Practitioner Error

Question 1

Solution to errors

Answer 1

Take a systems view i.e. “Does the system help prevent errors?”

Assigning blame promotes secrecy and underreporting

Question 2

Eliminating Errors

Answer 2

Build redundancies into system and use checklists

Question 3

Does disclosure prevent lawsuits?

Answer 3

Not always; but usually doesnt stimulate them either

Question 4

Dealing w/ Difficult Patients

Answer 4

1. Non-defensive inquiry: Hear pt. out

2. Confrontation w/o attitude: Asking for resolution of maladaptive behavior w/o being angry

Question 5

Personality Disorders

Answer 5

Pervasive: Exhibited in all situations

Inflexible: Unable to modify behavior when it is maladaptive

-Behavior is the predicted norm for that patient given a patient-physician encounter scenario

Question 6

Ending Patient Relationship

Answer 6

Documentation should ID the problem; suggest future options for care

Question 7

Steps to giving bad news

Answer 7

Preparation: Identify who should give news, give no false hope

Setting: Private, in person

Delivery: Unambiguous, connect w/ pt. concerns

Emotional Support: Invite discussion, don’t run off

Information: Use simple words, summarize and ensure understanding

Closure: Future plans