Medical error is unavoidable – humans are necessarily fallible. Not one of us can go to work every day for 40 years and never make a mistake! This lecture uses a case-based format to go over the science of preventing medical errors. We’ll show how “trying harder” and beating yourself up after an error is the least effective way to improve outcomes, moving away from ”name, blame and shame” to a systems-oriented approach. We’ll talk about how to create robust systems that are designed to be safe for both patients and practitioners, including checklists, morbidity and mortality rounds, “near miss” reporting, and root cause analysis. And we’ll also go over best practices for disclosing errors to clients, and how to care for the “second victim” of a medical error. This talk is designed to challenge everything you might think about why errors happen and how to prevent them, and to provide specific action items you can take back to your workplace the very next day.
Presentation Code: 486