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Global Trends in Clinical Practice and Healthcare Delivery: Opportunities for Growth and Innovation

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Advances in Human Factors and Ergonomics in Healthcare and Medical Devices (AHFE 2021)

Part of the book series: Lecture Notes in Networks and Systems ((LNNS,volume 263))

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Abstract

Balancing efficiency with healthcare quality is an emerging concern around the world. Deep-seated feedback loops are being realized in healthcare systems around the world, driving physician burnout, unnecessary healthcare costs, and suboptimal clinical outcomes. These are not localized or insignificant issues – they are present across cultures, continents, and all medical disciplines. Physician burnout is nearly doubling the rate of medical errors, and physicians involved in major errors are experiencing a threefold increase in suicidal ideation. As the complexity of health systems increases around the world, these trends continue to evolve and perpetuate one another. We have recommended that through non-punitive and interdisciplinary approaches, medical error can be properly disclosed, addressed, and mitigated in future practice. Systemic strategies to optimize healthcare delivery include shifting focus to the quality of care rather than productivity while fostering innovation in clinical practice and policy.

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References

  1. Irving, G., et al.: International variations in primary care physician consultation time: a systematic review of 67 countries. BMJ Open 7(10), e017902 (2017). https://doi.org/10.1136/bmjopen-2017-017902

    Article  Google Scholar 

  2. Marvel, M.K., Epstein, R.M., Flowers, K., Beckman, H.B.: Soliciting the patient’s agenda: have we improved? J. Am. Med. Assoc. 281, 283–287 (1999). https://doi.org/10.1001/jama.281.3.283

    Article  Google Scholar 

  3. Becker, G., Kempf, D.E., Xander, C.J., Momm, F., Olschewski, M., Blum, H.E.: Four minutes for a patient, twenty seconds for a relative - an observational study at a university hospital. BMC Health Serv. Res. 10, 1–9 (2010). https://doi.org/10.1186/1472-6963-10-94

    Article  Google Scholar 

  4. Gottschalk, A., Flocke, S.A.: Time spent in face-to-face patient care and work outside the examination room. Ann. Fam. Med. 3, 488–493 (2005). https://doi.org/10.1370/afm.404

    Article  Google Scholar 

  5. Kalra, J., Rafid-Hamed, Z., Seitzinger, P.: The future of diagnostic laboratory testing in healthcare. Am. J. Biomed. Sci. Res. 5, 89–91 (2019). https://doi.org/10.34297/ajbsr.2019.05.000883

  6. Hendee, W.R., et al.: Addressing overutilization in medical imaging. Radiology 257, 240–245 (2010). https://doi.org/10.1148/radiol.10100063

    Article  Google Scholar 

  7. Martin, D.: Better Now: Six Big Ideas to Improve Health Care for all Canadians. Allen Lane (2017)

    Google Scholar 

  8. Levinson, W., Kallewaard, M., Bhatia, R.S., Wolfson, D., Shortt, S., Kerr, E.A.: ‘Choosing Wisely’: a growing international campaign. BMJ Qual. Saf. 24, 167–174 (2015). https://doi.org/10.1136/bmjqs

    Article  Google Scholar 

  9. Balogh, E.P., Miller, B.T., Ball, J.R.: Improving Diagnosis in Health Care. National Academies Press, Washington, DC (2016). https://doi.org/10.17226/21794

  10. Tavora, F., Crowder, C.D., Sun, C.-C., Burke, A.P.: Discrepancies between clinical and autopsy diagnoses. Am. J. Clin. Pathol. 129, 102–109 (2008). https://doi.org/10.1309/9M7DFE62RTDKHH4D

    Article  Google Scholar 

  11. Tai, D.Y.H., El-Bilbeisi, H., Tewari, S., Mascha, E.J., Wiedemann, H.P., Arroliga, A.C.: A study of consecutive autopsies in a medical ICU: a comparison of clinical cause of death and autopsy diagnosis. Chest 119, 530–536 (2001). https://doi.org/10.1378/CHEST.119.2.530

    Article  Google Scholar 

  12. Schiff, G.D.: Diagnostic error in medicine. Arch. Intern. Med. 169, 1881 (2009). https://doi.org/10.1001/archinternmed.2009.333

    Article  Google Scholar 

  13. Kalra, J., Markewich, D., Seitzinger, P.: Quality assessment and management: an overview of concordance and discordance rates between clinical and autopsy diagnoses. In: Lightner, N.J., Kalra, J. (eds.) AHFE 2019. AISC, vol. 957, pp. 45–54. Springer, Cham (2020). https://doi.org/10.1007/978-3-030-20451-8_5

    Chapter  Google Scholar 

  14. Spiliopoulou, C., Papadodima, S., Kotakidis, N., Koutselinis, A.: Clinical diagnoses and autopsy findings: a retrospective analysis of 252 cases in Greece. Arch. Pathol. Lab. Med. (2005). https://doi.org/10.1043/1543-2165(2005)129%3c210:CDAAFA%3e2.0.CO;2

    Article  Google Scholar 

  15. Maris, C., et al.: Comparison of clinical and post-mortem findings in intensive care unit patients. Virchows Arch. 450, 329–333 (2007). https://doi.org/10.1007/s00428-006-0364-5

    Article  Google Scholar 

  16. Combes, A., et al.: Clinical and autopsy diagnoses in the intensive care unit. Arch. Intern. Med. 164, 389 (2004). https://doi.org/10.1001/archinte.164.4.389

    Article  Google Scholar 

  17. Val-Bernal, J.F.: El papel de la autopsia en la práctica clínica actual. Med. Clin. 145, 313–316 (2015). https://doi.org/10.1016/j.medcli.2015.02.015

    Article  Google Scholar 

  18. Kuijpers, C.C., Fronczek, J., Van De Goot, F.R.W., Niessen, H.W.M., Van Diest, P.J., Jiwa, M.: The value of autopsies in the era of high-tech medicine: discrepant findings persist. J. Clin. Pathol. 67, 512–519 (2014). https://doi.org/10.1136/jclinpath-2013-202122

    Article  Google Scholar 

  19. Moorchung, N., Singh, V., Mishra, A., Patrikar, S., Kakkar, S., Dutta, V.: Is necropsy obsolete - an audit of the clinical autopsy over six decades: a study from Indian sub continent. Indian J. Pathol. Microbiol. 56, 372 (2014). https://doi.org/10.4103/0377-4929.125294

    Article  Google Scholar 

  20. Shojania, K.G., Burton, E.C., McDonald, K.M., Goldman, L.: Changes in rates of autopsy-detected diagnostic errors over time. JAMA 289, 2849 (2003). https://doi.org/10.1001/jama.289.21.2849

    Article  Google Scholar 

  21. Zerbini, T., Singer, J.M., Leyton, V.: Evaluation of the discrepancy between clinical diagnostic hypotheses and anatomopathological diagnoses resulting from autopsies. Clinics 74 (2019). https://doi.org/10.6061/clinics/2019/e1197

  22. Graber, M.L.: The incidence of diagnostic error in medicine (2013). https://doi.org/10.1136/bmjqs-2012-001615

  23. Seitzinger, P., Rafid-Hamed, Z., Kalra, J.: The value of the medical autopsy as a quality improvement tool in modern diagnostic medicine. In: Kalra, J., Lightner, N.J. (eds.) AHFE 2020. AISC, vol. 1205, pp. 77–82. Springer, Cham (2020). https://doi.org/10.1007/978-3-030-50838-8_11

    Chapter  Google Scholar 

  24. Graber, M.L., Trowbridge, R., Myers, J.S., Umscheid, C.A., Strull, W., Kanter, M.H.: The next organizational challenge: finding and addressing diagnostic error. Jt. Comm. J. Qual. Patient Saf. (2014). https://doi.org/10.1016/S1553-7250(14)40013-8

    Article  Google Scholar 

  25. Kalra, J., Rafid-Hamed, Z., Seitzinger, P.: Disclosure of medical error: a necessary step in healthcare improvement. In: Kalra, J., Lightner, N.J. (eds.) AHFE 2020. AISC, vol. 1205, pp. 11–16. Springer, Cham (2020). https://doi.org/10.1007/978-3-030-50838-8_2

    Chapter  Google Scholar 

  26. Kohn, L.T., Corrigan, J.M., Donaldson, M.S.: To err is human. Build. Safer Health Syst. 6 (1999). https://doi.org/10.17226/9728

  27. Mulligan, M.A., Nechodom, P.: Errors and analysis of errors. Clin. Obstet. Gynecol. 51, 656–665 (2008). https://doi.org/10.1097/GRF.0b013e3181899a5a

    Article  Google Scholar 

  28. Ramanujam, R., Rousseau, D.M.: The challenges are organizational not just clinical. J. Organ. Behav. 27, 811–827 (2006). https://doi.org/10.1002/job.411

    Article  Google Scholar 

  29. Kalra, J., Kalra, N., Baniak, N.: Medical error, disclosure and patient safety: a global view of quality care. Clin. Biochem. 46, 1161–1169 (2013). https://doi.org/10.1016/j.clinbiochem.2013.03.025

    Article  Google Scholar 

  30. Pronovost, P.J., et al.: Evaluation of the culture of safety: survey of clinicians and managers in an academic medical center. www.qshc.com (2003). https://doi.org/10.1136/qhc.12.6.405

  31. Kalra, J., Kalra, N., Baniak, N.: Medical error, disclosure and patient safety: a global view of quality care (2013). https://pubmed.ncbi.nlm.nih.gov/23578740/. https://doi.org/10.1016/j.clinbiochem.2013.03.025

  32. Rothenberger, D.A.: Physician burnout and well-being: a systematic review and framework for action. Dis. Colon Rectum. 60, 567–576 (2017). https://doi.org/10.1097/DCR.0000000000000844

    Article  Google Scholar 

  33. Rotenstein, L.S., et al.: Prevalence of burnout among physicians a systematic review (2018). https://doi.org/10.1001/jama.2018.12777

  34. Rodrigues, H., et al.: Burnout syndrome among medical residents: a systematic review and meta-analysis. PLoS ONE 13(11), e0206840 (2018). https://doi.org/10.1371/journal.pone.0206840

    Article  Google Scholar 

  35. Panagioti, M., et al.: Association between physician burnout and patient safety, professionalism, and patient satisfaction: a systematic review and meta-analysis. JAMA Intern. Med. 178(10), 1317 (2018). https://doi.org/10.1001/jamainternmed.2018.3713

    Article  Google Scholar 

  36. Shanafelt, T.D., et al.: Special report: suicidal ideation among American surgeons. Arch. Surg. 146, 54–62 (2011)

    Article  Google Scholar 

  37. Estrada, C.A., Isen, A.M., Young, M.J.: Positive affect facilitates integration of information and decreases anchoring in reasoning among physicians. Organ. Behav. Hum. Decis. Process. 72, 117–135 (1997). https://doi.org/10.1006/obhd.1997.2734

    Article  Google Scholar 

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Author information

Authors and Affiliations

  1. Northern Medical Program, Faculty of Medicine, University of British Columbia, Prince George, BC, V2N 4Z9, Canada

    Patrick Seitzinger

  2. Royal University Hospital, Saskatchewan Health Authority, 103 Hospital Drive, Saskatoon, SK, S7N 0W8, Canada

    Zoher Rafid-Hamed & Jawahar (Jay) Kalra

  3. Department of Pathology and Laboratory Medicine, College of Medicine, University of Saskatchewan, Saskatoon, SK, S7N 0W8, Canada

    Jawahar (Jay) Kalra

Authors
  1. Patrick Seitzinger
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  2. Zoher Rafid-Hamed
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  3. Jawahar (Jay) Kalra
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Corresponding author

Correspondence to Jawahar (Jay) Kalra .

Editor information

Editors and Affiliations

  1. Dept.of Pathology, College of Medicine, Univ.of Saskatchewan Royal Univ.Hospital, Saskatoon, SK, Canada

    Jay Kalra

  2. Center for Applied Sys. Engineering, Veterans Affairs, Indianapolis, IN, USA

    Nancy J. Lightner

  3. Campus du Moulin de la Housse, Université de Reims Champagne-Ardenne, Reims Cedex 2, France

    Redha Taiar

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Seitzinger, P., Rafid-Hamed, Z., Kalra, J.(. (2021). Global Trends in Clinical Practice and Healthcare Delivery: Opportunities for Growth and Innovation. In: Kalra, J., Lightner, N.J., Taiar, R. (eds) Advances in Human Factors and Ergonomics in Healthcare and Medical Devices. AHFE 2021. Lecture Notes in Networks and Systems, vol 263. Springer, Cham. https://doi.org/10.1007/978-3-030-80744-3_2

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  • DOI: https://doi.org/10.1007/978-3-030-80744-3_2

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  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-030-80743-6

  • Online ISBN: 978-3-030-80744-3

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