We do these in our weekly clinical meeting every week with GPs and
nurses and students.
Sig events for us are
1. Interesting cases, rarities, surprising diagnoses, delayed
diagnoses, new cancers
2. Dysfunctional consultations
3. Cool new stuff you learnt that week
4. All deaths
5. Mistakes and near misses
Everyone is expected to raise at least one thing most weeks, if not
their brain's not in in gear, or they are not playing the team game.
We make significant events routine, and we dont submit outside the
group normally.
The mistakes policy is that its ok to make a mistake, but that its
unforgiveable to
1. Not discuss it, if you can do it so can someone else
2. Not plan how it could be avoided, engineer it out so it cant happen again
3. Keep making the same one
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