Culture

Tom Benzoni benzonit at GMAIL.COM
Sun Jun 10 06:46:44 UTC 2018


Has this group considered a mentored retreat to talk about this topic
without inviting the usual suspects?
tom

On Sat, Jun 9, 2018 at 11:42 PM ROBERT M BELL <
0000000296e45ec4-dmarc-request at list.improvediagnosis.org> wrote:

> Dear all,
>
> Over the years I have often thought that a *Good Culture* in a hospital,
> medical facility reduced errors.
>
> I did a google search and there are significant posts suggesting that a
>  good culture reduces errors. However, I have no idea what is the
> scientific evidence for this.
>
> I assumed it was accurate and came up with my own list, gathered from many
> sources, of words/phrases of what kind of hospital, if given the chance, I
> would like to work in and/or be a patient.
>
> excellent standards, compassion,
> flexibility, compromise, transparency,
> courtesy, kindness, fairness, time-related goals,
> conflict resolution procedures, encourages creativity,
> good feedback mechanisms, defined mission and goals,
> defined strategy, team concepts, good communications,
> collaboration, compromise, embracing diversity.
>
> And one would ask, how meaningful are these, and what others should be
> added or removed?
>
> These are not ranked is any order and begs the question should they be?
> What are the most important to prevent error.
>
> There seem to be barriers to introducing the right culture into a hospital
> and this article discusses that.
>
>
> https://www.fiercehealthcare.com/hospitals/hospital-impact-8-cultural-barriers-to-achieving-high-reliability-healthcare
>
> Are these culture barriers meaningful? And what can anything be done about
> the obstacles to make it easier for hospitals?
>
> While we are waiting to find good ways to prevent diagnostic errors (and
> errors in general) could we support moving to good cultures for all in
> medical facilities.
>
> Would that help in any way?
>
> One fantasizes of reducing the error rate by 1 - 5%
>
> Or is this being done successfully already?
>
> Rob Bell, M.D.
>
>
>
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