What are the transforming concepts that need to be developed by a health care organization in order to instill a safe culture?
According to Lucian Leape MD, Adjunct Professor of Health Policy at Harvard University, who came to Telluride to share his wealth of knowledge and experience related to patient safety, there are five core concepts that need to be explored and implemented in order to first create a culture of respect. Those concepts are: 1) Reform medical education; 2) Integrate health care; 3) Find joy and meaning in work; 4) Engage consumers/patients; and 5) Adopt a transparent culture.
Dr. Leape’s challenge to our group — How do we motivate CEOs of health care organizations to make a culture of respect the priority? How do we develop awareness of the problem so that there is pressure for action? What can you do “from the bottom up?”
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?
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 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
The first day of our Telluride Roundtable on “Open and Honest Communication Skills in Healthcare” is now complete. After a full day of deliberative inquiry and exploration, some reflections come to mind:
Welcome to the Sixth Annual Patient Safety Roundtable in Telluride, CO – an annual retreat for those of us working to help make healthcare safer through education. This year’s work will focus on open and honest communication skills in healthcare, addressing the barriers surrounding transparency from informed consent through the continuum of care when unintentional harm occurs. As we wait for this year’s Roundtable to begin, the sun has already begun to peek over the beautiful Telluride valley and the southern Colorado Mountains, signaling the start of another beautiful Rocky Mountain summer day.
Through the generous support of the Agency for Healthcare Research and Quality (AHRQ), eighteen students from medicine, nursing, public health, pharmacy and law will be joining us in our work this year. To kick off the Roundtable, we will share with attendees the award winning film, The Faces of Medical Error… From Tears to Transparency:… Continue reading
Greetings! Welcome to our blog. So glad you found us.
Our hope is that this site generates important conversation among caregivers, administrators, patients, families, educators, policy makers and others on two very important issues in healthcare today: (1) the medical error crisis, and (2) while appreciating that medical errors will never be eliminated, how we respond to patients and family members when unintentional harm results from our care.
In an effort to stimulate this conversation and help lead change, our first educational film The Faces of Medical Error…From Tears to Transparency: The Story of Lewis Blackman addresses both of these important issues. The film premiered last September and in just five short months, The Story of Lewis Blackman has been used as a vehicle for change across the globe. In Chicago, Washington DC, Southern California, Australia, Japan and Europe, audiences have used the film to begin important discussions on medical… Continue reading
In addition to providing an unforgettable learning experience for health care providers, Lewis Blackman continues to touch the hearts of all who hear his story. Most recently, The Faces of Medical Error…From Tears to Transparency: The Story of Lewis Blackman, was awarded a 2009 Aegis Award—a worldwide film industry honor given to the very best film and video productions of the year. Of the 2,109 entries, The Lewis Blackman Story received top honors, achieving the highest score awarded by a panel of peer judges.
Greg Vass, Executive Producer at SolidLine Media and partner to Transparent Health in the creation of the film said, “It always feels great to be recognized as the best in our field, but I think it feels even better to be part of such a special production project—one that is truly changing healthcare.”
For all of us at Transparent Health, the journey of making this educational… Continue reading