// Error Diary
lorri at ZPM1.COM
Wed Oct 1 08:40:53 UTC 2014
Thank you Alan for mentioning the "Error Diary" project on this list. I
joined it awhile ago--and watching the twitter feed #errordiary is pretty
interesting. It can make us all feel very human ;-)
I agree with Alan that others may find it to be of interest as well.
Zipperer Project Management
lorri at zpm1.com
From: "Alan Shirley" <a.shirley at SHEFFIELD.AC.UK>
Sent: Tuesday, September 30, 2014 3:12 PM
To: IMPROVEDX at LIST.IMPROVEDIAGNOSIS.ORG
Subject: Re: [IMPROVEDX] Higher error in certain groups?
You might be interested in this project
Aims Errordiary has four main aims:To raise awareness about the ubiquity of
human error.To promote a culture that learns from error rather than hides
it.To educate people about resilience strategies.To bring research,
teaching and public engagement
On 30 September 2014 01:10, Robert Bell <rmsbell at esedona.net> wrote:
Ross, that has not been my general experience over 40 years. But I have no
way of proving it.
There is hardly a contact that I have with the medical profession that is
not associated with some big or small problem, be it the wrong doctor's
name on a urine specimen, lack of communication in a doctor's office
(telling the staff you are there in the waiting room) being given someone
else's paperwork for labwork, having crossed leads on an EKG read by the
physician as normal, surgery that has unexpected negative results, or
missed serious diagnoses, etc. And yes, many good things have happened.
Prior to a talk I gave to staff at a local hospital, I collected my own
errors in every day life that I made. My definition of an error was
something that truly annoyed me. Like leaving my car keys in the house when
jumping into the car in the garage, or doing four shopping tasks but
forgetting the fifth. I seem to remember that on one day I had 8, and the
next day 6 such events.
Keeping a list of errors, both small and large, that happen with each
personal medical contact might be valuable!
That is why the 440,000 figure for annual deaths, for me, could well be
But in all of this Ross, we need good figures, not guesses.
How do we get that information? Can we move very far forward without it?
Rob Bell, M.D.
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