Gaufberg Elizabeth, Olmsted Molly Ward, Bell Sigall K
Harvard Medical School, Boston, MA, USA.
The Cambridge Health Alliance, Cambridge, MA, USA.
J Med Humanit. 2019 Dec;40(4):489-504. doi: 10.1007/s10912-019-09563-z.
Patient and family emotional harm after medical errors may be profound. At an Agency for Healthcare Research and Quality (AHRQ) conference to establish a research agenda on this topic, the authors used visual images as a gateway to personal reflections among diverse stakeholders. Themes identified included chaos and turmoil, profound isolation, organizational denial, moral injury and betrayal, negative effects on families and communities, importance of relational skills, and healing effects of human connection. The exercise invited storytelling, enabled psychological safety, and fostered further collaborative discussion. The authors discuss implications for quality/safety, educational innovation, and qualitative research.
医疗差错后患者及其家属受到的情感伤害可能是巨大的。在医疗保健研究与质量局（AHRQ）召开的一次关于确立该主题研究议程的会议上，作者们将视觉图像作为不同利益相关者进行个人反思的切入点。确定的主题包括混乱与动荡、深深的孤立感、机构的否认、道德伤害与背叛、对家庭和社区的负面影响、关系技能的重要性以及人际联系的治愈作用。该活动鼓励讲述经历，营造了心理安全感，并促进了进一步的合作讨论。作者们探讨了其对质量/安全、教育创新和定性研究的意义。
