E1：在发生严重不良事件后采取修复性公正文化方法对患者和 或家属有积极影响.pdf

1、DD/MM/JJCaroline Heijckmann,MD PhDAnnemiek Coremans,MDRestorative Conversations That MatterDD/MM/JJDeclaration of interestNone2DD/MM/JJBernhoven,Uden(NL)3DD/MM/JJWe believe.that healing starts with recognition by acknowledging the impact of a serious adverse event,rebuilding trust togetheter with cr

2、eating space for recovery4DD/MM/JJPiet tells what happened to himDD/MM/JJDD/MM/JJ7DD/MM/JJWhere we come from.The old cultureHealthcare is safe when compliance with rules and procedures is guaranteedProcess of a serious adverse event:Peer supportRoot cause analysisPatient/families are interviewedFina

3、l reportDiscuss report with patient/families8DD/MM/JJWhere we come from.The old cultureHealthcare is safe when compliance with rules and procedures is guaranteedProcess of a serious adverse event:Peer supportRoot cause analysisPatient/families are interviewedFinal reportDiscuss report with patient/f

4、amilies9DD/MM/JJRestorative just culture1Basic principles Everyone makes mistakes Care is a complex system Invest in adaptability and resilience Learn by reflecting on daily practice After an incident:work on restoring trust and relationships 10Restorative Just culture.Restoring trust and accountabi

5、lity in your organization.Sidney Dekker.CRC press,fourth ediction1DD/MM/JJ11DD/MM/JJWe continue with Piet DD/MM/JJDD/MM/JJ14DD/MM/JJ“Method Bernhoven”What are we doing now?Learning teamsWe send a letter to the patient/familiesCase manager for patient/families(Final)conversation:from explaining the r

6、eport to exploring needs and wishes15DD/MM/JJ“Method Bernhoven”Approach for our dialogue with patients/families.How do we do that?DONT explain why things went the way they did!Focus on their perspective Invitation to ask whatever they want Openness and transparency Acknowledgemen