To Err Is Human: Creating A Just Culture

Sunday, May 5, 2024

11:00 AM – 12:30 PM ET

Location: Metro Toronto Convention Centre: 705

CE: Live CME: 1.5

Leader(s)

Hadassa Leader, MD (she/her/hers)

Associate Chair for Faculty Development, Attending Pediatric Hospitalitst
Hackensack Meridian Children's Health, Hackensack Meridian School of Medicine
Manalapan, New Jersey, United States

Co-Leader(s)

Srividya Naganathan, MD

Associate Chair of Education
JSUMC
Neptune, New Jersey, United States
Cathleen Ballance, MD, MPH (she/her/hers)

Pediatric Hospitalist/ Vice Chair, Quality & Safety-K. Hovnabian Children’s Hospotal
Jersey Shore UNiversity Medical Center
Beachwood, New Jersey, United States
Melissa Dundas, MD (she/her/hers)

Clinical Assistant Professor of Pediatrics
NYU Langone Health/NYU Grossman School of Medicine, United States

Disclosure(s):

Hadassa Leader, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Srividya Naganathan, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Cathleen Ballance, MD, MPH: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Melissa Dundas, MD: I do not have any relevant financial / non-financial relationships with any proprietary interests.

Workshop

Description: Formal training in Patient Safety (PS) is now required by ACGME in both residency, and fellowship training programs, as well as for maintenance of certification for practicing pediatricians. Solutions for Patient Safety (SPS), a collaboration of 140+ children’s hospitals, working together to improve PS, lists building a culture of safety as one of the top priorities towards improving patient outcomes. The concept of Just Culture - including classification of medical error types and establishing appropriate and just methods for responding to errors is critical to building a culture of safety. We will train attendees in practical, validated methods for building a Just Culture in their institution or training program. Attendees will be provided with relatable cases and hands-on practice classifying behaviors into “Human Error” “At-Risk” or “Reckless.” Through individual polls and small group interactive tasks, they will then apply the console-coach-discipline method appropriate to their cause analysis. Attendees will complete the session being able to apply a Just Culture algorithm (The Reason & Hobbs Culpability Decision Tree ) to various scenarios by choosing appropriate responses to errors using this best practice method.

Learning Objectives:

Identify and sort behaviors that cause medical harm into “Human error”, “At risk” or “Reckless” using a Just Culture model.
Apply the console-coach-discipline model to respond to adverse medical outcomes.
Respond to the 3 types of behaviors using the intervention skills that are appropriate to the behavior type based on the best-practice method: “The Reason & Hobbs Culpability Decision Tree”