Giving back the pen

February 19, 2013

An article by Rob Robson and Elaine Pelletier that describes the steps that led to the development of a process to identify those cases in which it would be appropriate not only to offer an apology of responsibility but also to initiate discussions around the questions of restitution and compensation. Articles

Content

- Are patients active partners in your system?
- Is your healthcare system like a rainforest?
- Is safety simply the absence of risk?
- Does “accountability” = “responsibility”?
- Is health more than the absence of disease?
- Is yours a complex adaptive system (CAS)?
- Is safety a commodity you can count?
- What is your accountability framework?
- Is healthcare a spectrum of services?
- Does your system value relationships?
- Is safety an emergent property?
- Do you promote system accountability?
- Do goal conflicts exist in healthcare?
- Do you promote collaborative decision-making?
- Is patient safety a priority in your laundry?
- Who “owns” systemic contributing factors?
- Does your dashboard use qualitative measures?
- Can you describe your system boundaries?
- Does “patient safety” = the “safety of patients”?
- How do you link responsibility and authority?