title: Improving Communication and Resolution Following Adverse Events Using a Patient-Created Simulation Exercise.
abstract: OBJECTIVE
  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.
  
  
  METHODS
  Washington and Texas.
  
  
  METHODS
  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.
  
  
  METHODS
  Lessons learned related to the development and conduct of the exercise were synthesized from planning notes, attendee evaluations, and exercise discussion notes.
  
  
  RESULTS
  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.
  
  
  CONCLUSIONS
  A PFAC-designed simulation can help stakeholders understand patient and family experiences following adverse events and potentially improve their response to these events.
authors: Department of Medicine, UW Medicine Center for Scholarship in Patient Care Quality and Safety, University of Washington, Seattle, WA.
authors: Thomas H
authors: TH
authors: Gallagher
authors: RAND Corporation, Santa Monica, CA.
authors: Jason M
authors: JM
authors: Etchegaray
authors: Seattle Cancer Care Alliance, Seattle, WA.
authors: Brandelyn
authors: B
authors: Bergstedt
authors: University of Washington School of Medicine, Seattle, WA.
authors: Amelia M
authors: AM
authors: Chappelle
authors: McGovern Medical School at The University of Texas Health Science Center at Houston, University of Texas - Memorial Hermann Center for Healthcare Quality and Safety, Houston, TX.
authors: Madelene J
authors: MJ
authors: Ottosen
authors: McGovern Medical School at The University of Texas Health Science Center at Houston, University of Texas - Memorial Hermann Center for Healthcare Quality and Safety, Houston, TX.
authors: Emily W
authors: EW
authors: Sedlock
authors: McGovern Medical School at The University of Texas Health Science Center at Houston, University of Texas - Memorial Hermann Center for Healthcare Quality and Safety, Houston, TX.
authors: Eric J
authors: EJ
authors: Thomas
mesh_terms: D001943:Breast Neoplasms / Q000175:diagnosis; D003142:Communication; D005260:Female; D006801:Humans; D016365:Liability, Legal; D008318:Malpractice; D019300:Medical Errors / Q000523:psychology*; D008875:Middle Aged; D010358:Patient Participation; D016544:Patient Simulation; D018802:Patient-Centered Care / Q000379:methods; D010817:Physician-Patient Relations; D058996:Quality Improvement
keywords: Medical errors; patient rights; professional liability; professional-patient relations; truth disclosure