Problem
I. Is Dr. Sharma able to control any physician motivators?
i. Is so, Which?
ii. How?
II. What are the advantages and disadvantages of the three possible actions that Dr. Sharma is considering?
III. Are there any other actions that should be considered?
IV. How can Dr. Sharma conduct his decision-making process to promote physician buy-in?
V. You are invited to consider your experiences in healthcare organizations with respect to safety. As the case demonstrates, the lack of safety culture is largely attributable to the problem.
VI. Why a safety culture is so difficult to attain (we can list more than 10 challenging reasons)?
VII. According to the Case:
VIII. Have errors been witnessed or experienced?
IX. What happened and how are the incidents handled?
X. Have you ever experienced healthcare cultures that are open about errors or that downplay failures?
XI. Particularly third- and fourth-year medical students should speak to their firsthand experiences in clerkship.
XII. Have they been encouraged or discouraged from disclosing errors?
XIII. Have they been directly or indirectly disclosing errors?