SCCM Resource Library-Learning From Missteps: How to Apply Lessons From Error Into Practice

Video Transcription

Video Summary

In this video, Dr. Kyle Rader discusses the importance of learning from missteps in the medical field and how to apply those lessons into practice. He emphasizes the need for a just culture, where mistakes are seen as opportunities for improvement rather than occasions for blame. Dr. Rader introduces the concept of psychological safety, which allows for open communication and the ability to speak up without fear of negative consequences. He explores how to develop a culture of psychological safety by giving team members a voice, building trust, fostering accountability, and creating a safe space for speaking up. Dr. Rader also highlights the importance of feedback in supporting speaking up and driving organizational learning. He presents various tools, such as critical language, debriefing, and positive rounding, that can be used to build psychological safety and encourage a culture of continuous improvement. Additionally, Dr. Rader briefly discusses the root cause analysis (RCA) process and its role in understanding and learning from errors. He concludes by emphasizing the need for action plans to address identified issues and ensure sustained improvement. Overall, Dr. Rader provides insights and practical approaches for healthcare professionals to effectively learn from missteps and implement positive changes.

Asset Subtitle

Quality and Patient Safety, Administration, 2021

Asset Caption

The Society of Critical Care Medicine's Critical Care Congress features internationally renowned faculty and content sessions highlighting the most up-to-date, evidence-based developments in critical care medicine. This is a presentation from the 2021 Critical Care Congress held virtually from January 31-February 12, 2021.

Learning Objectives

Identify important lessons in adverse events and medical errors
Assess methods for limiting blame in root cause analysis in adverse events and medical errors
Assess methods for applying important lessons in adverse events and medical errors

Root Cause Analysis: Nobody Wants an Inquisition
Kyle Rehder

Making Positive Changes for the Future
Kyle Rehder

Meta Tag

Content Type Presentation

Knowledge Area Quality and Patient Safety

Knowledge Area Administration

Knowledge Level Foundational

Knowledge Level Intermediate

Knowledge Level Advanced

Learning Pathway Introduction to the ICU

Membership Level Select

Tag Communication

Tag Medical Legal Issues

Year 2021

Keywords

learning from missteps

just culture

psychological safety

open communication

feedback

continuous improvement

root cause analysis

action plans

healthcare professionals

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