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Posts tagged ‘teams’

Trust and disclosure of medical errors

Last week I attended a discussion about the disclosing medical errors to patients. The discussion was structured around an example case in which a patient was given the wrong medication but fortunately experienced no complications as a result. As with most hospital errors, this represented a failure at several steps of a complex process, with mistakes by multiple people/departments. When the nurse realized the error, the nurse asked a member of the medical team to write a prescription for the medication the patient actually received (i.e., a prescription for the error).

In high-reliability organizations such as healthcare, aviation, and law enforcement, trust is vital. Errors could cause deaths, so workers must carefully coordinate complex actions (e.g., airline travel). High-reliability organizations prevent catastrophic errors by fostering strong relationships, honesty, and trust. For this trust to develop, there must be psychological safety. When teams share a sense of psychological safety, they feel safe admitting errors, challenging others’ views, and engaging in other types of “interpersonal risk taking” (Edmondson, 1999). Psychological safety plays a role in whether providers disclose errors within the organization—to fellow team members, to other teams, and to administrative personnel.

But what about the patient? Read more

Losing time

If you haven’t heard of it, WNYC’s Radiolab is an excellent radio show/podcast. Radiolab describes itself as a show where “the boundaries blur between science, philosophy, and human experience.” I highly, highly recommend it.

The episode “In the Running” talks about Diane Van Deren, an ultra-runner who has won several 50- and 100-mile races. Because of a seizure disorder, a large chunk of her temporal lobe was surgically removed. Importantly, the temporal lobe helps us to understand time and space. After the surgery, Diane developed short-term memory loss. Spatial and temporal reasoning became more difficult for her. But when she started ultra-running, these deficits gave her an important advantage: she loses track of time. To listen to the episode, click the audio player below (episode starts 3 minutes in):

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