SEGURIDAD CLINICA: agosto 2025

ACCESO A: DELIBERACIÓN ÉTICA SIGUIENDO LA METODOLOGIA DE DIEGO GRACIA.

UTILIDAD: puedes preguntar al Notebooklm sobre casos de bioética, y solicitarle cómo aplicar la metodologia deliberativa, así como una aproximación a la resolución de casos. Link.-

https://notebooklm.google.com/notebook/3b03b94d-0010-4205-881a-e7216775446f

ACCESO A "PENSAMIENTO CRÍTICO Y COGNICIÓN EDUCADA EN CLÍNICA",

UTILIDAD: este Notebooklm creado por Francesc Borrell recoge sus principales aportaciones referidas a cómo procesamod y usamos los datos clínicos. Puedes preguntarle e interaccionar con el Notebook preguntándole sobre pasos en la elaboración de datos semiológicos, cómo mejorar la reflexión en la consulta médica y aspectos de comunicación profesional-paciente. LINK.-

https://notebooklm.google.com/notebook/00e42870-cf8a-4431-82d1-2115e5d6e94d?authuser=1

• Decision Analysis Society

Esta sociedad es una subdivisión de INFORMA, el Instituto de Investigación de Operaciones y las Ciencias de Gestión. INFORMA es la mayor organización del mundo en la investigación de decisiones corporativas, con 1.000 miembros, según afirman en su web.

La Sociedad para el Análisis de Decisiones promueve el desarrollo y uso de métodos lógicos para mejorar la toma de decisiones en las empresas públicas y privadas. Sus métodos incluyen modelos para la toma de decisiones bajo condiciones de incertidumbre o de objetivos múltiples, técnicas de análisis de riesgos y evaluación de riesgos, estudios experimentales y descriptivos de la toma de decisiones, el análisis económico de las decisiones estratégicas, técnicas para facilitar la toma de decisiones por parte de grupos y software para apoyar las decisiones. Esta sociedad cuenta con profesionales, educadores e investigadores con experiencia en ingeniería, negocios, economía, estadística, psicología y otras ciencias sociales y aplicadas.

• Society for Judgment and Decision Making

La Sociedad para el juicio y la toma de decisiones es una organización académica interdisciplinaria dedicada al estudio de las teorías normativas, descriptivas y normativas sobre las decisiones. Entre sus miembros figuran psicólogos, economistas, investigadores de la organización, los analistas de la decisión, y otros investigadores en decisión. Evento principal de la Sociedad es su reunión anual en la que miembros de la Sociedad presentar sus investigaciones. También publica la revista Juicio y Toma de Decisiones. Tiene además una interesante línea de libros que edita con Cambridge Press.

• Center for Adaptive Behavior and Cognition

¿Cómo los seres humanos y otros animales toman decisiones bajo incertidumbre, es decir, cuando el tiempo y la información son limitadas y el futuro es desconocido?

En un mundo incierto, los seres humanos a menudo se basan en simples estrategias cognitivas (heurísticos) al tomar decisiones. Para investigar la heurística, este grupo ha desarrollado tres conceptos clave: racionalidad limitada, la racionalidad ecológica, y la racionalidad social. Resulta interesante la similitud con el concepto de racionalidad axiológica acotada que entre nosotros está desarrollando J. Echevarría.

Sobre la base de estos conceptos, han diseñado modelos de los procesos cognitivos y los entornos en los que estos procesos tengan éxito y aislar los heurísticos que favorecen una respuesta exitosa.

Los resultados de estos estudios los aplican a la medicina, derecho, negocios y docencia.

REFERENCIAS BIBLIOGRAFICAS (ii)

*T.H. Gallagher, A.D. Waterman and A.G. Ebers et al., Patients’ and physicians’ attitudes regarding the disclosure of medical errors, JAMA 289 (2003), pp. 1001–1007. Full Text via CrossRef View Record in Scopus Cited By in Scopus
* M.L. Smith and H.P. Forster, Morally managing medical mistakes, Camb Q Healthc Ethics 9 (2000), pp. 38–53. Full Text via CrossRef View Record in Scopus Cited By in Scopus
*D. Hilfiker, Facing our mistakes, N Engl J Med 310 (1984), pp. 118–122. View Record in Scopus Cited By in Scopus
*C.D. Hobgood, O.J. Ma and G.L. Swart, Emergency medicine resident errors: identification and educational utilization, Acad Emerg Med 7 (2000), pp. 1317–1320. View Record in Scopus Cited By in Scopus
*E. Pierluissi, M.A. Fischer and A.R. Campbell et al., Discussion of medical errors in morbidity and mortality conferences, JAMA 290 (2003), pp. 2838–2842. Full Text via CrossRef View Record in Scopus Cited By in Scopus
*P. Croskerry and D. Sinclair, Emergency medicine: a practice prone to error, Can J Emerg Med 3 (2001), pp. 271–276.
*C. Beach, P. Croskerry and M. Shapiro, Profiles in patient safety: emergency care transitions, Acad Emerg Med 10 (2003), pp. 364–367. Full Text via CrossRef
*Institute of Medicine, Committee on Quality Health Care in America, Crossing the Quality Chasm: A New Health System for the 21st Century, National Academy Press, Washington, DC (2001).
*C. Hobgood, J. Xie and B. Weiner et al., Error identification, disclosure, and reporting: practice patterns of three emergency medicine provider types, Acad Emerg Med 11 (2004), pp. 196–199. Full Text via CrossRef View Record in Scopus Cited By in Scopus
*A.W. Wu, S. Folkman and S.J. McPhee et al., Do house officers learn from their mistakes?, JAMA 265 (1991), pp. 2089–2094. View Record in Scopus Cited By in Scopus
*A.W. Wu, Medical error: the second victim: the doctor who makes the mistake needs help too, BMJ 320 (2000), pp. 726–727. Full Text via CrossRef View Record in Scopus Cited By in Scopus
*F. Rosner, J.T. Berger and P. Kark et al., Disclosure and prevention of medical errors: Committee on Bioethical Issues of the Medical Society of the State of New York, Arch Intern Med 160 (2000), pp. 2089–2092. Full Text via CrossRef View Record in Scopus Cited By in Scopus
*C. Hobgood, A. Hevia and J.H. Tamayo-Sarver et al., The influence of the causes and contexts of medical errors on emergency medicine residents’ responses to their errors: an exploration, Acad Med 80 (2005), pp. 758–764. View Record in Scopus Cited By in Scopus
*ACGME Outcomes Project. General competencies: minimum program requirements language. http://www.acgme.org/outcome/comp/compMin.asp. Accessed July 24, 2005.
*J. Banja, Medical Errors and Medical Narcissism, Jones & Bartlett, Sudbury, MA (2005).
*M.P. Sweet and J.L. Bernat, A study of the ethical duty of physicians to disclose errors, J Clin Ethics 8 (1997), pp. 341–348. View Record in Scopus Cited By in Scopus
*A.W. Wu, T.A. Cavanaugh and S.J. McPhee et al., To tell the truth: ethical and practical issues in disclosing medical mistakes to patients, J Gen Intern Med 12 (1997), pp. 770–775. View Record in Scopus Cited By in Scopus
*F. Baylis, Errors in medicine: nurturing truthfulness, J Clin Ethics 8 (1997), pp. 336–340. View Record in Scopus Cited By in Scopus
*R.J. Blendon, C.M. DesRoches and M. Brodie et al., Views of practicing physicians and the public on medical errors, N Engl J Med 347 (2002), pp. 1933–1940. Full Text via CrossRef View Record in Scopus Cited By in Scopus
*T.A. Brennan and M.M. Mello, Patient safety and medical malpractice: a case study, Ann Intern Med 139 (2003), pp. 267–273. View Record in Scopus Cited By in Scopus
*T.H. Gallagher and W. Levinson, Disclosing harmful medical errors to patients: a time for professional action, Arch Intern Med 165 (2005), pp. 1819–1823.
*B.A. Liang, A system of medical error disclosure, Qual Saf Health Care 11 (2002), pp. 64–68. Full Text via CrossRef View Record in Scopus Cited By in Scopus
* J.K. Robbennolt, Apologies and legal settlement: an empirical examination, Mich Law Rev 102 (2003), pp. 460–516. Full Text via CrossRef View Record in Scopus Cited By in Scopus
* J.K. Kilcullen, Groping for the reins: ERISA, HMO malpractice, and enterprise liability, Am J Law Med 22 (1996), pp. 7–50.
*J.R. Cohen, Advising clients to apologize, S Cal Law Rev 72 (1999), pp. 1009–1069. View Record in Scopus Cited By in Scopus
*E.A. Dauer, A therapeutic jurisprudence perspective on legal responses to medical error, J Legal Med 24 (2003), pp. 37–50. View Record in Scopus Cited By in Scopus
*C. Hobgood, J.H. Tamayo-Sarver and A. Elms et al., Parental preferences for error disclosure, reporting, and legal action after medical error in the care of their children, Pediatrics 116 (2005), pp. 1276–1286. Full Text via CrossRef View Record in Scopus Cited By in Scopus
*A.J. Kellett, Healing angry wounds: the roles of apology and mediation in disputes between physicians and patients, Spec Law Dig Health Care (Mon) 10 (1989), pp. 7–27. View Record in Scopus Cited By in Scopus
*S.S. Kraman and G. Hamm, Risk management: extreme honesty may be the best policy, Ann Intern Med 131 (1999), pp. 963–967. View Record in Scopus Cited By in Scopus
* C.B. Liebman and C.S. Hyman, A mediation skills model to manage disclosure of errors and adverse events to patients, Health Aff (Millwood) 23 (2004), pp. 22–32. Full Text via CrossRef View Record in Scopus Cited By in Scopus
*A.W. Wu, Handling hospital errors: is disclosure the best defense? [editorial], Ann Intern Med 131 (1999), pp. 970–972. View Record in Scopus Cited By in Scopus
*H.B. Beckman, K.M. Markakis and A.L. Suchman et al., The doctor-patient relationship and malpractice: lessons from plaintiff depositions, Arch Intern Med 154 (1994), pp. 1365–1370. View Record in Scopus Cited By in Scopus
*G.B. Hickson, E.W. Clayton and P.B. Githens et al., Factors that prompted families to file medical malpractice claims following perinatal injuries, JAMA 267 (1992), pp. 1359–1363. View Record in Scopus Cited By in Scopus
* K.M. Mazor, S.R. Simon and J.H. Gurwitz, Communicating with patients about medical errors: a review of the literature, Arch Intern Med 164 (2004), pp. 1690–1697. Full Text via CrossRef View Record in Scopus Cited By in Scopus
*The Sorry Works! Coalition. States with apology laws. Available at: http://www.sorryworks.net/media25.phtml. Accessed February 13, 2006.
*North Carolina General Statutes. Ch. 8C, Art. 4, Rule 413.
* D.L.B. Schwappach and C.M. Koeck, What makes an error unacceptable? a factorial survey on the disclosure of medical errors, Int J Qual Health Care 16 (2004), pp. 317–326. Full Text via CrossRef View Record in Scopus Cited By in Scopus
*Joint Commission on Accreditation of Healthcare Organizations, Comprehensive Accreditation Manual for Hospitals: The Official Handbook, JCAHO, Oakbrook Terrace, IL (2005), p. RI-13.
*J.C. Rosenberg, Using the morbidity and mortality conference to teach and assess the ACGME general competencies, Curr Surg 62 (2005), pp. 664–669. * L. Berlin, Reporting the “missed” radiologic diagnosis: medicolegal and ethical considerations, Radiology 192 (1994), pp. 183–187. View Record in Scopus Cited By in Scopus

REFERENCIAS BIBLIOGRAFICAS (i)

*John C. Moskop, Joel M. Geiderman , Cherri D. Hobgood Gregory L. Larkin. Emergency Physicians and Disclosure of Medical Errors Ann Emerg Med. 2006 Nov;48(5):523-31. Epub 2006 Jun 9.*L.T. Kohn, J. Corrigan and M.S. Donaldson, To Err Is Human: Building a Safer Health System, National Academy Press, Washington, DC (2000).
*D.E. Altman, C. Clancy and R.J. Blendon, Improving patient safety: five years after the IOM report, N Engl J Med 351 (2004), pp. 2041–2043. Full Text via CrossRef
*R. Amalberti, Y. Auroy and D. Berwick et al., Five system barriers to achieving ultrasafe health care, Ann Intern Med 142 (2005), pp. 756–765.
* C. Bayley, Turning the Titanic: changing the way we handle medical mistakes, HEC Forum 13 (2001), pp. 148–159. Full Text via CrossRef View Record in Scopus Cited By in Scopus
* D.C. Classen and P.M. Kilbridge, The roles and responsibility of physicians to improve patient safety within health care delivery systems, Acad Med 77 (2002), pp. 963–972. View Record in Scopus Cited By in Scopus
*C.V. Fernandez and J. Gillis-Ring, Strategies for the prevention of medical error in pediatrics, J Pediatr 143 (2003), pp. 155–162. Abstract Full Text + Links PDF (139 K) View Record in Scopus Cited By in Scopus
*L.D. Goode, C.M. Clancy and H.R. Kimball et al., When is “good” enough? the role and responsibility of physicians to improve patient safety, Acad Med 77 (2002), pp. 947–952. View Record in Scopus Cited By in Scopus
* R.M. Goldberg, G. Kuhn and L.B. Andrew et al., Coping with medical mistakes and errors in judgment, Ann Emerg Med 39 (2002), pp. 287–292. Abstract PDF (73 K)
*L.L. Leape, D.M. Berwick and D.W. Bates, What practices will most improve safety? evidence-based medicine meets patient safety, JAMA 288 (2002), pp. 501–507. Full Text via CrossRef View Record in Scopus Cited By in Scopus
*D.M. Studdert and T.A. Brennan, No-fault compensation for medical injuries: the prospect for error prevention, JAMA 286 (2001), pp. 217–223. Full Text via CrossRef View Record in Scopus Cited By in Scopus
*K.G.M. Volpp and D. Grande, Residents’ suggestions for reducing errors in teaching hospitals, N Engl J Med 348 (2003), pp. 851–855. Full Text via CrossRef View Record in Scopus Cited By in Scopus
* J. Fordyce, F.S. Blank and P. Pekow et al., Errors in a busy emergency department, Ann Emerg Med 42 (2003), pp. 324–333. Abstract Full Text + Links PDF (111 K) View Record in Scopus Cited By in Scopus
*American College of Emergency Physicians. Disclosure of medical errors: policy statement, approved September 2003. Available at: http://www.acep.org/webportal/PracticeResources/PolicyStatements/ethics/DisclosureMedicalErrors.htm.
*M.J. Shapiro, P. Croskerry and S. Fisher, Profiles in patient safety: sidedness error, Acad Emerg Med 9 (2002), pp. 326–329. Full Text via CrossRef View Record in Scopus Cited By in Scopus
* P. Croskerry, M. Shapiro and S. Campbell et al., Profiles in patient safety: medication errors in the emergency department, Acad Emerg Med 11 (2004), pp. 289–299. Full Text via CrossRef View Record in Scopus Cited By in Scopus
* P. Croskerry, The importance of cognitive errors in diagnosis and strategies to minimize them, Acad Med 78 (2003), pp. 775–780. View Record in Scopus Cited By in Scopus
*G.J. Kuhn, Diagnostic errors, Acad Emerg Med 9 (2002), pp. 740–750. Full Text via CrossRef View Record in Scopus Cited By in Scopus
18 American Medical Association. Principles of medical ethics. Adopted June 17, 2001. Available at: http://ama-assn.org/ama/pub/category/2512.html. Accessed June 1, 2005.
*American College of Emergency Physicians. Principles of ethics for emergency physicians. In: Code of Ethics for Emergency Physicians Available athttp://www.acep.org/webportal/PracticeResources/PolicyStatements/ethics/codeethics.htm. Accessed May 19, 2006.
*G.O. Gabbard and C. Nadelson, Professional boundaries in the physician-patient relationship, JAMA 273 (1995), pp. 1445–1449. View Record in Scopus Cited By in Scopus
*D.W. Brock, Informed consent. In: D. VanDeVeer and T. Regan, Editors, Health Care Ethics, Temple University Press, Philadelphia, PA (1987), pp. 98–116.
*K.M. Mazor, S.R. Simon and R.A. Yood et al., Health plan members’ views about disclosure of medical errors, Ann Intern Med 140 (2004), pp. 409–418.
*C. Hobgood, C.R. Peck and B. Gilbert et al., Medical errors: what and when: what do patients want to know?, Acad Emerg Med 9 (2002), pp. 1156–1161. Full Text via CrossRef View Record in Scopus Cited By in Scopus
*A.B. Witman, D.M. Park and S.B. Hardin, How do patients want physicians to handle mistakes? a survey of internal medicine patients in an academic setting, Arch Intern Med 156 (1996), pp. 2565–2569. View Record in Scopus Cited By in Scopus

BIBLIOGRAFIA PACIENTES ESTANDARIZADOS ENMASCARADOS

1.-McLeod PJ, TamblynRM, Gaytom D, Grad R, Snell L, Berkson L, Abrahamowicz M Use of standardized patients to assess between-physician variations in resource utilization JAMA. 1997 Oct 8;278(14):1164-8

2.-Dresselhaus TR,Luck J, Peabody JW The ethical problem of false positives: a prospective evaluation of physician reporting in the medical record J Med Ethics. 2002 Oct;28(5):291-4

3.- Rethans jj, Sturmans F, Drop R, Van der Vleuten c, Hobus P. Does competence of general practitioners predict their performance? Comparison between examination setting and actual practices BMJ 1991 Nov 30;303(6814):1377-80

4.-.- Suñol R: Correlación entre los procesos y los resultados de la Entrevista Clínica: su aplicación a los programas de calidad en Atención Primaria. Tesis Doctoral, Universidad Autónoma de Barcelona. Barcelona, 1992

5.- Borrell F.,Fontova B, Muñoz E, Prados JA, Pedregal M, Peguero E. Competencia clinica del medico de familia en un entorno real de atención primaria: debemos mejorar en exploracion fisica. Pte.Publicación.

6.-Franz CE, Epstein R, Miller KN, Brown A, Song J, Feldman M, Franks P, Kelly-Reif S, Kravitz RL. Caught in the act? Prevalence, predictors, and consequences of physician detection of unannounced standardized patients. Health Serv Res. 2006 Dec;41(6):2290-302.

7.-Gallagher TH, Lo B, Chesney M, Christensen K. How do physicians respond to patient's requests for costly, unindicated services?

J Gen Intern Med. 1997 Nov;12(11):663-8.

8.-Kravitz RL, Epstein RM, Feldman MD, Franz CE, Azari R, Wilkes MS, Hinton L, Franks P. Influence of patients' requests for direct-to-consumer advertised antidepressants: a randomized controlled trial.

JAMA. 2005 Apr 27;293(16):1995-2002.

9.-Brown JA, Abelson J, Woodward CA, Hutchison B, Norman G. Fielding standardized patients in primary care settings: lessons from a study using unannounced standardized patients to assess preventive care practices. Int J Qual Health Care. 1998 Jun;10(3):199-206.

10.-Zabar S, Ark T, Gillespie C, Hsieh A, Kalet A, Kachur E, Manko J, Regan L. Can unannounced standardized patients assess professionalism and communication skills in the emergency department? Acad Emerg Med. 2009 Sep;16(9):915-8. Epub 2009 Aug 10.

11.-Epstein RM, Levenkron JC, Frarey L, Thompson J, Anderson K, Franks P. Improving physicians' HIV risk-assessment skills using announced and unannounced standardized patients. J Gen Intern Med. 2001 Mar;16(3):176-80.

12.-Srinivasan M, Franks P, Meredith LS, Fiscella K, Epstein RM, Kravitz RL. Connoisseurs of care? Unannounced standardized patients' ratings of physicians. Med Care. 2006 Dec;44(12):1092-8.

13.- Fiscella K, Franks P, Srinivasan M, Kravitz RL, Epstein R. Ratings of physician communication by real and standardized patients. Ann Fam Med. 2007 Mar-Apr;5(2):151-8.

14.- Ozuah PO, Reznik M. Residents' asthma communication skills in announced versus unannounced standardized patient exercises.

Ambul Pediatr. 2007 Nov-Dec;7(6):445-8.

15.- Barragán N, Violan C, Martín Cantera C, Ferrer-Vidal D, González-Algas J. Diseño de un método para la evaluación de la competencia clínica en atención primaria Aten Primaria. 2000 Nov 30;26(9):590-4.

16.- Prados Castillejo, JA. Distorsión en las Técnicas Comunicacionales (Entrevista Clínica) en las consultas de Demanda de Atención Primaria. Tesis Doctoral. Universidad de Córdoba. Facultad de Medicina. Departamento de Medicina. Córdoba 1996 .

17.-Krane NK, Anderson D, Lazarus CJ, Termini M, Bowdish B, Chauvin S, Fonseca V. Physician practice behavior and practice guidelines: using unannounced standardized patients to gather data.

J Gen Intern Med. 2009 Jan;24(1):53-6. Epub 2008 Oct 31.

18.- Feldman MD, Franks P, Duberstein PR, Vannoy S, Epstein R, Kravitz RL. Let's not talk about it: suicide inquiry in primary care.

Ann Fam Med. 2007 Sep-Oct;5(5):412-8.

19. Epstein RM, Shields CG, Meldrum SC, Fiscella K, Carroll J, Carney PA, Duberstein PR. Physicians' responses to patients' medically unexplained symptoms. Psychosom Med. 2006 Mar-Apr;68(2):269-76.

20. Seaburn DB, Morse D, McDaniel SH, Beckman H, Silberman J, Epstein R. Physician responses to ambiguous patient symptoms.

J Gen Intern Med. 2005 Jun;20(6):525-30.

21.- Peabody JW, Luck J, Jain S, Bertenthal D, Glassman P. Assessing the accuracy of administrative data in health information systems.

Med Care. 2004 Nov;42(11):1066-72.

22. Carney PA, Dietrich AJ, Eliassen MS, Owen M, Badger LW. Recognizing and managing depression in primary care: a standardized patient study. J Fam Pract. 1999 Dec;48(12):965-72.

23.-Kravitz RL, Franks P, Feldman M, Meredith LS, Hinton L, Franz C, Duberstein P, Epstein RM. What drives referral from primary care physicians to mental health specialists? A randomized trial using actors portraying depressive symptoms. J Gen Intern Med. 2006 Jun;21(6):584-9.

24.- Woodward CA, Hutchison B, Norman GR, Brown JA, Abelson J.

What factors influence primary care physicians' charges for their services? An exploratory study using standardized patients. CMAJ. 1998 Jan 27;158(2):197-202.

25.- Rethans JJ, Saebu L. Do general practitioners act consistently in real practice when they meet the same patient twice? Examination of intradoctor variation using standardised (simulated) patients. BMJ. 1997 Apr 19;314(7088):1170-3

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