Let’s talk #safetyculture
@TheIHI
It’s a framework for a harm reduction towards all: patients & families as well as all staff
Important:
growth mindset
instead of
fixed mindset
to have needed uncomfortable conversations
#MedTwitter #AcademicTwitter #MedEd #NurseTwitter
@TheIHI
It’s a framework for a harm reduction towards all: patients & families as well as all staff
Important:
growth mindset
instead of
fixed mindset
to have needed uncomfortable conversations
#MedTwitter #AcademicTwitter #MedEd #NurseTwitter
This framework has been applied to reducing harm, mostly through medication error (though intended to achieve population health)
Then was expanded to patient experience
Also, cost of care
More recently we have added clinician wellbeing
=quadruple aim
ihi.org/communities/bl…
Then was expanded to patient experience
Also, cost of care
More recently we have added clinician wellbeing
=quadruple aim
ihi.org/communities/bl…
What has not been clearly stated in any of these #safety framework is disparities, structural inequity, or racism
The acute care side of the hospital - money maker - thinks of this as type of safety & #quality
but not #populationhealth
#Implicitbias elicits 🙄😡😴 response
The acute care side of the hospital - money maker - thinks of this as type of safety & #quality
but not #populationhealth
#Implicitbias elicits 🙄😡😴 response
On #communityhealth #safetynet #FQHC side, customize care to marginalized #SDoH populations
hard to implement systems for #safety & #quality common in inpatient settings + lacking infrastructure
+
#burnout =risk of error
#healthcare @Health_Affairs
healthaffairs.org/doi/10.1377/hl…
hard to implement systems for #safety & #quality common in inpatient settings + lacking infrastructure
+
#burnout =risk of error
#healthcare @Health_Affairs
healthaffairs.org/doi/10.1377/hl…
Serving as co-chair of merged @PCORI advisory panels:
Improving Health Systems
+
Reducing Disparities
unique opportunity: cover whole care spectrum
first set of panel members clearly had not been exposed to disparities research before
different mindsets
took a while to gel
Improving Health Systems
+
Reducing Disparities
unique opportunity: cover whole care spectrum
first set of panel members clearly had not been exposed to disparities research before
different mindsets
took a while to gel
A big issue: whether or not trust in the system:
Merely improve?
Or
Rebuild?
The disparities group knew that marginalized populations have low trust in the system & have historically been abused
= Segregation in #healthcare #quality #community
apps.bostonglobe.com/spotlight/bost…
Merely improve?
Or
Rebuild?
The disparities group knew that marginalized populations have low trust in the system & have historically been abused
= Segregation in #healthcare #quality #community
apps.bostonglobe.com/spotlight/bost…
In the first graphic #psychologicalsafety is at top. What does that mean if you are black?
Listen to this #podcast by @ETSshow with @DrJCoftheDC on the daily experience of being a black man. It is a constant awareness/energy to make others comfortable
Listen to this #podcast by @ETSshow with @DrJCoftheDC on the daily experience of being a black man. It is a constant awareness/energy to make others comfortable
A powerful thread by @blikethecheese on ways we treat black patients without often seeing what we are doing.
Negatively impacts our ability to get good #data on this (large #databases or patient-reported)
Acute care fails to recognizing/documenting racism in healthcare
#Communityhealth may not have same data collection capacity
What you measure, matters
healthaffairs.org/do/10.1377/hbl…
Acute care fails to recognizing/documenting racism in healthcare
#Communityhealth may not have same data collection capacity
What you measure, matters
healthaffairs.org/do/10.1377/hbl…
A #podcast on #SDoH with the @ACHEConnect - Addresses use of #data, racism, role of #technology and #HIT
#healthcare #communityhealth #populationhealth #womenintech #womeninSTEM #womeninleadership
massache.org/social-determi…
#healthcare #communityhealth #populationhealth #womenintech #womeninSTEM #womeninleadership
massache.org/social-determi…
A specific podcast on racism in #healthcare - As opposed to framing it as social justice, use words that make sense to #healthcare executives like #safety, #quality, waste. It costs us money and opportunity costs. @becker_sbecker
#womeninleadership
go.beckershospitalreview.com/scott-becker-i…
#womeninleadership
go.beckershospitalreview.com/scott-becker-i…
If you have the time for a full hour talk this is a great in-depth analysis of #changemanagement that is needed to move us from the present status of harm to future system coordinated for good outcomes
#ChangeTheSystem #healthcare #WomenInSTEM
@MITSloan
executive.mit.edu/media-video/mi…
#ChangeTheSystem #healthcare #WomenInSTEM
@MITSloan
executive.mit.edu/media-video/mi…
@threadreaderapp please unroll
