Goal setting as a shared decision making strategy among clinicians and their older patients

Schulman‐Green, Dena; Naik, Aanand D.; Bradley, Elizabeth H.; McCorkle, Ruth; Bogardus, Sidney T.

doi:10.1016/j.pec.2005.09.010

Cited by 121 publications

(134 citation statements)

References 22 publications

(31 reference statements)

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“…Collaborative goal-setting is one promising intervention for reducing transmission and acknowledgement breakdowns in interpersonal communication. 66 If integrated with an IT platform, goal-setting may enhance patients' perceptions of risks pertaining to diagnostic tests, expectations regarding the significance of posttest results, and self-efficacy with the diagnostic process. This type of intervention could reduce delays in diagnosis and treatment resulting from communication breakdowns as in Example 1, especially among high-risk patients.…”

Section: Using It To Strengthen Data Gathering-related Communicationmentioning

confidence: 99%

Reducing Diagnostic Errors through Effective Communication: Harnessing the Power of Information Technology

et al. 2008

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Diagnostic errors are poorly understood despite being a frequent cause of medical errors. Recent efforts have aimed to advance the "basic science" of diagnostic error prevention by tracing errors to their most basic origins. Although a refined theory of diagnostic error prevention will take years to formulate, we focus on communication breakdown, a major contributor to diagnostic errors and an increasingly recognized preventable factor in medical mishaps. We describe a comprehensive framework that integrates the potential sources of communication breakdowns within the diagnostic process and identifies vulnerable steps in the diagnostic process where various types of communication breakdowns can precipitate error. We then discuss potential information technology-based interventions that may have efficacy in preventing one or more forms of these breakdowns. These possible intervention strategies include using new technologies to enhance communication between health providers and health systems, improve patient involvement, and facilitate management of information in the medical record.

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Section: Using It To Strengthen Data Gathering-related Communicationmentioning

confidence: 99%

Reducing Diagnostic Errors through Effective Communication: Harnessing the Power of Information Technology

et al. 2008

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“…Delivering patient-centred care can be challenging. Factors such as financial and time constraints make goal setting difficult in an environment overburdened and steeped in old cultures and traditions (Peek et al, 2007;Schulman-Green et al, 2006;Timmins and Astin, 2009). In addition, patients differ in the extent to which they wish to be involved in clinical decisionmaking.…”

Section: Discussionmentioning

confidence: 99%

The patient's experience of early discharge following total hip replacement

Reay

Horner

Duggan

2015

International Journal of Orthopaedic and Trauma Nursing

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“…Some of our findings corroborated prior work. For instance, in a study on goal settings for elderly patients [35], providers said that patients sometimes feel uncomfortable discussing goals as they expect physicians to tell them what their goals are. On the other hand, some patients felt that physicians did not have time to discuss goals and did not engage in such high-level discussions.…”

Section: Consensus-driven Plan Developmentmentioning

confidence: 99%

From Care Plans to Care Coordination

Amir

Grosz

Gajos

et al. 2015

Proceedings of the 33rd Annual ACM Conference on Human Factors in Computing Systems

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Children with complex health conditions require care from a large, diverse team of caregivers that includes multiple types of medical professionals, parents and community support organizations. Coordination of their outpatient care, essential for good outcomes, presents major challenges. Extensive healthcare research has shown that the use of integrated, team-based care plans improves care coordination, but such plans are rarely deployed in practice. This paper reports on a study of care teams treating children with complex conditions at a major university tertiary care center. This study investigated barriers to plan implementation and resultant care coordination problems. It revealed the complex nature of teamwork in complex care, which poses challenges to team coordination that extend beyond those identified in prior work and handled by existing coordination systems. The paper builds on a computational teamwork theory to identify opportunities for technology to support increased plan-based complex-care coordination and to propose design approaches for systems that enable and enhance such coordination.

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Goal setting as a shared decision making strategy among clinicians and their older patients

Cited by 121 publications

References 22 publications

Reducing Diagnostic Errors through Effective Communication: Harnessing the Power of Information Technology

Reducing Diagnostic Errors through Effective Communication: Harnessing the Power of Information Technology

The patient's experience of early discharge following total hip replacement

From Care Plans to Care Coordination

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