Patient,carer and family experiences of seeking redress and reconciliation following a life-changing event: Systematic review of qualitative evidence

Introduction

We conducted a systematic review of qualitative evidence to improve understanding of the processes and outcomes of redress and reconciliation following a life-changing event from the perspectives of individuals experiencing the event and their families.

Methods

We searched six bibliographic databases for primary qualitative evidence exploring the views of individuals who have experienced a life-changing event, and/or their family or carers, of redress or reconciliation processes. This was supplemented with targeted database searches, forward and backward citation chasing and searches of Google Scholar and relevant websites. Title and abstract and full-text screening were undertaken independently by two reviewers. Data extraction and quality appraisal were conducted by one reviewer and checked by a second. We used a best-fit framework synthesis approach, drawing upon procedural and restorative justice concepts.

Findings

Fifty-three studies (61 papers) were eligible for inclusion. Forty-one studies (47 papers) were included in the synthesis, from which we identified four themes. Three themes ‘Transparency’, ‘Person-centered’ and ‘Trustworthy’ represent the procedural elements required to support a fair and objective process. The fourth, ‘Restorative justice’ encapsulates how a fair process feels to those who have experienced a life-changing event. This theme highlights the importance of an empathic relationship between the different parties involved in the redress-reconciliation process and the significance of being able to engage in meaningful action.

Conclusion

Our findings highlight the procedural aspects and context of redress-reconciliation processes required to ensure that the process and outcomes are experienced as fair. These criteria may be applied to the processes used to investigate both recent and historical patient safety events.

Public Contribution

One member of the public affiliated with the Exeter Policy Research Programme Evidence Review Facility helped develop the review protocol. Two people with experience of medically life-changing events provided insight which corroborated our findings and identified important limitations of the evidence included in this review.     

基于主诉诊疗学的中医诊疗路径研究

构建诊断与理法方药紧密契合的诊疗体系,从而实现诊断与治疗的精准化,是中医药领域发展的必然趋势.以主诉诊疗学作为切入点,从四诊合参、关联分析等方面展开论述,提出主证精细深入分析、主证横/纵向分析等研究思路与对策,以期优化中医临床诊断思路,为临床路径提供决策参考.     

医院总会计师胜任力研究

基于胜任力的人才评价方法目前已在各领域得到广泛应用,但目前对医院总会计师岗位胜任力的研究很少。该文对国内外总会计师的胜任力研究现状进行了概述,介绍了医院总会计师胜任力模型构建的思路和方法,提出了医院总会计师胜任力模型及胜任力模型在实践应用中的价值。     

医院总会计师的职责与岗位作用发挥

总会计师要在医院的经营管理中发挥重要作用,必须明确岗位职责,选拔合适的人选来任职.文章对医院总会计师的职责和能力要求进行了探讨,分析了影响和制约总会计师发挥作用的因素,提出了扩大总会计师的职业影响力和能力发挥的措施.