Sharing ideas on Risk, Human Performance, Teams and Leaders

Julie Thao

Being charged for manslaughter for a drug error!

Franck Guilloteau is Chief Information Officer, Texas Medical Institute of Technology and Chief Technology Officer, HCC Corporation. Franck has been deeply involved in the development of the Leapfrog National Quality Forum (NQF) Safe Practice Leap that will produce a yearly updated survey, relative weighting framework and a ranking system that will measure the progress of all US hospitals towards performance improvement objectives focussed on patient safety issues. Julie was a very experienced nurse who had an exemplary record of care-giving up until that day but despite this she made a fatal error.Franck Guilloteau is Chief Information Officer, Texas Medical Institute of Technology and Chief Technology Officer, HCC Corporation. Franck has been deeply involved in the development of the Leapfrog National Quality Forum (NQF) Safe Practice Leap that will produce a yearly updated survey, relative weighting framework and a ranking system that will measure the progress of all US hospitals towards performance improvement objectives focussed on patient safety issues.

Tragic errors can happen regardless of your competence and experience. There are usually other contributing factors or system errors which allow errors to happen Tragic errors can have a profound effect on the caregiver who was responsible for the error as well as the patient Hospitals must recognise that the caregiver also needs support after such events