Clinical Governance
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Our patients are the most important visitors to our hospital. They are not dependent on us. We are dependent on them. They are not an interruption to our work. They are the purpose for it. They are not outsiders to our Hospital. They are part of it. We are not doing them a favour by serving them. They are doing us a favour by giving us the opportunity to do so. David Evans 2000 (adapted from M. Gandhi)
Sometimes it would appear that the allowance of doctors to make errors has gone too far. Robert Mankoff captures it in this fine cartoon from the New Yorker. Image Details.
- "To Err is Human"
- "Mistakes Happen"
- "Thats why they put erasers on pencils."
- "Some guys from the State Board of Medicine are here to see you!"
Clinician Performance
Comments by Lucian Leape
- "You can identify most performance problems before doctors get in trouble and hurt someone."
- "If you intervene early you can:
- Prevent patient injuries
- Rehabilitate the physician"
- "Every hospital has doctors whose performance are a concern. The reasons are varied and complex. Our methods of dealing with these physicians are unsatisfactory and the reasons for inaction are complex and not easily dealt with."
- The current approach has been implicit, personal and punitive.
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