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: Working Toward Health Equity
WIHI: SBAR: Structured Communication and Psychological Safety in Health Care
WIHI: Violence Prevention and Community Health
WIHI: Patients as Partners in QI Research
WIHI: New Leadership Skills for Better Health and Health Care
WIHI: Improving Safety and Satisfaction in Ambulatory Care
WIHI: Who’s Conversation Ready? How Health Care Can Respect End-of-Life Wishes
WIHI: New Staffing Models for Primary Care
WIHI: Recognizing Person- and Family-Centered Care: Always Events at IHI
WIHI: On the (Virtual) Road with Mobile Clinics and Population Health
WIHI: Integrating Physical and Behavioral Health
WIHI: Slowdown in the Growth of US Health Care Spending
WIHI: The Ground Game of the Partnership for Patients
WIHI: Large-Scale Change Across a Country: Learning from Scotland
WIHI: Measure Up, (Blood) Pressure Down: 80% by 2016
WIHI: Reliable Practices for Responding to Natural Disasters: Lessons from Long Island Jewish and Hurricane Sandy
WIHI: Home for Life, Aging, and Aging in Place
WIHI: Engaging Patients in Safety — Live from London and the International Forum on Quality and Safety
WIHI: Community Health Needs Assessments, Part 2: Lessons from North Carolina
WIHI: Community Health Needs Assessments, Part 1
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