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: Harnessing Improvement to Reduce Diagnostic Errors and Delays
WIHI: Medicare Reimbursement and Meaningful Conversations about End-of-Life Care
WIHI: Accelerating Improvement: The Enduring Value of Collaboratives
WIHI: How Health Care Organizations Can Create Equity in the Community
WIHI: Relationships Count: Community Health Workers and Team-Based Care
WIHI: Getting Right Care, Right!
WIHI: What Students in the Health Professions Can Do for You... and Improvement
WIHI: Saving Lives by Design: Lessons for All from Ghana's Project Fives Alive!
WIHI: The Echo Effect of Project ECHO's Access to Specialty Care
WIHI: The IHI Triple Aim: Lessons from the First Seven Years
WIHI: Disability Competent Care
WIHI: Now What? Best Practices for Newly Diagnosed Cancer Patients
WIHI: Leaning In: Oregon's Coordinated Care Organizations
WIHI: Reducing Risks and Defects with Help from the Front Lines
WIHI: All Hands on Deck to Reduce C. Difficile
WIHI: The Managers and Management We Need to Improve Care
WIHI: Bundles and Buy-In for Value-Based Care
WIHI: Topping the Charts in Pediatrics and Adverse Events Reporting
WIHI: The Ups and Downs of Health Care Costs and Reform
WIHI: When Everyone Knows Your Name: Identifying Patients with Complex Needs
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