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Individual and Team-Based Medical Error Disclosure

Dialectical Tensions Among Health Care Providers

Bibliographic Data

ID4637527
AuthorsMandy Jones (0000-0001-5081-7340, University of Kentucky, Lexington, Kentucky, USA, corresponding author), Jennifer Scarduzio (University of Kentucky, Lexington, Kentucky, USA), Jennifer A Scarduzio (0000-0002-6543-0429, University of Kentucky), Elzaba Mathews (University of Kentucky, Lexington, Kentucky, USA), Paula Holbrook (University of Kentucky, Lexington, Kentucky, USA), Darlene Welsh (University of Kentucky, Lexington, Kentucky, USA), Lee Wilbur (Catholic Health Initiative St. Vincent Infirmary, Little Rock, Arkansas, USA), Douglas Carr (Indiana University School of Medicine at Bloomington, Bloomington, Indiana, USA), Douglas E Carr (Indiana University Bloomington), L Curtis Cary (University of Tennessee at Chattanooga, Chattanooga, Tennessee, USA), Christopher I Doty (University of Kentucky, Lexington, Kentucky, USA), Christopher Doty (0000-0003-0722-8932, University of Kentucky), James A Ballard (Indiana University School of Medicine)
Year2019
Volume29
Issue8
Pages1096-1108
Publication date2019-07-01
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueQualitative Health Research (JOURNAL)
Journal identifiersISSN: 1049-7323 • E-ISSN: 1552-7557
PublisherSAGE Publications Inc (PUBLISHER)
DOI10.1177/1049732319837224
PMID30957639
OpenAlexW2935789376
LanguageEN
Citations received4
References cited32

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

Dialectic · Health care · Medical education · Political science · Ethics in medical practice · Medical Malpractice and Liability Issues · Medicine · Nursing · Patient Safety and Medication Errors · Psychology · Pharmacy

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Unique citing works4
Citations per year0,67
Citation span2020 - 2023 (4)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 4

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