Day 3: Hike, Michael, HRO, and Negotiation 2
Brainstorming my own safety/QI project:
- Curriculum
- Introduce safety moment to weekly grand rounds.
- OSCE module on disclosing medical errors
- Start Institute for Healthcare Improvement (IHI) open chapter at home institution
Morning hike to the waterfall
- Life isn’t about waiting for the storm to pass. It’s about learning to dance in the rain. – Anonymous
Movie: Michael Skolnik
- https://youtu.be/n83gd1piUu4
- Nothing about me without me
- University of Utah hospital took it upon themselves to share reviews/comments about physicians by patients and publish star rating.
- What a brave move to promote transparency of care for patients!
- The way it happened according to my rudimentary understanding
- Problem: doctors in hospital do not receive feedback about their care
- Solution: allow patients to write reviews about their care experiences.
- 3 Stages of implementation
- First, the comments and star rating was only shared with the particular physician
- Second, the visibility of the rating expanded to respective… Continue reading
Day 2: Transparency, Negotiation, John Nance
My take-home points and remaining questions from today:
1. Transparency is critical when dealing with medical errors. We are doomed to repeat mistakes if we don’t learn from the past. Barriers exist, but when the focus is re-centered on patients, money and professional integrity fall into the right place.
What the patients and families want to hear after medical errors
- Recognition: investigation
- The truth
- Regret: apology if necessary
- Prevention of similar harm to others
- Remedy (“benevolent gestures”)
2. Strategic negotiation:
- Always remember the best alternative
- Solving their problem is part of your problem.
- Having lived in countries where haggling is a daily, routine occurrence, I felt well-prepared for Hamilton Real Estate case as a buyer. Ultimately I decided to call off the negotiation because the other party had the key information which I assumed was not in their possession. This new information significantly increased the value of… Continue reading
Day 1: Lewis, Domino, and Sponge
Recap of what I applied to my learning and follow-up questions:
Intro:
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“Educate the young, regulate the old”
- Witty and sensible to an extent, but does it work when the young have to work under the shadow of the old? Medicine is a top-down hierarchy, and bottom-up change is not only insurmountable but also often not sustainable.
- At the same time, becoming a positive deviant has its own value that cannot be diminished. I just wonder whether there is concurrent top-down efforts.
- What can I do with Institute for Healthcare Improvement (IHI)? I would like to learn more.
Movie: Lewis Blackman (patient) and Helen Haskell (mother)
- The patients and families need to know that night times and weekends the level of care is not the same. It is recommended to have a caretaker at bedside, and why not admit the systemic weakness and invite them… Continue reading