By Jennifer Landau, Elio Borgonovi (auth.)
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Extra info for Relationship Competence for Healthcare Management: Peer to Peer
Learning was not standard across the 16 hospitals. Learning had a bell curve. In the best case, one surgeon hand picked the team, sent the team for training and scheduled operations with that team and that team only for the next 15 operations. Six were scheduled in a week so that the learning curve would keep people on the team in focus. In 15 operations, this team halved procedure time. Other learning procedures in this hospital's approach included sharing information with other departments, and a briefing with the team before and after each operation.
39 38 Relationship Competence for Healthcare Management Management paradigms, through an effect of inadvertent marketing, have mimicked this metaphor. Risk management and quality are about the "war on errors in medicine". The lack of person in all roles is felt from the patient, to the healthcare clinician, to the management team. The zebra, great case culture and the warfare metaphors all emphasize a patient as a malfunctioning body, and consequently emphasize the disease-centred model of communication.
With his children and wife present, I explained the x-rays to him, which show extensive spreading of his lung cancer. The desired result failed to materialize. He turned his face towards the wall, pulled his quilt over his head and asked us to leave the room. He died ten days later in abject loneliness. 1133 The doctor-patient relationship has traditionally followed a diseasecentred model. The disease-centred model focuses on the physician acquiring selected information for an accurate diagnosis.