Sample Sidebar Module

This is a sample module published to the sidebar_top position, using the -sidebar module class suffix. There is also a sidebar_bottom position below the menu.

Sample Sidebar Module

This is a sample module published to the sidebar_bottom position, using the -sidebar module class suffix. There is also a sidebar_top position below the search.
Blog

Search our Site

Blame or learning?

Blame or learning?
On a recent course a consultant clinician told me of a colleague who had made a genuine error and patient harm had resulted.
The clinician went to their own management and told the tale against themself with the intention of sharing learning and stopping the identical thing happening again.
The treatment they received can be described in a couple of words - blame and humiliation. 
 
Result - never again will that sensible honest professional ever confess. 
 
The more tragic result is the loss of such a powerful educational lesson.
 
The real lesson from high reliability professions is to seek to learn from every possible opportunity.
 
We get told these tales all the time on courses, where we have explained how errors occur and what the barriers are everyday to open communication and defeating inappropriate hierarchy.
 
Healthcare professionals all seem to have horror stories of their own. Some where they have committed the error, some when they have failed to intervene. There is so much learning out there. The vast majority appear to be human factors related. What a wasted resource. 
 
With training, management and teams can learn to shift focus towards a learning culture rather than blame. The result? An open reporting culture, with better communication and less repeated mistakes.
 
Workshop feedback 01
How to avoid mistakes in surgery Horizon 22 March ...
 

Comments

No comments made yet. Be the first to submit a comment
Already Registered? Login Here
Guest
Sunday, 20 October 2019