210class16

210class16 - Stephen Hansell Ph.D Department of Sociology...

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Stephen Hansell, Ph.D. Department of Sociology Institute for Health Research http://sakai.rutgers.edu [email protected] 609-203-2830
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Class 16 More on Physicians
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VII. Orientations of physicians toward patients A. Technicians 1. Use of impersonal jargon to describe patients 2. Belief in special status of docs
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B. Moderns C. Counselors D. Withdrawers
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I. Professional self-regulation A. Peer regulation fails to ensure quality of care 1. Docs respect each other's professional judgment 2. Cannot observe docs' work behind closed doors 3. Belief that mistakes are a normal part of medicine
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4. Good manners prevent docs from criticizing each other B. Continuing education fails to ensure quality of care C. Result - "medical standards of care" are rules of process rather than measures of patient health
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II. How do doctors minimize errors in routine practice? Charles Bosk's study “Forgive and Remember: Managing Medical Failure” 1979 A. Managing Medical Failure study details B. How surgery is done
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How surgeons define error
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210class16 - Stephen Hansell Ph.D Department of Sociology...

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