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
Christine Zhang-Marseille Reflections #TPSER8
My eyes were glued to the ground as we hiked 2.5 miles up to bear creek falls today. There were breathtaking scenes at each step or so I imagine. All I caught were the rocks lining the trail. It felt so satisfying to finally reach the peak and look down over the mountain we scaled. The view from the top was unbeatable but I couldn’t help but wonder about all I had missed along the way. Ashley made a great comment later in the evening at happy hour about “missing the forest for the tree.” The phrase resonated with my experience on the trail. No, I didn’t miss the forest aka the view from the waterfall but I was so preoccupied with the ground aka the tree, I missed what could have been many great experiences on the journey. Do you ever wonder what opportunities pass you by… Continue reading
Marseille Reflections by Kristin Morrison, M2–Metaphors and Mindfulness
I’d have to say that one my unexpectedly favorite parts of Marseille were the absolutely stunning flowers there–from window boxes to hanging baskets to the vibrant fuchsia peonies that currently grace the home screen of my iPhone, I certainly enjoyed them. My week in Marseille gave me ample opportunity to stop and smell the roses!
But this is a blog about patient safety and quality improvement, so how is that related to flowers?
On the last morning in Marseille, Carole asked the students this question: “You’ve walked up and down that flight of stairs many times since getting here. Can anyone tell me what’s sitting on the windowsill?” A planter of pink geraniums! I thought to myself. I notice them every morning! Someone quietly mumbled “Plants?” and I interjected with “Yeah, pink ones!” because I didn’t want to look too eager to share my knowledge of the pink geraniums gracing… Continue reading
Mindfulness As A Foundation For Principled, Compassionate Actions
Marseille Patient Safety Roundtable Class of 2010
Topics tackled by the group on the fourth day of our Marseille Roundtable on “Open and Honest Communication Skills in Healthcare” included mindfulness and culture. The morning’s session on mindfulness, led by Bob Galbraith and Anne Gunderson, generated considerable discussion on the impact mindfulness plays in both open and honest communication skills and in high-reliability organizations (HRO’s). HRO’s are not satisfied with their successes. They have a preoccupation with failure and their culture is one where people feel safe to report incidents.
Mindfulness, as defined by Weick and Sutcliffe, is to become more aware of one’s own mental processes, listen more attentively, become flexible, and recognize bias and judgments, and thereby act with principles and compassion; it is one’s ability to uncover our own blind spots. Discussion also focused on the characteristics of curiosity, self-awareness and situational awareness in open and honest conversations.… Continue reading