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: How to Beat Burnout and Create Joy in Work.
WIHI: Tuning up Health System Boards for Patient Safety
WIHI: Pursuing Health Equity With Curiosity: Notes from New Initiatives
WIHI: Workplace Violence in Health Care Can't Be the Norm
WIHI: Greater Satisfaction, Outcomes, and Savings With Self-Administered Care
WIHI: How to Fail Forward (Quickly) on the Road to Population Health
WIHI: How to Beat the Boring Aspects of QI
WIHI: The Digital Transformation: How Technology Is Helping (and Hurting) Health Care
WIHI: Seven Popular Improvement Tools: How (and When) to Use Them
WIHI: The High Stakes of Health Care Policy
WIHI: Creating Age-Friendly Health Systems
WIHI: Who's Your Health Care Proxy?
WIHI: What We're Learning about Patients with Complex Needs
WIHI: The Right Care, Right Setting, and Right Time of Hospital Flow
WIHI: Claiming the Edge with Quality Improvement in Communities
WIHI: Practicing Respect and Preventing Harm
WIHI: The Next Wave of Patient Safety
WIHI: Improving the Rate of Recommended Care: Looking Back and Looking Ahead
WIHI: Moving Upstream to Address the Quadruple Aim
WIHI: Measures That Matter: Whole System Measures 2.0
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