Individual and Team-Based Medical Error Disclosure: Dialectical Tensions Among Health Care Providers

Mandy Jones; Jennifer Scarduzio; Elzaba Mathews; Paula Holbrook; Darlene Welsh; Lee Wilbur; Douglas Carr; L. Curtis Cary; Christopher I. Doty; James A. Ballard

doi:10.1177/1049732319837224

Individual and Team-Based Medical Error Disclosure: Dialectical Tensions Among Health Care Providers

Mandy Jones, Jennifer Scarduzio, Elzaba Mathews, Paula Holbrook, Darlene Welsh, Lee Wilbur, Douglas Carr, L. Curtis Cary, Christopher I. Doty, James A. Ballard

Research output: Contribution to journal › Article › peer-review

9 Scopus citations

Abstract

Researchers from disciplines of education, health communication, law and risk management, medicine, nursing, and pharmacy examined communication tensions among interprofessional (IP) health care providers regarding medical error disclosure utilizing patient simulation. Using relational dialectics theory, we examined how communication tensions manifested in both individual-provided medical error disclosure and IP team-based disclosure. Two dialectical tensions that health care providers experienced in disclosure conversations were identified: (a) leadership and support, and (b) transparency and protectionism. Whereas these tensions were identified in an IP education setting using simulation, findings support the need for future research in clinical practice, which may inform best practices for various disclosure models. Identifying dialectical tensions in disclosure conversations may enable health communication experts to effectively engage health care providers, risk management, and patient care teams in terms of support and education related to communicating about medical errors.

Original language	English
Pages (from-to)	1096-1108
Number of pages	13
Journal	Qualitative Health Research
Volume	29
Issue number	8
DOIs	https://doi.org/10.1177/1049732319837224
State	Published - Jul 1 2019

Bibliographical note

Funding Information:
The authors disclosed receipt of the following financial support for the research, authorship, and/or publication of this article: This project was supported by the National Center for Research Resources at the National Center for Advancing Translational Sciences, National Institutes of Health (NIH), through Grant UL1TR000117. The content is solely the responsibility of the authors and does not necessarily represent the official views of the NIH. The authors alone are responsible for the content and writing of the article.

Publisher Copyright:
© The Author(s) 2019.

Keywords

interprofessional team
medical error disclosure
qualitative mixed methods
relational dialectics
southeastern United States
tensions

ASJC Scopus subject areas

Public Health, Environmental and Occupational Health

UN SDGs

This output contributes to the following UN Sustainable Development Goals (SDGs)

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10.1177/1049732319837224

Cite this

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abstract = "Researchers from disciplines of education, health communication, law and risk management, medicine, nursing, and pharmacy examined communication tensions among interprofessional (IP) health care providers regarding medical error disclosure utilizing patient simulation. Using relational dialectics theory, we examined how communication tensions manifested in both individual-provided medical error disclosure and IP team-based disclosure. Two dialectical tensions that health care providers experienced in disclosure conversations were identified: (a) leadership and support, and (b) transparency and protectionism. Whereas these tensions were identified in an IP education setting using simulation, findings support the need for future research in clinical practice, which may inform best practices for various disclosure models. Identifying dialectical tensions in disclosure conversations may enable health communication experts to effectively engage health care providers, risk management, and patient care teams in terms of support and education related to communicating about medical errors.",

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N2 - Researchers from disciplines of education, health communication, law and risk management, medicine, nursing, and pharmacy examined communication tensions among interprofessional (IP) health care providers regarding medical error disclosure utilizing patient simulation. Using relational dialectics theory, we examined how communication tensions manifested in both individual-provided medical error disclosure and IP team-based disclosure. Two dialectical tensions that health care providers experienced in disclosure conversations were identified: (a) leadership and support, and (b) transparency and protectionism. Whereas these tensions were identified in an IP education setting using simulation, findings support the need for future research in clinical practice, which may inform best practices for various disclosure models. Identifying dialectical tensions in disclosure conversations may enable health communication experts to effectively engage health care providers, risk management, and patient care teams in terms of support and education related to communicating about medical errors.

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Individual and Team-Based Medical Error Disclosure: Dialectical Tensions Among Health Care Providers

Abstract

Bibliographical note

Keywords

ASJC Scopus subject areas

UN SDGs

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