Mindfulness in Medicine @UMKC

Learning Objectives for WHEN THINGS GO WRONG:

1. Identify and describe types of medical errors

2. Compare and contrast cognitive errors and mindful qualities that can mitigate errors

3. Appraise and critique individual and organizational mindful responses to errors in clinical work

4. Demonstrate mindful responsiveness when faced with errors and bad outcomes

5. Adopt an “appreciative” approach to challenges

Suggested Readings and Materials to review before this session: WHEN THINGS GO WRONG:

• “One Heart” by Li-Young Lee, from Book of My Night [http://www.poetrysociety.org/psa/poetry/poetry_in_motion/atlas/stlouis/one_heart/]

• “The Whole Self” by Naomi Shihab-Nye, from Words Under the Words, The Eighth Mountain Press, 1995 [http://amusingpoet.blogspot.com/2006/10/whole-self-you-put-your-whole-self-in.html]

For further information:

• Blendon RJ et al. (2002). “Views of practicing physicians and the public on medical errors.” N Engl J Med, 347(24): 1933-1940.

• Borrell-Carrio F & Epstein RM (2004). “Preventing errors in clinical practice: a call for self- awareness.” Ann Fam Med, 2(4): 310-316.
• Espin S et al. (2006). “Error or “act of god"? a study of patients' and operating room team members' perceptions of error definition, reporting, and disclosure.” Surgery, 139(1): 6-14.
• Gallagher TH et al. (2007). “Disclosing harmful medical errors to patients.” N Engl J Med, 356(26): 2713-2719.
• Hilfiker D (1984). “Facing our mistakes.” N Engl J Med, 310(2): 118-122.
• Lazare A (2006). “Apology in medical practice: an emerging clinical skill.” JAMA, 296(11): 1401-1404
• Peters M & King J (2012). “Perfectionism in doctors.” BMJ, 344.
• Srivastava R (2013). “Speaking up - when doctors navigate medical hierarchy.” N Engl J Med, 368(4): 302-305.
• West CP et al. (2006). “Association of perceived medical errors with resident distress and empathy: a prospective longitudinal study.” JAMA, 296(9): 1071-1078