Additional Reviews of We AdVANCE – a documentary film on patient safety:
I was very moved by the AdVANCE film and its extremely important message about patient safety. The program that Dr. Tavares and his colleagues have developed along with Donna Davis is a striking testimony to the necessity of supporting patients on several key ways: (1) by listening to them intently and with care, (2) by responding to their questions, concerns, and pleas promptly and with respect, and (3) by encouraging their active participation in their treatment so as to maximize collaboration and to create positive synergy between the medical knowledge of practitioners and the personal knowledge of patients and their families. I heard Ms. Davis's heart-wrenching story about her son, and I immediately reached out to several patients to improve our communication on their care. The AdVANCE model is straightforward, clear, and filled with wisdom and common sense. Its implementation will benefit practitioners, patients, and their families in ways that are both measurable (scientifically) and immeasurable (humanistically).
Cory F. Newman, Ph.D., ABPP Professor of Psychology, in Psychiatry Perelman School of Medicine, University of Pennsylvania Director, Center for Cognitive Therapy Philadelphia, PA USA
The story of Donna Davis is a sad but useful example of how shortcomings in communication and coordination between healthcare teams and patients can lead to a terrible end for the patient and his/her relatives. As a healthcare professional and researcher, I think that the documentary We AdVANCE can be a good dissemination tool to alert and raise awareness of this situation. Accepting the existence of pitfalls in the system is the first step towards the development of interventions that minimize the impact that result from them. Patients should be aware of the problem and be active agents of change, detecting the fails in the system, communicating them and demanding solutions that benefit both them and the health care professionals.
The On Board Model presents an interesting and useful metaphor to transmit this message. The patients are the constant at the different levels through the health care system. They have to lead, with the support from healthcare professionals, the choices about their care and take responsibility of their health results. The patients are the ones who know best the situation on their health problems and environment. Empowering them and giving them the necessary tools and resources, such as educative tools or support groups, can only improve their care and the system. It will have a positive impact in the prevention of errors in the process of care. I want to emphasize a role that seems key to me and that I really liked from the On Board Model: the copilot (patient’s relatives and friends). Social support has demonstrated to be a key to getting better health results in many disorders. I believe that it is interesting and positive that the model reinforces the role of these informal careers, as they are central in both primary prevention and recovery of patients.
I think that health professionals and patients would benefit from watching the documentary We AdVANCE as it will raise their awareness about the problems in medical safety.
Maria Rubio Valera, Pharmacist, Ph.D.
Postdoctoral Researcher, Parc Sanitari Sant Joan de Déu, Spain
Associate Professor, University of Barcelona, Spain
1) Today You are Going to be Flying a Big Jet
2) We AdVANCE - A Documentary Film on Patient Safety
The story of We AdVANCE:
3) We AdVANCE - Film Script
4) Essay On Board with Your Treatment
5) Additional videos on Patient Safety:
Dr. Tavares created the On Board Model inspired on what he learned in the books and training from Dale Carnegie / Dale Carnegie Programs, books from Harvard Negotiation Project, books on motivational interviewing and from books and training on cognitive behavioral therapy.
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