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: Highly Reliable Hospitals: The Work Ahead
WIHI: The Patient Will See You Now: New Technology for New Collaborations
WIHI: The Social Imperative to Demonstrate That Better Care = Lower Costs
WIHI: Have You Had "The Conversation"? Helping Loved Ones Discuss End-of-Life Preferences
WIHI: Removing Barriers to Care with Medical-Legal Partnerships
WIHI: Heard at the Forum: New Ideas and Learning from IHI's 23rd Annual National Forum
WIHI: Night Talks and Nocturnists: New Interventions for the Hospital at Night
WIHI: Health Literacy: New Skills for Health Professionals
WIHI: Organizing for Health: A Story from South Carolina
WIHI: Safety Net Hospitals: Untold Stories of Quality Transformation
WIHI: Family Caregiving, Caregivers, and Compassion
WIHI: Managing Medication Shortage: Best Practices for a Crisis
WIHI: Always Events: Raising Expectations for Patient Experience
WIHI: Payment Reform As We Speak
WIHI: Improving Health Care: The Global View
WIHI: New Models for Patients with Multiple Health and Social Needs
WIHI: Integrity On and Off the Page: A Discussion with JAMA’s (Departing) Editor-in-Chief
WIHI: Leading Across the Continuum
WIHI: Palliative Care = Quality Care
WIHI: The Power to Detect and Improve: Revisiting the IHI Global Trigger Tool and Adverse Events
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