My time spent at the Telluride Patient Safety Summer Camp was enlightening and life-changing. It was life-changing for me and my future patients. In my application essay I spoke about how “I want to be part of the solution and enhance patient safety by figuring out how to prevent nosocomial infections, lower remittance rates, and develop better communication strategies between health professionals”. I learned this and much more.
The statistics presented to us were powerful. I cannot believe I was never informed about the infamous IOM report in my first year of medical school. The Hippocratic Oath says we must do no harm; it would be wise if we learned how to actively not do this in medical school. However, this patient safety conference has educated me and I plan to spread awareness to my class. Medical errors account for the third leading cause of death in the U.S.; 100,000… Continue reading
In addition to the interprofessional communication lecture and breaking out in small groups to discuss the case of the missing lap sponge, I really enjoyed the Domino game! That game was my one of my favorite parts of the day. It did an excellent job of highlighting the errors in communication within healthcare. For the first round I played the role of the doctor and I became a little frazzled not knowing how to properly tell the nurse how to place the dominos. I tried to use a systemic approach by first listing the type of domino and then the numbers and colors on it. I also expressed the vertical or horizontal position of the domino. I thought I was explaining my thoughts clearly but when I saw the pattern laid out, I knew I was definitely not. My group members told me I forgot to describe directions such as… Continue reading
I would like to first start out by saying how incredibly blessed I feel to have been given the opportunity to participate in this wonderful conference, as well as meet and collaborate with all of these incredibly talented faculty, nurses and medical students from around the country.
I did not know what to expect from day one, however, it exceeded any and all expectations. We discussed a variety of topics from the Lewis Blackman story (which without fail also makes me very emotional), to culture, communication and inter- professional relationships. The activity I felt was most eye opening was the domino game. It illustrated just how important clear and concise communication is, as well as how important it is to know your teammates.
This idea of knowing the personalities, strengths and weaknesses of team members really got me thinking about my unit back home and this idea of the physicians,… Continue reading
Twelve years…that is how long it has been since we first traveled to Telluride, CO to kick-off our inaugural Patient Safety Educational Roundtable and Summer Camp. As we headed west again this weekend to meet with the 36 graduate resident physicians and future health care leaders who were selected from a large group of applicants, it is hard not to think back about all that has happened in those twelve years and the many who have contributed to make it happen.
Twelve years ago, those who came to Telluride believing in our Educate the Young mission consisted of patient safety leaders Tim McDonald, Anne Gunderson, Kelly Smith, Deb Klamen, Julie Johnson, Paul Barash, Gwen Sherwood, Bob Galbraith, Ingrid Philibert and Shelly Dierking to name just a few. However, the smartest thing we ever did was invite patient advocates to the Patient Safety Educational Roundtable. People like Helen Haskell, Carole Hemmelgarn,… Continue reading
People often ask me how I can work in Paediatric Acute Care. Isn’t it too draining? Isn’t it too sad? How do you manage when awful things happen? It’s a really good question. There are many reasons why I love working in this area, but I think the matter of how we manage emotions is really important. Bad and sad things do happen. And many times my first job is to show clear leadership and facilitate a team offering the very best clinical care. My second job is then to step down from that role, think about the family, the team and myself and make sure our next steps are compassionate and caring. Sometimes this means a team member will come to me in tears, apologising for their emotion; “I don’t know why I am so upset”.
The challenge of healthcare is caring deeply for our patients at the same… Continue reading
Today’s post is by Guest Author, John Nance, Telluride Experience Faculty, Author and ABC Aviation Consultant
Having had the delightful experience of attending and working with all of the sessions of the Telluride Experience this summer, I’ve spent some time since returning from Napa thinking through the scope and the effectiveness of what we all came together to advance: The goal of never again losing a patient to a medical mistake or nosocomial infection.
It may well sound hackneyed, but in fact I think all of us as faculty mean it to the depth of our beings when we say that the medical students and residents and nurses – all of those who joined us – are truly the best hope of changing the course of a noble but tattered non-system that slaughters people at the rate of 50 per hour. That does not mean that existing healthcare professionals cannot… Continue reading
The language we use and the hierarchy that this supports is at the core of creating, leading, and sustaining a safe culture.
The words we use
Listening to the faculty and the future (students) at the Academy for Emerging Leaders in Patient Safety (#AELPS11) over the past three days, I have heard several comments and engaged in more than one conversation regarding hierarchy, ego, and language as barriers to safe care.
During some of these discussions I heard myself and others say things like, “Communicate down to the housekeeper” and “escalate this up to the board”. While I think these comments are made with no malicious intent, and often find myself thinking and saying these things, I firmly believe that we need to be more mindful of what this “directional” language promotes…(Click here to see the rest of the story!)
First published on Educate the Young by David Mayer, MD
As our final week of the 2015 Telluride Experience comes to a close, our Telluride blog has been nourished by a new year of talented healthcare trainee reflections. Many of these young physicians and physicians-in-training, along with their nursing colleagues, have submitted reflections that we will share more on moving forward, but they can be viewed here today.
Because our scholars and Alumni often return to the ETY blog as a reference tool, we wanted to share another opportunity for all to showcase their passion and commitment for keeping patients safe through writing. The Doctors Company Foundation, an organization that also sponsors a number of medical student attendees to participate in our Academy for Emerging Leaders in Patient Safety each year, is once again partnering with the Lucian Leape Institute at the National… Continue reading
It is happening…and it is growing. A newer generation of caregivers – young physicians, nurses, pharmacists and other allied health professionals – are stepping up and starting to make a difference. Many of them understand and appreciate they will soon be the gatekeepers for high quality, low risk, high value patient care. They seem to be taking this responsibility seriously – more seriously than I and my older generation colleagues did at their age. They stay connected reading new information shared through social media outlets. They are doing regular literature searches for new articles on quality, safety and value. They want to learn and understand.
The reflective post shared below by Rajiv Sethi is just one of many similar posts that come from our Patient Safety Summer Camps. These young learners… Continue reading
First published on Educate the Young by Tracy Granzyk
Our final session of the 2015 Telluride Experience kicks off in Napa, CA this week. Once again, the learning began by sharing the Lewis Blackman story, and we were fortunate to have Helen Haskell as part of the faculty to lead discussion after the film, along with Dave Mayer. Having been part of the team who created the film, and having viewed it more times than I can count, I am always in awe of the new ideas each viewing inspires. A large part of that inspiration arises from the conversations and stories that are shared by attendees after they hear the story.
Today, there were many excellent comments but it was something Natalie B, a nurse practitioner and educator, mentioned about the fear junior healthcare professionals hold of getting chewed out… Continue reading