George Douros discusses the trouble with ‘being mindful’ as a strategy for reducing error. He discusses this in the context of Human Factors Ergonomics and the hierarchy of intervention effectiveness.
Reflecting on father-son conversations, Ben Symon explains why relying on those at the bottom to ‘speak up’ for patient safety is not enough.
Andrew Davies speaks with Martin Bromiley about Mastering Intensive Care, human factors, patient safety, and personal tragedy.
Question As part of a nationwide quality improvement program, the standardised mortality ratio (SMR) of your Intensive Care Unit was compared to other similar Intensive Care Units using a funnel plot. You are ICU “A” (filled red dot) a) What does the graph show about your ICU “A”? (20% marks) b) Explain how the SMR […]
Next week Victoria Brazil will facilitate a DEMTEd extravaganza on a topic of some controversy: safe procedural sedation in emergency. (No session today, as a large chunk of the local emergency medicine community is in Hobart trying to work out what exactly “The Art and Science of Emergency Medicine” means. For my take on that check […]
You are handed over a patient by a colleague (that’s a ‘handoff’ to you Yanks)… He says he would usually send a patient like this home, but as the d-dimer is pending he suggests the patient should wait for the result.