Today has been an exceedingly informative and moving first day here in Napa! My hope in coming to this conference was to challenge myself to think critically about patient safety issues and garner the skills to create meaningful change when I head back to school in a few weeks.
One of the most interesting realizations for me from today occurred during the domino game. For those who may not be aware of the domino game- there are three roles: the doctor, the nurse and an administrator. The doctor is looking at a picture of dominos oriented in a specific fashion and giving instructions to the nurse who is trying to replicate the image with an actual set of dominos. The administrator oversees the game and keeps track of the time. The game was repeated 3 times, each time rotating roles, and slightly changing the instructions. In the first round,… Continue reading