Victims of Errors

Question

Victims of Errors: A Broader Perspective

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No one goes into healthcare to hurt people, and yet healthcare is a high-stakes arena in which adverse events occur. Based on your understanding of the concept of “victim” in terms of medical errors (as presented in the Learning Resources), complete the following:

  • Articulate the pros and cons of this statement: Those who make errors that harm patients themselves are victims and need support and perhaps counseling. Then, state your position on the statement. (3 paragraphs)
  • Provide a rationale for your point of view that references the larger context of patient safety, including transparencies, reporting of errors, and accountability. (3 paragraphs)
  • Write a brief analysis of the impact of “no-blame” systems in encouraging providers to report their own mistakes. (3 paragraphs)

Resource

1) https://www.fiercehealthcare.com/hospitals-health-systems/why-patient-safety-advocate-argues-its-time-to-end-term-second-victim

2) see PDF upload

 

Rubric

Sub-Competency 4:Analyze multiple perspectives on the notion of viewing as victims those who make errors that harm patients. Level 0 Level 1 Level 2 Level 3
Learning Objective 4.1:

State pros and cons regarding the notion that “those who make errors that harm patients are themselves victims.”

Statement of the pros and cons regarding the notion that “those who make errors that harm patients are themselves victims” is missing. Response does not address both pros and cons of the statement.

Response does not include a logical rationale for each pro and con, and/or does not sufficiently or accurately reference transparencies in the healthcare environment, reporting/disclosure of errors, and personal accountability.

Response clearly states both pros and cons of the statement “those who make errors that harm patients are themselves victims.”

Response includes logical rationale for each pro and con.

Response includes references to transparencies in the healthcare environment, reporting/disclosure of errors, and personal accountability.

Demonstrates the same level of achievement as “2” plus the following:

Response provides an organization-centered rationale for supporting and counseling those who make errors that harm patients from the perspective of a healthcare administrator.

Learning Objective 4.2:

Analyze the impact of “no-blame” systems on patient safety.

Analysis of the impact of “no-blame” systems on patient safety is missing. Analysis does not accurately explain the history and/or meaning of “no-blame” systems in healthcare.

Analysis does accurately describe positive results and/or criticisms and/or impact of “no-blame” systems.

Analysis briefly explains the history and meaning of “no-blame” systems in healthcare.

Analysis accurately describes two positive results of “no-blame” systems.

Analysis explains one criticism of the “no-blame” approach.

Analysis describes the impact of “no-blame” systems in encouraging providers to report their own mistakes.

Demonstrates the same level of achievement as “2” plus the following:

With regard to “no blame,” the analysis explains why hand hygiene might be viewed as an accountability problem rather than a systems problem.

 

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