Brian Wong Profile picture
Husband, Dad, General Internist at @Sunnybrook; Associate Professor at @UofT_DoM; Director of @CQUIPS. Opinions my own.

Oct 18, 2018, 5 tweets

We start with discussion of #ptsafety culture and how to introduce discussions in #MedEd. Stacy Ackroyd uses this powerful video from @MedStarHealth to trigger reflection and discussion on ones organizational safety culture #ICRE2018 #ASPIRE

One of the major challenges facing #ptsafety is a culture of disrespect. Revisiting 2012 paper by Lucien Leape in @AcadMedJournal -- highly relevant for #ICRE2018 and its focus on the learning environment this year journals.lww.com/academicmedici…

Sobering excerpt that still rings true:

"A major contributor to disrespectful behavior is the stressful health care environment, particularly the presence of “production pressure,” such as the requirement to see a high volume of patients."

#ICRE2018 #ptsafety #MedEd

A just culture framework - which distinguishes medical error from at-risk behaviour from reckless behaviour - provides a critical lens and approach to addressing safety issues in the clinical learning environment #ICRE2018 ncbi.nlm.nih.gov/pmc/articles/P…

A few examples for how to engage residents in discussions of #ptsafety culture:

Rounds for Reflection - jgme.org/doi/full/10.43…

Patient Safety Stories - journals.lww.com/academicmedici…

MERIT QIPS reflection tool - onlinelibrary.wiley.com/doi/abs/10.111…

#ICRE2018 #MedEd

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