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Teaching About Medical Error Deirdre Bonnycastle May 2009
Objectives ,[object Object],[object Object],[object Object],[object Object],[object Object]
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Saskatchewan Girl Case   ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
What did the FM and ER not do? ,[object Object],[object Object],[object Object]
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[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object]
Identify types of medical learner errors ,[object Object],[object Object],[object Object],[object Object]
Name cognitive errors ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object]
This prevalent cultural pattern—discussing knowledge   in groups large and small, but applying it as individual   practitioners—is perfectly designed to delay the implementation   of new knowledge and to produce wide variation in   practice. Systemic Error Zen and the Art of Physician Autonomy Maintenance - Reinertsen   Ann Intern Med.  2003
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[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Create a strategy for dealing with each type of error. ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Dr. Pat Croskerry’s suggestions ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
P. Croskerry continued ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Resources online ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
Print Resources ,[object Object],[object Object],[object Object],[object Object],[object Object],[object Object]
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Teaching About Medical Error

  • 1. Teaching About Medical Error Deirdre Bonnycastle May 2009
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  • 16. This prevalent cultural pattern—discussing knowledge in groups large and small, but applying it as individual practitioners—is perfectly designed to delay the implementation of new knowledge and to produce wide variation in practice. Systemic Error Zen and the Art of Physician Autonomy Maintenance - Reinertsen Ann Intern Med. 2003
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