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Related Concept Videos

Ethical Issues01:27

Ethical Issues

2.0K
Nurses are essential in patient care, upholding the ethical principles of their profession and effectively navigating ethical dilemmas. Neglecting ethical issues can lead to inadequate patient care, compromised therapeutic relationships, and moral distress among healthcare workers.
Ethical Concerns in Healthcare:
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Patient-centered Care01:13

Patient-centered Care

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Patient-centered care involves delivering care beyond inpatient hospitalization. Reflective practice can enhance a patient-centered approach. Reflective practice is a process of reasoning that considers all aspects of the present situation, including practicalities, learning from personal practice, and consideration of patient needs. Patients appreciate care decisions made while considering their input. Involving the patient in their care provides the patient with a sense of contribution rather...
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Interdisciplinary Care: The Health Care Team-II01:18

Interdisciplinary Care: The Health Care Team-II

2.1K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care. Here are a few more healthcare professionals.
Physical Therapist
A physical therapist (PT) aims to restore function or prevent additional impairment in a patient following an injury or disease. Massage, heat, cold, water, sonar waves, exercises, and electrical stimulation are some treatments used by PTs to treat...
2.1K
Interdisciplinary Care: The Health Care Team-I01:21

Interdisciplinary Care: The Health Care Team-I

2.5K
An interdisciplinary team includes many healthcare professionals working together and utilizing their skills, knowledge, and expertise to provide holistic and quality patient care.
Physicians
The physician's primary responsibility is to diagnose illness and direct the medical or surgical treatment of the condition. The authority to admit patients to a healthcare agency or institution and practice care within that setting is granted to physicians by the healthcare agency or institution...
2.5K
Standards of Care II01:19

Standards of Care II

1.0K
Nurses bear specific legal responsibilities under several federal statutes, including:
1.0K
Ethical Dilemmas II01:30

Ethical Dilemmas II

2.2K
Resolving an ethical dilemma in healthcare involves a systematic approach that considers every aspect of the issue, respecting both the patient's needs and values and the healthcare professional's ethical obligations. Here are potential steps to resolve an ethical dilemma:
2.2K

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Related Experiment Video

Updated: Jan 10, 2026

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

Published on: February 16, 2011

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Care Left Undone Among Physicians: An Explorative Thematic Analysis.

Simon Dello1, Ken De Smet2, Walter Sermeus3

  • 1Department of Public Health and Primary Care, KU Leuven, Leuven Institute for Healthcare Policy, Leuven, Belgium simon.dello@uzleuven.be.

BMJ Open Quality
|November 20, 2025
PubMed
Summary

Physicians often leave care undone due to time constraints and competing demands, impacting patient safety and causing moral distress. Addressing this requires tailored organizational and interdisciplinary strategies.

Keywords:
healthcare quality improvementpatient safetyqualitative research

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Area of Science:

  • Medical practice and healthcare delivery
  • Physician well-being and patient safety
  • Qualitative research methodologies

Background:

  • Limited research exists on physicians' experiences with care left undone, contrasting with extensive studies on nurses.
  • Understanding physicians' perspectives is crucial for improving healthcare quality and patient safety.

Purpose of the Study:

  • To explore physicians' conceptualization, experience, and management of care left undone.
  • To identify factors contributing to and consequences of care left undone in a hospital setting.

Main Methods:

  • Qualitative study involving semi-structured interviews with 12 physicians.
  • Thematic analysis guided by existing literature on missed care, allowing for emergent insights.

Main Results:

  • Physicians recognized 'care left undone' as routine, driven by time scarcity and competing demands.
  • Omissions often involved administrative tasks, psychosocial support, and communication, deprioritized over diagnostic/therapeutic actions.
  • Consequences included compromised patient safety, disrupted care continuity, moral distress, and burnout, with proposed solutions at organizational, interpersonal, and patient levels.

Conclusions:

  • Care left undone is a significant, understudied issue for physicians in acute care.
  • Interventions must be profession-sensitive, considering physicians' roles, autonomy, and identity.
  • Quality improvement initiatives necessitate physician involvement in co-designing contextually relevant solutions.