When doctors share visit notes with patients: a study of patient and doctor perceptions of documentation errors, safety opportunities and the patient–doctor relationship, BMJ Quality & Safety
Director of Patient Safety and Discovery
Sigall is an Associate Professor of Medicine at Harvard Medical School. She leads the OpenNotes Patient Safety Initiative, a multi-site study examining the relationship between OpenNotes and safety outcomes. With her collaborators, she developed a patient reporting tool linked to OpenNotes, among the first in the country to solicit patient feedback on notes to improve safety and quality. She also leads educational innovations, such as including patients and family voices in medical education through feedback on notes.
Sigall also serves as Director of Patient Safety and Quality Initiatives at the Institute for Professionalism and Ethical Practice (IPEP), Boston Children’s Hospital, where she is part of a team that has trained more than 900 inter-professional clinician-leaders in medical error disclosure nationally. She has participated in several Agency for Healthcare Research and Quality (AHRQ) liability reform grants focused on national Communication and Resolution Programs and involving patients in post-adverse event learning.
As a recipient of the Arnold P. Gold Professorship, Sigall’s research probes the effects of organizational culture and the “hidden curriculum” – the customs that shape communication and moral decision-making in the clinical learning environment – on patient safety. With her collaborators, she has helped develop a “speaking up scale” to enhance safety culture metrics and a new educational paradigm for “Patients as Teachers” in inter-professional training sessions on medical error disclosure and prevention.
Sigall has received several teaching awards and is a member of Academy of Medical Education at Harvard Medical School.