News Video | Policy | GPs | Hospitals | Medical | Mental Health | Welfare | Search

 

Storm of criticism of staff may not be helpful

MEDIA RELEASE

from the Royal New Zealand College of General Practitioners


5 December 2007


Storm of criticism of staff may not be helpful

The attack of the “name, shame, blame” culture enveloping Wellington Hospital is likely to be counter-productive, believes the leading promoter of quality practice in primary care, the Royal New Zealand College of General Practitioners.

Instead, the College of GPs believes the formula to obtaining and sustaining a quality clinical environment is:

- Having standards agreed by those who use them, rather than having them imposed

- Having a comprehensive organisational commitment to continuously seek quality improvements

- Accepting that sometimes things go wrong, and having mechanisms in place to learn from these events – particularly tragic ones.

“Experience shows that blaming one person, for what is a ‘system’ failure will only drive problems underground, with errors hidden,” says College president Dr Jonathan Fox, whose own Meadowbank (Auckland) practice holds Cornerstone accreditation.

Medical care, he points out, is never 100 per cent sure of success. People are different, and their bodies may react differently to treatments. Some procedures carry more risk.

The College of GPs has just been successful in obtaining Government funding for every general practice to go through its Cornerstone accreditation programme.

Cornerstone requires general practices to have a ‘Significant Events Management” log recording not only major events that went well, but incidents, accidents, complaints and ‘sentinel events’ – those that have a significant effect on the patient, resulting in permanent disability and death. The log becomes the catalyst for analysis and for learning.

The College’s 2002 publication Significant Events Management notes that “errors can be expected, even from good people in the best organisations. SEM takes a ‘no-blame’, systems approach to examining error. The analysis focuses on how and why the defences failed rather than who failed.”

“Change in the defences then reduces the likelihood of accidents occurring,” Dr Fox said. And people learn from the mistakes.

The whole Cornerstone programme is based around standards for general practice developed by GPs, practice nurses and practice managers.

As part of the College’s mission to improve the health of all New Zealanders, one of this country’s leading researchers in primary care, Associate Professor Susan Dovey is currently working to produce a proactive comprehensive strategy on patient safety in primary care.

“Health care has become so complex that all systems must work well, particularly communication,” Professor Dovey said.


ENDS

© Scoop Media

 
 
 
Culture Headlines | Health Headlines | Education Headlines

 


Howard Davis: Emerald Fennell's Promising Young Woman'


The Guardian needed not one, but three reviews to do justice to Fennell's unsettling approach, which indicates exactly how ambiguous and controversial its message really is. More>>


Howard Davis: Jill Trevelyan's Rita Angus

Although Angus has become one of Aotearoa’s best-loved painters, the story of her life remained little known and poorly understood before Jill Trevelyan's acclaimed and revelatory biography, which won the Non Fiction Award at the Montana New Zealand Book Awards in 2009, and has now been republished by Te Papa press. More>>

Howard Davis: The Back of the Painting

Painting conservators are the forensic pathologists of the art world. While they cannot bring their subjects back to life, they do provide fascinating insights into the precise circumstances of a painting's creation, its material authenticity, and constructive methodology. More>>


Howard Davis: Black Panthers on the Prowl

A passionate and gripping political drama from Shaka King, this is an informative and instructive tale of human frailty that centers around the charismatic Chicago Black Panther leader Fred Hampton, who was murdered at the age of twenty-one during a police raid. More>>

Howard Davis: Controlling the High Ground

Stephen Johnson's raw and angry film not only poses important questions with scrupulous authenticity, but also provides a timely reminder of the genocidal consequences of casual bigotry and xenophobia. More>>

Howard Davis: Dryzabone - Robert Conolly's The Dry

After the terrible devastation caused by last year’s bushfires, which prompted hundreds of Australians to shelter in the ocean to escape incineration and destroyed uncountable amounts of wildlife, The Dry has been released during a totally different kind of dry spell. More>>


Howard Davis: Hit the Road, Jack - Chloé Zhao's Nomadland

Nomadland is perhaps the ultimately 'road' movie as it follows a group of dispossessed and disenfranchised vagabonds who find a form of communal refuge in camp sites and trailer parks after the economic contraction of 2008. More>>

 
 
 
 
 
 

LATEST HEADLINES

  • CULTURE
  • HEALTH
  • EDUCATION
 
 
  • Wellington
  • Christchurch
  • Auckland