Student scholars and medical education leaders joined in a group discussion after watching the film that shed light on areas of opportunity in healthcare across the country. Comments touched on the over-arching failure of leadership that led to the communication breakdown in Lewis’ case and the national need to empower students, interns and nurses to ask the necessary questions to keep patients safe today. When no one is willing to say “I don’t know” the patient is at risk. Lewis and his mom, Helen Haskell, whose life’s work has become keeping all of us safe in the hospital, paid the ultimate price for the inability to exchange three simple words.
What can be done to create a culture starting in medical school that welcomes these questions, allows providers to maintain belief in their abilities while still doubting an initial diagnosis and communicate with one another openly, transparently and with respectful professionalism?
The patient safety film “The Faces of Medical Error from Tears to Transparency…The Story of Lewis Blackman” was shown this morning to international patient safety leaders, patient advocates, medical educators and 20 medical student leaders from across the US. The award winning film kicked off the Seventh Annual Telluride Patient Safety Educaitonal Roundtable. This years Roundtable continues the discussions and consensus building from the previous two years on the need for Open, Honest and Professional Communication between caregivers and patients/families related to unanticipated patient care outcomes. Helen Haskell, the mother of Lewis Blackman, along with Tim McDonald and Dave Mayer led interactive discussions with attendees after the film on (1) why honest communication in healthcare has been lacking and (2) the positive changes that have been observed by health sytems who have adopted a… Continue reading
The Seventh Annual Telluride Patient Safety Educational Roundtable is set to begin tomorrow. Patient safety leaders, patient advocates and educators are arriving from around the world to enage in discussions related to open, honest and professional communication between caregivers when an unanticipated outcome occurs. This year, thanks to the generous support of The Doctors Company Foundation, 20 student leaders from medical schools across the US will be participating and contributing to our important conversations and consensus building this week. Too often, when outcomes from our care do not meet our intended expectations, caregivers struggle with the ensuing open, honest and professional dialouge that needs to occur to start the healing and learning. Our hope is to offer solutions to the current barriers that hinder these critical conversations.
Should be a great week.
Moving in step with the quickly changing times related to the exchange of information, health-related and otherwise, we will be both blogging and supporting a Twitter conversation throughout this year’s meeting. For those who are not familiar with healthcare blogs or blogging, here is a link to one notable physician-led blog for inspiration – KevinMD – who you will see has built a strong following with his daily feed on a number of timely healthcare topics.
For those of you not yet on Twitter, you can quickly and easily sign up for an account at www.twitter.com. Hash tags, or ways of grouping related information on Twitter similar to blog tags, are used for just about every subject you can imagine in the Twitterverse. The hashtag for this year’s meeting, #TPSR7, will allow all who “tweet” throughout the week at Telluride to search for that hashtag, and see what everyone… Continue reading
Seventh Annual Telluride Patient Safety Educational Roundtable
June 13th – June 16th, 2011
Over the last six years, interprofessional leaders from the AMA, ANA, Joint Commission, NBME, ACGME, Lucian Leape Institute, patient safety, informatics, simulation and health science education have come together with patients and patient advocates in beautiful Telluride, Colorado to address current patient safety educational issues.
Through the generous support of The Doctors Company Foundation, we will be bringing twenty medical student leaders from across the country to Telluride this year to engage with leaders and educators in patient safety for our Seventh Annual Telluride Patient Safety Educational Roundtable addressing “Dilemmas Surrounding Medical Errors and Adverse Events: Teaching Caregivers Effective Communication Skills to Overcome the Multiple Barriers to Transparency”. Our Roundtable this year focuses on issues and barriers related to open, honest and professional communication between caregivers when unanticipated adverse events occur.
Telluride Patient Safety… Continue reading
These are exciting times for Transparent Health – in the past few months we have seen the effectiveness of the “Story of Lewis Blackman” in a variety of educational settings – from the closing plenary at the National Patient Safety Foundation annual meeting to the new resident physician orientation at the University of Illinois at Chicago where over 250 new residents and interns watched the movie and reflected upon it with dozens of other health care professionals.
The key to improvement on Patient Safety and Quality relies on transparent, effective, and honest communication between care professionals with patients and their families from the beginning of the patient’s first encounter with a professional or an institution. We feel fortunate to be able to play a role with our colleagues and friends in the dissemination of that critical message.
The past Sixth Annual Telluride Patient Safety curricula meeting helped further… Continue reading
On June 10th of this year, Colorado Governor Bill Ritter signed Senate Bill 124, better known as the Michael Skolnik Medical Transparency Expansion Bill, enlarging the circle of healthcare professionals in the state of Colorado that must make available all information related to their training, qualifications, criminal, disciplinary and malpractice history to healthcare consumers.
In 2007, Senator Morgan Carroll of Colorado, along with Patty and David Skolnik, championed the original Michael Skolnik Medical Transparency Act (HB 07-1331). This bill requires physicians in Colorado to report education, certain business relationships, malpractice involvement, and any disciplinary action or crimes. The bill is named after Patty and David’s son Michael, whose needless death at twenty-five years-old was the result of a surgery where related information was not disclosed to the family. Since Michael’s death in 2004, his mother, Patty Skolnik, has fought for greater transparency in healthcare. The expansion bill, passed earlier this… Continue reading
On June 11, the Department of Health and Human Services’ (HHS) Agency for Healthcare Research and Quality (AHRQ) awarded a number of grants to support State and health systems in their efforts to implement and evaluate patient safety approaches and medical liability reform. Transparent Health Co-Founders, Tim McDonald MD and Dave Mayer MD, along with the University of Illinois at Chicago, are the Principal, and Co-Investigator respectively, on one of the largest remunerated demonstration and planning grants recently awarded by AHRQ, a part of President Barack Obama’s patient safety and medical liability initiative announced last year. See press release for additional details.
“As Co-Executive Directors of the University of Illinois at Chicago Institute for Patient Safety Excellence [UIC IPSE], Dave Mayer and I feel highly honored that our grant proposal: The Seven Pillars: Bridging the Patient Safety – Medical Liability Chasm received notice of $3M in funding from AHRQ,”… Continue reading
In May, our newly appointed leader of CMS, Dr. Don Berwick, gave the graduation address at Yale University Medical School where his daughter was entering the ranks of newly anointed physicians. The graduation address has all but gone viral, making its way to those of us in Chicago so interested to hear the heart-felt health care experiences Dr. Berwick shares whenever he speaks. While the entire address was quite moving, what struck me most was the humility with which he views his profession, and his place within the circle of doctor-patient involvement. Here is an excerpt that I found particularly moving and speaks to the importance of delivering health care in a way that puts the patient first:
…What is at stake here may seem a small thing in the face of the enormous health care world you have joined. It is as a nickel to the $2.6 trillion industry.… Continue reading
With a meeting of such high energy and exchange of ideas as described in Telluride less than two short weeks ago, there is much to digest. The key is to keep the momentum going along with the exchange of ideas here on the blog. For inspiration, it helps to read about those caregivers at the front lines who are successfully implementing unwavering patient centered care that begins with a patient-physician partnership, and true informed consent. Dr. Harlan Krumholz who recently penned an article published in a March 2010 issue of the Journal of the American Medical Association entitled “Informed Consent to Promote Patient-Centered Care” is adamant about putting patients first. He shares that many patients are going in for procedures, that if they truly understood all the related risks, benefits and alternatives, they may not be signing the consent forms at all.
And while there is continued discussion over the… Continue reading