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
Faculty member, Richard Corder, from CRICO Strategies shares the following reflections on yesterday’s learning. He also blogs at www.rhlcorder.wordpress.com on many topics of concern to healthcare leaders in any stage of their career. Click here to learn more.
Reflecting on our first day of the Academy for Emerging Leaders in Patient Safety and I am feeling blessed for the insights, the lessons and for the reminders.
Yesterday morning we watched the Lewis Blackman Story – we were fortunate to have Helen Haskell with us, Lewis’ mother, who graciously and bravely answered our questions, provided more insights and shared the reminder that this November marks the fifteen-year anniversary of the death of Lewis.
I’ve seen this video more than a few times and to be honest was thinking to myself that there was not much more to “learn”. How wrong was I?
Re-watching this emotional story I was abruptly… Continue reading
I am so grateful for having the opportunity to speak with Helen Haskell in person today, I have heard her and her son’s story during graduate school, and to be able to interject and express the areas I felt there could be prevention of medical errors was a very empowering situation. One aspect of our discussion that I feel very strongly toward is the fact that patients and patient family members should be more involved in the care we provide our patients. Patient’s families truly are a constant, as a bedside ICU nurse I rely on them to inform me about the patients lifestyle when the patient themselves is not able to, their preferences and their quirks as a human being to let me care for them better, whether it be turning them on their side because they had back surgery and normally have back pain when they are on… Continue reading
Telluride Experience Day One: I can’t believe I finally have the opportunity to meet and learn about Patient Safety from this amazing group of Champions for Change in the field of Patient Safety. Coming into this experience, I had no idea what to expect. Here are a few questions I had before coming: What experiences do I bring and what can I share about patient safety? How will this experience impact the way I care for my patients, interact with other healthcare providers, and educate those around me? Can I really leave here with the tools/resources to make a difference in my medical community?
After only one day, I realize that this will be one of the most influential experiences in my career in medicine. I am looking forward to learning more about the language, culture and tools in Patient Safety to be an effective leader in my community.