Discover and read the best of Twitter Threads about #ICRE2018
Most recents (4)
Lots of talk at #ICRE2018 about incivility in the learning environment.
@HopkinsMedicine implemented a multifaceted intervention to address the problem of the "Untouchables" —individuals who engaged with impunity in transgressive or disruptive behaviour
journals.lww.com/academicmedici…
@HopkinsMedicine implemented a multifaceted intervention to address the problem of the "Untouchables" —individuals who engaged with impunity in transgressive or disruptive behaviour
journals.lww.com/academicmedici…
Intervention incudes:
1) Publicly discuss Untouchables problem across @HopkinsMedicine system
2) Coordinate & formalize mechanisms to identify, assess, remedy disruptive
behavior
3) Training in leadership behaviors to encourage voice
4) Build capacity for difficult conversations
1) Publicly discuss Untouchables problem across @HopkinsMedicine system
2) Coordinate & formalize mechanisms to identify, assess, remedy disruptive
behavior
3) Training in leadership behaviors to encourage voice
4) Build capacity for difficult conversations
Key piece = Safe at Hopkins -- graded remediation process
- communication that emphasizes impact of behavior on culture of safety
- referral for coaching / skill-building
But if behavior does not improve, findings can be cited as support for removal from position of power
- communication that emphasizes impact of behavior on culture of safety
- referral for coaching / skill-building
But if behavior does not improve, findings can be cited as support for removal from position of power
The #ICRE2018 debate on the #BawaGarba case tightly links issues of #MedEd and #ptsafety — in the first 10 mins, have already heard about just culture, safe supervision, learning from mistakes, diagnostic uncertainty, systems failures & 2nd victim
Here are some more #MedEd #ptsafety topics being discussed at #ICRE2018 plenary:
Speaking up
Teamwork vs teaming
Handoffs
Fatigue and its impact on clinical performance
Psychological safety
Speaking up
Teamwork vs teaming
Handoffs
Fatigue and its impact on clinical performance
Psychological safety
Empirical data on patient safety incidents that involve residents:
Lack of supervision (~50%) and handoff problems (~20%) among the most common contributors to serious safety problems
Landmark article from 2007:
jamanetwork.com/journals/jamai…
#ICRE2018
Lack of supervision (~50%) and handoff problems (~20%) among the most common contributors to serious safety problems
Landmark article from 2007:
jamanetwork.com/journals/jamai…
#ICRE2018
Now up -- @eddeestyle leading a discussion on how to introduce discussions on human factors in residency education at #ASPIRE #ICRE2018 #ptsafety
For some, the term human factors may not be familiar. Here's a common definition:
"Human factors is the study of the interrelationship between humans, the tools and equipment they use in the workplace, and the environment in which they work."
who.int/patientsafety/…
#ICRE2018
"Human factors is the study of the interrelationship between humans, the tools and equipment they use in the workplace, and the environment in which they work."
who.int/patientsafety/…
#ICRE2018
Here's a real world example for how human factors influence behaviour and performance.
The urinal fly.
This simple intervention reduced spillage by 80% and cleaning costs by 8%.
washingtonpost.com/news/wonk/wp/2…
#ICRE2018 @eddeestyle
The urinal fly.
This simple intervention reduced spillage by 80% and cleaning costs by 8%.
washingtonpost.com/news/wonk/wp/2…
#ICRE2018 @eddeestyle
We start with discussion of #ptsafety culture and how to introduce discussions in #MedEd. Stacy Ackroyd uses this powerful video from @MedStarHealth to trigger reflection and discussion on ones organizational safety culture #ICRE2018 #ASPIRE
One of the major challenges facing #ptsafety is a culture of disrespect. Revisiting 2012 paper by Lucien Leape in @AcadMedJournal -- highly relevant for #ICRE2018 and its focus on the learning environment this year journals.lww.com/academicmedici…
