHI: Special Edition Podcast: Creating a Culture of Continuous Improvement that Outlasts Your Leaders
WIHI: The Benefits of Behavioral Health in the ED
WIHI: Increasing Joy in Work: Notes from a Cardiac ICU Team
WIHI: Let’s Get to Work on Waste in Health Care
WIHI: NO LET UP ON SAFETY
WIHI: Black Women and and Maternal Care: Redesigning for Safety, Dignity, and Respect
WIHI: Aim High For Equity in the Health Care Workforce
WIHI: Assessing the Value of Age-Friendly Health Care
WIHI: Taking Acute Pain Seriously, Treating it Safely
WIHI: What’s an Apology Worth? The Case for Communication and Resolution
WIHI: How to Make Patient Safety Easier to Explain and to Champion
WIHI: How to Speak So Leaders Will Listen
WIHI: New Guidance for Governance of Health System Quality - What Trustees Should Know and Do
Special Edition WIHI - Women in Action: Paving the Way for Better Care
WIHI: BUILDING THE WILL AND SKILL TO BE A CLINICAL IMPROVER
WIHI: Lowering Readmissions, Reducing Disparities
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