Gallagher Thomas H, Etchegaray Jason M, Bergstedt Brandelyn, Chappelle Amelia M, Ottosen Madelene J, Sedlock Emily W, Thomas Eric J
Department of Medicine, UW Medicine Center for Scholarship in Patient Care Quality and Safety, University of Washington, Seattle, WA.
RAND Corporation, Santa Monica, CA.
Health Serv Res. 2016 Dec;51 Suppl 3(Suppl 3):2537-2549. doi: 10.1111/1475-6773.12601. Epub 2016 Oct 28.
The response to adverse events can lack patient-centeredness, perhaps because the involved institutions and other stakeholders misunderstand what patients and families go through after care breakdowns.
Washington and Texas.
The HealthPact Patient and Family Advisory Council (PFAC) created and led a five-stage simulation exercise to help stakeholders understand what patients experience following an adverse event. The half-day exercise was presented twice.
Lessons learned related to the development and conduct of the exercise were synthesized from planning notes, attendee evaluations, and exercise discussion notes.
One hundred ninety-four individuals attended (86 Washington and 108 Texas). Take-homes from these exercises included the fact that the response to adverse events can be complex, siloed, and uncoordinated. Participating in this simulation exercise led stakeholders and patient advocates to express interest in continued collaboration.
A PFAC-designed simulation can help stakeholders understand patient and family experiences following adverse events and potentially improve their response to these events.
对不良事件的应对可能缺乏以患者为中心的理念，这或许是因为相关机构和其他利益相关者误解了患者及其家属在医疗失误后的经历。
华盛顿州和得克萨斯州。
健康契约患者及家属咨询委员会（PFAC）创建并主导了一项分五个阶段的模拟演练，以帮助利益相关者了解患者在不良事件后的经历。这项为期半天的演练进行了两次。
从规划笔记、参会者评估和演练讨论笔记中总结了与演练开发和实施相关的经验教训。
194人参加了演练（86人来自华盛顿州，108人来自得克萨斯州）。这些演练的收获包括对不良事件的应对可能复杂、分散且不协调。参与此次模拟演练使利益相关者和患者权益倡导者表示有兴趣继续合作。
PFAC设计的模拟演练有助于利益相关者了解不良事件后患者及其家属的经历，并有可能改善他们对这些事件的应对。
