Abstract
The way that healthcare providers feel, both within themselves and towards their patients, may
influence their clinical performance and impact patient safety, yet this aspect of provider
behavior has received relatively little attention. How providers feel-- their emotional state -- may
be influenced by a variety of factors including characteristics of the patient, ambient conditions in
the healthcare setting, diurnal, circadian, infradian and seasonal variables, as well as endogenous
disorders of the individual provider. Analogous to cognitive errors, the provider’s emotional
state may also contribute to errors, which can be referred to as ‘emotional errors’. Clinical
reasoning and judgment may be particularly susceptible to emotional influence, especially those
processes that rely on intuitive judgments. However, emotional influences on decision making
and patient safety have attracted little attention to date.
To reduce emotional errors, the level of awareness of these factors should be raised.
Emotional skills training should be incorporated into undergraduate and postgraduate education.
Specifically, clinical teaching should promote more openness and discussion about provider’s
feelings towards patients. Strategies should be developed to help providers identify and de-bias
themselves against untoward emotional influences that may impact care, particularly in the
emotionally evocative patient. Psychiatric conditions within the provider that may compromise
patient safety need to be promptly detected, diagnosed and managed.
Abstract
The way that healthcare providers feel, both within themselves and towards their patients, may
influence their clinical performance and impact patient safety, yet this aspect of provider
behavior has received relatively little attention. How providers feel-- their emotional state -- may
be influenced by a variety of factors including characteristics of the patient, ambient conditions in
the healthcare setting, diurnal, circadian, infradian and seasonal variables, as well as endogenous
disorders of the individual provider. Analogous to cognitive errors, the provider’s emotional
state may also contribute to errors, which can be referred to as ‘emotional errors’. Clinical
reasoning and judgment may be particularly susceptible to emotional influence, especially those
processes that rely on intuitive judgments. However, emotional influences on decision making
and patient safety have attracted little attention to date.
To reduce emotional errors, the level of awareness of these factors should be raised.
Emotional skills training should be incorporated into undergraduate and postgraduate education.
Specifically, clinical teaching should promote more openness and discussion about provider’s
feelings towards patients. Strategies should be developed to help providers identify and de-bias
themselves against untoward emotional influences that may impact care, particularly in the
emotionally evocative patient. Psychiatric conditions within the provider that may compromise
patient safety need to be promptly detected, diagnosed and managed.
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Abstract
The way that healthcare providers feel, both within themselves and towards their patients, may
influence their clinical performance and impact patient safety, yet this aspect of provider
behavior has received relatively little attention. How providers feel-- their emotional state -- may
be influenced by a variety of factors including characteristics of the patient, ambient conditions in
the healthcare setting, diurnal, circadian, infradian and seasonal variables, as well as endogenous
disorders of the individual provider. Analogous to cognitive errors, the provider’s emotional
state may also contribute to errors, which can be referred to as ‘emotional errors’. Clinical
reasoning and judgment may be particularly susceptible to emotional influence, especially those
processes that rely on intuitive judgments. However, emotional influences on decision making
and patient safety have attracted little attention to date.
To reduce emotional errors, the level of awareness of these factors should be raised.
Emotional skills training should be incorporated into undergraduate and postgraduate education.
Specifically, clinical teaching should promote more openness and discussion about provider’s
feelings towards patients. Strategies should be developed to help providers identify and de-bias
themselves against untoward emotional influences that may impact care, particularly in the
emotionally evocative patient. Psychiatric conditions within the provider that may compromise
patient safety need to be promptly detected, diagnosed and managed.
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