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Eliciting the Functional Processes of Apologizing for Errors in Health Care: Developing an Explanatory Model of Apology

机译:消除为医疗保健中的错误道歉的功能过程:开发道歉的解释性模型

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The purpose of this article was to analyze the concept development of apology in the context of errors in health care, the administrative response, policy and format/process of the subsequent apology. Using pragmatic utility and a systematic review of the literature, 29 articles and one book provided attributes involved in apologizing. Analytic questions were developed to guide the data synthesis and types of apologies used in different circumstances identified. The antecedents of apologizing, and the attributes and outcomes were identified. A model was constructed illustrating the components of a complete apology, other types of apologies, and ramifications/outcomes of each. Clinical implications of developing formal policies for correcting medical errors through apologies are recommended. Defining the essential elements of apology is the first step in establishing a just culture in health care. Respect for patient-centered care reduces the retaliate consequences following an error, and may even restore the physician patient relationship.
机译:本文的目的是在医疗保健错误,行政回应,后续道歉的政策和格式/过程的背景下分析道歉的概念发展。使用实用的工具和对文献的系统评价,共有29篇文章和一本书提供了道歉所涉及的属性。提出了分析性问题,以指导所确定的不同情况下的数据综合和使用的道歉类型。确定道歉的前提,属性和结果。构建了一个模型,该模型说明了完整的道歉,其他类型的道歉以及每种方法的后果/结果。建议制定正式的政策以道歉纠正医疗错误的临床意义。定义道歉的基本要素是在医疗保健领域建立公正文化的第一步。尊重以患者为中心的护理,可减少因错误导致的报复后果,甚至可以恢复医师与患者之间的关系。

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