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Respect and Dignity: A Year’s Experience Measuring Emotional Harm
Melinda Van Niel, MBA, CPHRM, Lauge Sokol-Hessner, MD, Patricia Folcarelli, RN, PhD, and the Members of the Respect and Dignity Steering Team
Beth Israel Deaconess Medical Center – Department of Health Care Quality
ABSTRACT
RESULTS (Continued)
• While it is commonplace to track, measure, and attempt to prevent physical harm from
medical care, it is rare to treat emotional harm suffered by patients with the same rigor.
• Beginning in October 2014, we analyzed emotional harms with a taxonomy developed
by an interdisciplinary steering team, a severity scale that takes into account the patient
and institution perspectives, and have trended outcomes on a dashboard that is
available internally and publicly.
• Highlighting cases of emotional harm has taught us how to prospectively prevent harm,
focusing on areas where we are finding frequent or severe harms to patients' dignity.
RESULTS
Click to expand to full dashboard
•
•
•
•
Data is reported by staff through RL6, and from patients via patient relations
Flagged cases are reviewed weekly, and given a severity ranking from both the patient
and the hospital’s perspective, and categorized
Severe cases follow the same process that preventable physical harm cases do, which
includes review QI Directors, Chiefs, and the Patient Care Assessment Committee, as
well as the R&D Steering Committee in the aggregate
An R&D Action Team has been created to address the needs highlighted from these
case reviews
NEXT STEPS
• This work has helped to highlight the complexity of these issues, and while several
corrective actions have been implemented to prevent emotional harm in the future, the
R&D Action Team has found several areas of concern that cause multiple emotional
harm events a year that are currently being addressed through larger ongoing initiatives
including: post-death body/autopsy management, and the treatment of transgender
patients.
• Further education is needed for staff to better understand the reason for reporting R&D
events, and the process that they follow once reported. We also want staff to
understand how we handle staff disrespecting staff, and patients disrespecting staff, all
of which we hope to be part of this concept in the future
• Branding and messaging will be important in getting buy-in, so we plan to create a logo
and concept this coming year.
�Preventable Emotional Harm – FY2015
Full Dashboard with Expanded Categories
Revised
Communication
Categories
Number
reviewed in most
recent quarter
�
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Silverman Symposium
Description
An account of the resource
Each year the Silverman Symposium poster session offers BIDMC staff and affiliates the opportunity to share experiences and learn about efforts to improve Quality and Safety.
Date
A point or period of time associated with an event in the lifecycle of the resource
2021
Silverman Poster
Primary Contact
If you would like more information about this project, contact this person. Make email address clickable.
Lauge Sokol-Hessner (<a href="mailto:lhessner@bidmc.harvard.edu">lhessner@bidmc.harvard.edu</a>)
Department
Any departments listed on the poster or identified in the spreadsheet.
Health Care Quality
BIDMC Location
The BIDMC location where the poster team resides if identified in spreadsheet. If not identified, choose BIDMC.
BIDMC
Project Team
Melinda Van Niel
Lauge Sokol-Hessner
Patricia Folcarelli
Members of the Respect and Dignity Steering Team
Dublin Core
The Dublin Core metadata element set is common to all Omeka records, including items, files, and collections. For more information see, http://dublincore.org/documents/dces/.
Title
A name given to the resource
Respect and Dignity: A Year's Experience Measuring Emotional Harm
Date
A point or period of time associated with an event in the lifecycle of the resource
2016
Format
The file format, physical medium, or dimensions of the resource
pdf
Equality
Patient and Family-Centeredness
Safety