Simon Carley: medical error- are you as good as you think?
Error is almost inevitable in our clinical practice so we should be prepared to help and prepare those individuals involved for the benefit of them, our systems and our patients. Do you remember that patient you saw last night?': A phrase the strikes terror into the hearts of all physicians. The prospect of a patient coming to harm as a result of a mistake is terrifying but it can and does happen. The consequences for the patient and their family are often tragic but what of the clinicians who made the error? For many the result of making a terrible error is life changing. Those permanently harmed by error are often referred to as second victims with the consequences of terrible events being life-long. This talk explores the predictable course for clinicians who are involved in error and asks whether we can prepare and support such individuals through a difficult time.
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Simon Carley: medical error- are you as good as you think?
- 1. Are you as good as you think?
- 2. Are you as good as you think?
- 3. Are you as good as you think? Is it?
- 4. Are you as good as you think?
- 5. Are you a better than average driver?
- 6. 93% of Americans 69% of Swedes Svenson 1981 Acta Psychologica
- 13. Influential
- 16. activity
- 20. knowledge of subject communication skills enthusiasm
- 23. feedback
- 27. Passive
- 28. Active
- 29. Tools
- 31. peer review
- 32. Peer review
- 33. Do it
- 34. I'm great
- 35. I'm great
- 39. bedside teaching procedures out patient clinics lectures small groups
- 40. bedside teaching procedures out patient clinics lectures small groups
- 41. Feedback in Emergency Medicine clinical feedback
- 43. One more thing
- 45. I will
- 46. thank you
- 47. trained teachers high volume teachers younger
- 48. do a personal reflection keep a diary follow up my patients or students be observed or peer reviewed observe/peer review someone else develop a team feedback system in my department take part in a 360 do something else I’m not going to bother because I know I’m awesome
- 51. knowledge of subject communication skills enthusiasm
- 52. Good stuff Not so good
- 53. Good stuff Easy Effortless Comes to you Trackable Interhospital comparisons Not so good
- 54. Good stuff Easy Effortless Comes to you Trackable Interhospital comparisons Not so good Vague Small speciality problems Groupings sometime unclear Often targeted reviews Fidelity low
- 56. • Passive feedback • happy sheets • departmental assessments • National training surveys • quality framework • deanery reports • ARCP outcomes?
- 58. Trainer Dept.vs
- 62. All trainees Ranking Approachability Empathy Knowledge Supervision Formal teaching Setting Feedback
- 63. All trainees Ranking Approachability Empathy Knowledge Supervision Formal teaching Setting Feedback Not you……
- 67. are you a good educator? how do you know? what are you going to do next?
- 68. –Quotes I made up to try and sound clever “we are all learners”