tag:blogger.com,1999:blog-32053362.post3503507228702011648..comments2024-03-29T06:37:18.029-04:00Comments on Not Running a Hospital: Tom teaches about apologyPaul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-32053362.post-36890055167340613412008-11-10T16:09:00.000-05:002008-11-10T16:09:00.000-05:00Thank you, Dr. Delbanco.The article is interesting...Thank you, Dr. Delbanco.<BR/><BR/>The article is interesting reading. While some of the ideas presented are not technically feasible, many of them could be implemented in a modified format.<BR/><BR/>For example, it would be difficult to implement a system where every clinic visit is recorded and automatically transcribed. But my PCP makes a point of telling her patients on every visit that she will not be able to document every detail that they discuss, and asks her patients to please point out to her when something is important to them so that she can write it down. This requires her to admit that she is not perfect, but you can imagine how many charting errors could be avoided if all clinicians followed this simple step.<BR/><BR/>I was also thinking of having the phrase "Nothing about me without me..." printed on t-shirts to wear to my medical appointments, (and maybe even some stickers for my charts to go next to my allergies) as an ice breaker for a patient safety discussion.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-10020758744817282432008-11-10T09:44:00.000-05:002008-11-10T09:44:00.000-05:00Excellent point. Thanks.Excellent point. Thanks.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-24623281302111455312008-11-10T09:36:00.000-05:002008-11-10T09:36:00.000-05:00I think the outlined steps to the apology are grea...I think the outlined steps to the apology are great. Having personally had the misfortune to have an issue at your institution the Patient Relations department did all of that and more. I got a written proposed improvement plan and apology from the Charge nurse as well. One more step I personally would have liked is a communication from the hospital after the "plan" was implemented and a summary of the procedural changes that took place as a result. Many components of the plan were staff meetings and formal communication training/workshops. I don't know if they ever took place or if improvements were actually made. Closing that loop would be important to acknowledging the incident also show respect for the patient involved.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-44042519991668921412008-11-08T17:21:00.000-05:002008-11-08T17:21:00.000-05:00Dear Megan,"Nothing about me without me" is the un...Dear Megan,<BR/><BR/>"Nothing about me without me" is the unifying principle developed by a highly diverse, international group of storytellers, poets, philanthropists, doctors, theatre artists, nurses, health policy experts, and reporters who gathered in Salzburg for a week to give advice to "PeoplePower," a mythical land whose new prime minister asked her citizenry to design a new health care system through the eyes of lay people, rather than health professionals alone.<BR/><BR/>This phrase has gained international currency, but full credit for its invention goes to a nurse from Norway who suggested transparency was paramount in a really healthy system. Today, transparency is all the rage, but she came up with this more than 10 years ago. I was privileged to lead this Salzburg Seminar, and we published a paper subsequently that describes in detail what we came up with (Delbanco T, Berwick DM, Boufford JI, Edgman-Levitan S, Ollenschläger G, Plamping D, Rockefeller RG. Healthcare in a land called PeoplePower: nothing about me without me. Health Expect 2001 Sep;4(3):144-50.). <BR/><BR/>Tom Delbanco, MDAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-56106404643153915892008-11-08T08:19:00.000-05:002008-11-08T08:19:00.000-05:00Tom will explain . . .Tom will explain . . .Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-49800823333293059992008-11-07T14:22:00.000-05:002008-11-07T14:22:00.000-05:00As a patient, I find the statement on the screen i...As a patient, I find the statement on the screen in the photo very poignant:<BR/><BR/>"Nothing about me without me..."<BR/><BR/>Can you tell us the context of it?Anonymousnoreply@blogger.com