Surgeons' tone of voice: a clue to malpractice history.

@article{Ambady2002SurgeonsTO,
  title={Surgeons' tone of voice: a clue to malpractice history.},
  author={Nalini Ambady and Debi A. LaPlante and Thai Phat Nguyen and Robert W. Rosenthal and Nigel R. Chaumeton and Wendy S Levinson},
  journal={Surgery},
  year={2002},
  volume={132 1},
  pages={
          5-9
        }
}
BACKGROUND Interpersonal aspects of care, such as the communication behaviors of physicians, are often cited as central to patients' decisions to initiate malpractice litigation. [] Key Method Surgeons were audiotaped while speaking to their patients during office visits, and very brief samples of the conversations were rated by coders blind to surgeons' claims status. Two 10-second clips were extracted for each surgeon from the first and last minute of their interactions with 2 different patients.
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418 Citations
Highly Influential Citations
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Background Citations
84
Methods Citations
6
Results Citations
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418 Citations

Citation Type

Citation Type

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References

SHOWING 1-10 OF 38 REFERENCES
Communication between surgeons and patients in routine office visits.
Obstetricians' prior malpractice experience and patients' satisfaction with care.
TLDR
Physicians who have been sued frequently are more often the objects of complaints about the interpersonal care they provide even by their patients who do not sue.
Physician-patient communication. The relationship with malpractice claims among primary care physicians and surgeons.
TLDR
The study identifies specific and teachable communication behaviors associated with fewer malpractice claims for primary care physicians and surgeons and advises physicians to use these findings as they seek to improve communication and decrease malpractice risk.
Listening and talking to patients. A remedy for malpractice suits?
TLDR
The hypothesis that the way physicians communicate with patients and the degree patients perceive physician fault for bad medical outcomes are risk factors for the initiation of malpractice lawsuits is supported.
The doctor-patient relationship and malpractice. Lessons from plaintiff depositions.
TLDR
In this sample of 45 plaintiffs' depositions selected randomly from 67 depositions made available from settled malpractice suits filed between 1985 and 1987 against a large metropolitan medical center, the decision to litigate was often associated with a perceived lack of caring and/or collaboration in the delivery of health care.
"Oh, by the way ...": the closing moments of the medical visit.
TLDR
Orienting patients in the flow of the visit, assessing patient beliefs, checking for understanding, and addressing emotions and psychosocial issues early on may decrease the number of new problems in the final moments of theVisit.
Relationship of physicians' nonverbal communication skill to patient satisfaction, appointment noncompliance, and physician workload.
TLDR
Objectively measured physician sensitivity to audio communication predicted patient compliance: More sensitive physicians experienced fewer unrescheduled appointment cancellations and self-reported affective communication ability was significantly correlated with physician workload.
Relationship of physicians' nonverbal communication skill to patient satisfaction, appointment noncompliance, and physician workload.
  • M. Dimatteo, R. Hays, L. Prince
  • Medicine, Psychology
    Health psychology : official journal of the Division of Health Psychology, American Psychological Association
  • 1986
TLDR
Objectively measured physician sensitivity to audio communication predicted patient compliance: More sensitive physicians experienced fewer unrescheduled appointment cancellations and self-reported affective communication ability was significantly correlated with physician workload.
Doctor-patient communication and the quality of care.
  • J. Bensing
  • Psychology, Medicine
    Social science & medicine
  • 1991
The effects of doctor--patient communication on satisfaction and outcome of care.
...
1
2
3
4
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