Without evidence of benefit, an intervention should not be presumed to be beneficial or safe.

- Rogue Medic

Failure Is an Option – Part I

There is a great talk on education at TED Talks. Diana Laufenberg: How to learn? From mistakes. It is a 10 minute video, but the relevant part part I am interested in comes between the 6 minute and 7 minute points.

What do you do when the information is all around you?

We need to teach people to be able to figure out what is accurate, what is partially accurate, and what is completely wrong.

Here’s the thing you need to get comfortable with when you’ve given the tool to acquire information to students. You have to be comfortable with this idea of allowing kids to fail as part of the learning process.

Not just as a part of the educational process, but as a part of the QA/QI/CYA/medical oversight process.

EMS is medicine.

In medicine, mistakes are made frequently.

We can work to minimize the frequency of medical errors.

We can work to minimize the frequency of serious medical errors.

We will not eliminate medical errors by punishing people for errors.

We only end up with a much bigger, much more dangerous error.

We end up with the protocol monkey – the cluelessly fumbling protocol monkey, who is just trying to avoid doing something that will result in punishment.

What we want is someone providing patient care with the understanding that the patient is a real human being, deserving of care. This person delivering care needs to be capable of assessing patients who do not present as the protocol writers would like them too. Someone capable of deviating significantly from what is prescribed by an inflexible protocol.

Trying to fit all human beings patients into rigid protocols is a fool’s errand.

Giving a box of drugs to someone, who is incapable of assessing patients and adjusting treatments appropriately, is reckless and irresponsible.

Errors are a part of medicine.

EMS is medicine.

We will not improve EMS/medicine by punishing errors.

We need to learn how to learn from errors.

We need to teach students how to learn from errors.

We need to teach EMTs and paramedics how to learn from errors.

To be continued in Failure Is an Option – Part II and later continued in Failure Is an Option – Part III.

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