Lewis Blackman's story is one that has been repeated in healthcare many times. There are many opportunities to react and respond to the errors in this story. Link provided
-Respond to this question Lewis Blackmans story:
Why did the hospital not debrief the family, why did no one talk to the family about this situation?
-Then Select only one of the questions below and discuss.
1) 20:36 Minutes Thread Question: What mechanisms, processes or tools can institutions put in place to provide patients and families a better understanding of the hierarchy or "chain of command" and how is it accessed?
2) 22:28 Minutes Thread Question: How do we create a culture in health care where "calling for help" is not seen as a sign of weakness but as a symbol of "Safety Excellence"?
3) 24:04 Minutes Thread Question: How can we better listen to patients and families, what can we put into place to keep the voice of patients and families available?
4) 26:18 Minutes Thread Question: How can caregivers avoid premature closure or over confidence in their treatment and care delivery approach?
5) 32:48 Minutes Thread Question: What mechanisms, processes or tools can caregivers use to encourage mindfulness?
6) 41:40 Minutes Thread Question: What should patients and families expect from caregivers when harm has resulted? How do we assure these expectations are met?
Sample Solution