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Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Using Visual and Narrative Methods to Achieve Fair Process in Clinical Care

Published on: February 16, 2011

Putting a face on medical errors: a patient perspective.

Sarah Kooienga¹, Valerie T Stewart

¹Washington State University College of Nursing, Vancouver, WA, USA. skooienga@vancouver.wsu.edu

Journal for Healthcare Quality : Official Publication of the National Association for Healthcare Quality

|July 8, 2011

Summary

Patient experiences with medical error highlight communication failures over adherence to standards of care. Improving quality requires understanding the patient

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Area of Science:

Healthcare Quality Improvement
Patient Safety Research
Medical Communication Studies

Background:

Limited understanding exists regarding the patient's perspective on medical error.
Previous research focused on error disclosure methods and patient preferences for disclosure.

Purpose of the Study:

To explore community members' lived experiences and perspectives on medical error.
To understand how patients define and perceive medical error in their healthcare journey.

Main Methods:

Qualitative descriptive component of a mixed-methods study.
Purposive sampling of 30 community members.
Collection of participants' personal narratives of medical error experiences.

Main Results:

Patient experiences centered on communication issues: lack of communication, missed communication, and poor provider interpersonal style.
Participants prioritized their role as a patient over the technical definition of error or its disclosure.
The formal definition of error (failure to meet a standard of care) was secondary to communication-related issues in patient accounts.

Conclusions:

Patient perspectives on medical error are primarily shaped by communication quality and interpersonal interactions.
Healthcare quality improvement strategies must incorporate the patient's understanding and experience of error.
Emphasizing patient-centered communication is crucial for enhancing medical error management and patient safety.