My Just Culture
My Just Culture is a website started to help a burnt-out anesthesiologist process and explore how to improve patient safety and heal himself both psychologically and physically. Just Culture in a healthcare context refers to an environment where everyone feels empowered to freely, completely, and transparently discuss risky behavior and errors in the hopes of learning from them and creating systems in which they occur less often. My Just Culture will explore how healthcare systems can reduce errors but also what it's like to be a healthcare provider after an error (or system failure) occurs. Topics include: medico-legal consequences, licensing and credentialing issues, and the great burden of guilt — plus healing.
Contact Me
Please feel free to reach out via email: admin at [the custom domain for this site.]
An Inspiring Quote:
Nothing that is worth doing can be achieved in our lifetime; therefore we must be saved by hope.
Nothing which is true or beautiful or good makes complete sense in any immediate context of history; therefore we must be saved by faith.
Nothing we do, however virtuous, can be accomplished alone; therefore we must be saved by love.
No virtuous act is quite as virtuous from the standpoint of our friend or foe as it is from our standpoint. Therefore, we must be saved by the final form of love which is forgiveness.
Topics to Explore
- Cardiac injury from Ancef (cefazolin) during cesarean section. (PSA: This doesn't happen. There was a syringe swap medication error. You can still get Ancef.)
- What can be learned from a survey of physician suicides...
- Perfectionism as a barrier to admitting error among healthcare workers.
- The Rashomon Effect and healthcare workers discussing and understanding errors (system failures).
- How do current and prospective employers view physicians involved in cases with bad outcomes? Does honesty and transparency help?
- What do state health departments look for when deciding to investigate, remediate and otherwise punish physicians involved in cases with bad outcomes?
- You're being sued. Should you hire your own lawyer or use the malpractice insurance companies?
- Customer service, hospitality and patient care.
- Why it's hard being an anesthesiologist (in general and for me in particular.)
- Learning and forgetting from bad outcomes — The Pendulum of Paranoia
- Anesthesia 2100 — What the future holds.
- etc., etc., etc.
Healing Curriculum
- The Artist’s Way...
- Writing Therapy and creation and development of this website
- Handwork
- Biophilia – spending time in nature
- Aromatherapy
- Headwork – Work through the Learn Enough tutorials
- Reading
- Fun – socializing, clubs, hobbies, community.
- The Relaxation Response
- Adequate sleep
- Exercise – cardio and weights
- Low FODMAP Diet, study and repair digestion
- Post Traumatic Growth
- Amor fati
- Ritual
- Low information diet, slow information diet and generally being very conscious about the quantity and quality of media consumption.
- Slowly heal self and explore the marketplace for meaningful and sustainable work