Diagnostic Error: a cultural problem Dr.Lucian Leape)
Dr. Leape has enhanced the importance of “respect” in general to improve health care.
He considere The spectrum of Disrespectful Behavior:
A. Overt: disruptive/demeaning Behavior of physicians
B. Covert: Passive resistance: “the major cause of failure of QI and safety projects is a lack of physician participation”.
C. Institutional Disrespect: of workers ( workplace environment,workloads, psychological disrespect) and of patients(sharing decisions,)
In a brave speech he enumerates the FIVE transforming concepts to change medical practice:
1. Reforming Medical Education
2. Integrating Health Care
3. Finding Joy and Meaning in Work
4. Consumer Engagement
5. Transparency
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