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Author: Steven L. Shafer, MD, FASA ASA Monitor September 2022, Vol. 86, 29–30. The following first-person accounts are selected from about 200 such stories I received after asking anesthesiologists to share their experiences with weaponized incident reporting (asamonitor.pub/3Okyc5s). I have not verified these accounts. However, the common thread of the reports I received is that physicians […]
Read MoreAuthors: Anita Honkanen, MD, MS, FAAP et al ASA Monitor September 2022, Vol. 86, 26–27. Members of professional organizations are required to self-monitor and to self-correct their behavior. Among physicians, self-regulation is essential for protecting patients, promulgating physician excellence, and promoting an interdisciplinary, collaborative practice. Professionalism is one of the six core competencies required by the […]
Read MoreAuthors: A. Steven Bradley, MD; Alyssa M. Burgart, MD, MA ASA Monitor September 2022, Vol. 86, 25–26. I was written up for “yelling at staff.” I responded to a code and yelled to the pharmacist to get induction medications, who couldn’t hear me over the din of people who had crowded into the room. The report completely failed […]
Read MoreAuthor: James J. Lamberg, DO, FASA, CPPS ASA Monitor September 2022, Vol. 86, 22–24. Figure: The Just Culture Tool (NPSF September 2016). Clinical peer review is the process whereby medical providers evaluate the quality of their colleagues’ clinical work (World J Gastroenterol 2014;20:6357-63). It may also be referred to as medical peer review, quality review, patient […]
Read MoreAuthor: Steven L. Shafer, MD, FASA ASA Monitor September 2022, Vol. 86, 21–22. Being on the receiving end of reports about imagined misconduct has sensitized me to the misuse of anonymous event reporting systems. Health care organizations need reporting systems to identify events and behaviors that reduce safety and harm patients. Frank and honest reporting is […]
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