A new frontier in healthcare risk management: Working to reduce avoidable patient suffering

Card, Alan J.; Klein, Victor R.

doi:10.1002/jhrm.21207

Cited by 20 publications

(18 citation statements)

References 40 publications

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“…Specifically, we need to differentiate between unavoidable suffering and avoidable suffering. 11,12 For patients, unavoidable suffering is an irreducible consequence of their condition or treatment, and avoidable suffering is the result of faulty care systems. 11,12 So, for instance, reduced mobility during recovery from a major heart surgery would be the cause of unavoidable suffering, while unmanaged pain during the recovery-or receiving the wrong surgery in the first place-would be causes of avoidable suffering.…”

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confidence: 99%

Physician Burnout: Resilience Training is Only Part of the Solution

Card

2018

Ann Fam Med

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Physicians and physician trainees are among the highest-risk groups for burnout and suicide, and those in primary care are among the hardest hit. Many health systems have turned to resilience training as a solution, but there is an ongoing debate about whether that is the right approach. This article distinguishes between unavoidable occupational suffering (inherent in the physician's role) and avoidable occupational suffering (systems failures that can be prevented). Resilience training may be helpful in addressing unavoidable suffering, but it is the wrong treatment for the organizational pathologies that lead to avoidable suffering- and may even compound the harm doctors experience. To address avoidable suffering, health systems would be better served by engaging doctors in the co-design of work systems that promote better mental health outcomes.

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confidence: 99%

Physician Burnout: Resilience Training is Only Part of the Solution

Card

2018

Ann Fam Med

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“…In healthcare this may be the emotional pain and grief of those harmed or bereaved,15 16 as well as the feelings of shame and stigma of healthcare professionals 17. Bringing emotion into patient safety is important 18.…”

Section: The Functions and Relevance Of Remembrancementioning

confidence: 99%

Remembering to learn: the overlooked role of remembrance in safety improvement

Macrae

2016

BMJ Qual Saf

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“…The risk management scope of practice has been expanding almost since its inception . But this expansion has only accelerated in recent years, as emerging care models, regulatory schemes, technologies, and advances in the risk management literature have created new opportunities for risk managers to make a difference …”

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confidence: 99%

“…1 But this expansion has only accelerated in recent years, as emerging care models, regulatory schemes, technologies, and advances in the risk management literature have created new opportunities for risk managers to make a difference. [2][3][4][5][6][7][8][9] This issue of the journal explores a wide-ranging variety of risk management problems and solutions, including some that have been largely ignored in the existing literature.…”

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confidence: 99%