Discover and read the best of Twitter Threads about #JustCulture
Most recents (3)
1/11 Welcome to this #CME #CNE #Tweetorial: Medicine During a Public Health Crisis: Just Culture in an Unjust World.
See CME/CNE info.: tinyurl.com/yv528p6j
#JustCulture #Healthcare #RaDondaVaught #MedTwitter
See CME/CNE info.: tinyurl.com/yv528p6j
#JustCulture #Healthcare #RaDondaVaught #MedTwitter
2/Per the Institute of Medicine (IOM), most medical errors arise from “faulty systems, processes, and conditions that lead people to make mistakes or fail to prevent them, rather than from reckless actions by individuals working within those systems.”
3/The just culture model serves as a guide for healthcare systems by incorporating features such as human factor design, error prevention, and steps to contain errors’ ramifications before they become critical.
Wie maximiert man Vertuschen von Fehlern und error-waiting-to-happen Prozesse?
Ein tragischer Fallbericht aus den USA. 🧵👇
#JustCulture #Fehlerkultur
Ein tragischer Fallbericht aus den USA. 🧵👇
#JustCulture #Fehlerkultur
RaDonda V. arbeitet als ICU-Nurse im Pflegepool eines Uniklinikums. Heiligabend 2017 versorgt sie die 75-jährige Charlene M., die nach einem Subduralhämatom noch ein Kontroll-CT vor der Verlegung auf Normalstation bekommen soll.
Da Charlene Platzangst hat, wird vorher zur Beruhigung Midazolam (US-Handelsname: "Versed®") angeordnet. RaDonda gibt am Pyxis (Gerät zur automatischen Med.-Ausgabe) "Ve..." ein.
Up, out and ready for #CPHVA19. There will be tweets. Join in. It’ll be fun! @Unite_CPHVA @UniteinHealth
The calm before the storm. At least it’s dry in here. We’ve got definite Yorkshire drizzle this morning in Harrogate @Unite_CPHVA #CPHVA19
The doors aren’t open yet but we’re busy getting ready for #CPHVA19 delegates. Lots of opportunities to catch up with old friends and new over the next two days @Unite_CPHVA @saffie @UniteinHealth
