Medical Error - From Disclosure & Apology to RCA

Explore best practices for handling medical errors, from disclosure and apology to root cause analysis, in this informative 22-minute video lecture by Dr. K. S. Gautham. Learn about the effects of adverse events on healthcare staff, the concept of the "second victim," and effective debriefing techniques. Discover the importance of a "just culture" approach and the benefits of proper disclosure. Gain insights into the four components of an effective apology and understand how to reconstruct events for thorough analysis. Understand the shift from old approaches to modern, patient-centered methods in dealing with medical errors. Equip yourself with valuable knowledge to improve patient safety and support healthcare professionals in the aftermath of adverse events.

Intro
Responding to Errors and Adverse Events
Short-term Effects on Second Victim
Effects on the Second Victim Aggravated By: • Medical culture of infallibility, perfectionism
Long-term Effects on Second Victim
Helping the Second Victim
Debriefing Methods • 3 questions
Root Cause Analysis
WHO is Responsible? • Work Conditions
Reconstruct Event
"Just Culture" Approach
Disclosure and Apology: Old Approach
Disclosure is Not Optional
Benefits of Disclosure
How to Disclose • Attending physician or senior staff member
Reactions to Disclosure
Apology: 4 Components