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 Ballard

Research output: Contribution to journalArticle

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 languageEnglish (US)
JournalQualitative Health Research
DOIs
StatePublished - Jan 1 2019

Fingerprint

Truth Disclosure
Medical Errors
Disclosure
Health Personnel
Health Communication
Risk Management
Education
Communication
Patient Simulation
Patient Care Team
Practice Guidelines
Nursing
Research Personnel
Medicine

Keywords

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

ASJC Scopus subject areas

  • Public Health, Environmental and Occupational Health

Cite this

Individual and Team-Based Medical Error Disclosure : Dialectical Tensions Among Health Care Providers. / Jones, Mandy; Scarduzio, Jennifer; Mathews, Elzaba; Holbrook, Paula; Welsh, Darlene; Wilbur, Lee; Carr, Douglas; Cary, L. Curtis; Doty, Christopher I.; Ballard, James.

In: Qualitative Health Research, 01.01.2019.

Research output: Contribution to journalArticle

Jones, M, Scarduzio, J, Mathews, E, Holbrook, P, Welsh, D, Wilbur, L, Carr, D, Cary, LC, Doty, CI & Ballard, J 2019, 'Individual and Team-Based Medical Error Disclosure: Dialectical Tensions Among Health Care Providers', Qualitative Health Research. https://doi.org/10.1177/1049732319837224
Jones, Mandy ; Scarduzio, Jennifer ; Mathews, Elzaba ; Holbrook, Paula ; Welsh, Darlene ; Wilbur, Lee ; Carr, Douglas ; Cary, L. Curtis ; Doty, Christopher I. ; Ballard, James. / Individual and Team-Based Medical Error Disclosure : Dialectical Tensions Among Health Care Providers. In: Qualitative Health Research. 2019.
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