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Name
Roy Ilan

Wed, 07/24/2013 - 07:25

Thanks, Stephen, for this nice commentary. It appears that by now we understand quite well why and how adverse events, or ‘harmful safety incidents’, occur. While diagnostic errors are not uncommon, it is known that the majority of safety incidents are rooted in system issues and in suboptimal teamwork, in particular communication breakdown. In fact, diagnostic errors, as well as poor team performance, can also be attributed to the ‘system’: how can we expect doctors to look out for cognitive biases, and to engage in effective teamwork, if they haven’t been trained in these things? Most Canadian medical schools and training programs don’t teach these contents. If we want to see better performance we will have to take action and revise the curricula. Here’s a nice review on teamwork and communication in healthcare: http://www.patientsafetyinstitute.ca/English/toolsResources/teamworkCom…

Name
Roy Ilan
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