When Things Go Wrong: Interrupting Conversations

Getting it right when things go wrong.

Breaking bad news-Quo vadis?

Almost everybody has heard horror tales of someone who was shocked after a doctor told him or her bad news in a rude manner. Breaking bad news represents a communication challenge. It is taught as a situation, where things can go utterly wrong. It has been viewed as the culmination point of difficult conversations, where the quality of a health care provider’s communication skills will be expos...

Silence, Please! Interrupting In-Car Phone Conversations

Holding phone conversations while driving is dangerous not only because it occupies the hands, but also because it requires attention. Where driver and passenger can adapt their conversational behavior to the demands of the situation, and e.g. interrupt themselves when more attention is needed, an interlocutor on the phone cannot adjust as easily. We present a dialogue assistant which acts as ‘...

Understanding and responding when things go wrong: key principles for primary care educators.

Learning from events with unwanted outcomes is an important part of workplace based education and providing evidence for medical appraisal and revalidation. It has been suggested that adopting a 'systems approach' could enhance learning and effective change. We believe the following key principles should be understood by all healthcare staff, especially those with a role in developing and deliv...

The Rise of Patient Safety-II: Should We Give Up Hope on Safety-I and Extracting Value From Patient Safety Incidents?; Comment on “False Dawns and New Horizons in Patient Safety Research and Practice”

Who could disagree with the seemingly common-sense reasoning that: “We must learn from the things that go wrong.”? Despite major investments to improve patient safety, relatively few evaluations demonstrate convincing reductions in risk, harm, serious error or death. This disappointing trajectory of improvement from learning from errors or Safety-I as it is sometimes known has led some research...