Posts (27)

Tue, May 2 10:49am · A case of the best, worst, and most likely

  Dr. Margaret Schwarze, a surgeon from the University of Wisconsin, and her colleagues published a proof of concept study “A Framework to Improve Surgeon Communication in High-Stakes Surgical Decisions—Best Case/Worst Case.”1 (https://www.ncbi.nlm.nih.gov/pubmed/28146230) This article was recently the topic of discussion during our bi-weekly Shared Decision Making [...]

Fri, Apr 14 8:57am · On Cars and Caring: How metaphors can be (un)helpful

Submitted by Marleen Kunneman, PhD; Michael R. Gionfriddo, PharmD, PhD; Victor M. Montori, MD, MSc Metaphors are common in clinical medicine and can be helpful in discussing and understanding the complexities of health and illness. Blood vessels are like plumbing, the brain is like a computer, and when facing illness [...]

Fri, Mar 24 9:10am · Shared decision making in immigrant patients

Authors: Claudia C. Dobler, Gabriela Spencer-Bonilla, Michael R. Gionfriddo, Juan Pablo Brito Shared decision making (SDM) has been widely advocated [1] and called the pinnacle of patient-centered care [2]. Translating this ideal into reality has proven challenging [3]. Several papers have identified barriers to the translation of SDM into [...]

Jul 14, 2016 · Communication is a challenge

Submitted by Jennifer Barton, M.D. Communication is a challenge in my practice. As a rheumatologist in a busy, public hospital clinic, I had the privilege of caring for patients who spoke Spanish (a third), Cantonese (a third), Vietnamese, Russian, Lao, Tagalog, or English. Much can be conveyed in a [...]

Jun 23, 2016 · Diary post of a visiting researcher

Dear Diary, Sat May 7th. All set, ready to go! Excited to visit the KER Unit for a few weeks and to join them at the SAEM SDM Consensus Conference in New Orleans. This will be my first visit to the Mayo Clinic, and one I’ve been looking forward [...]

Mar 30, 2016 · Making a difference one clinician at a time

Submitted by Renee Herman   I wanted to start my day by sending you a “thank you!” for your work.  I have no awards to give you, live applause from the audience, or notations that reference your terrific work in journals. Today, from me, I can only give [...]

Mar 16, 2016 · Helping to reduce the burden of taking 83 pills a week - A nurse's perspective

Submitted by Renee' Herman I had a patient recently (a male in his late 60's), whose treatment plan includes taking 83 pills a week! Pills he cannot easily afford and often neglects to take. I met with him to do a medication reconciliation recently and started by asking him [...]

Feb 3, 2016 · Bringing health and health care issues to the forefront

Submitted by Madge Kaplan Every now and then, as IHI’s Director of Communications and the host and producer of WIHI, I get the opportunity to bring forward issues health and health care improvers are particularly wrestling with. These are issues born of one of the hallmarks of quality [...]

Jan 14, 2016 · WIHI: January 28, 2016, 2:00 PM ET: New Tools and Thinking for Shared Decision Making

Mark your calendars now for New Tools and Thinking for Shared Decision Making
  • Victor Montori, MD, Professor of Medicine, Mayo Clinic; Director, Late Stage Translational Research, Mayo Center for Clinical and Translational Science
  • Andrea Kabcenell, RN, MPH, Vice President, Institute for Healthcare Improvement (IHI)
[...]

Dec 9, 2015 · Shared decision making in adjuvant cancer treatment

Submitted by Marleen Kunneman Involving patients in a shared decision making (SDM) process is increasingly the preferred approach to making healthcare decisions when more than one reasonable option is available, as is often the case in (neo-)adjuvant cancer treatment. In our recent studies, we aimed to gain insight in [...]
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