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
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 →
Recap of what I applied to my learning and follow-up questions:
“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 →