The background to What I learnt this week can be found by clicking here:
A list of previous #WILTW
165. A third idea to counter a third ‘type’ of error
164. Good questions are as important as good answers
163. Spot the well child, not the ill one
162. The Traffic Light Analogy: Patients aren’t cars
161. You can’t repeat that, I said it in public!
160. The blood test that causes harm
159. How did you not see that?
158. Managing risk: Don’t get burnt, a singe will do
157. Statistically, the thing most likely to kill me, is me
156. The Ghost Guideline
155. Why are so many children ill?
154. An Emergency Department ‘gebrochenrolltreppe” phenomenon
153. Abdominal pain in children: illness vs individual
152. Same Child, Different Room, More Risk?
151. The dangers of Formophilia
150. When experience doesn’t help learning
149. The Helicopter Hover: Counterfeit Cognition
148. Five soft markers of organisation aptitude
147. Dogmalysis or Pragmatogenesis?
146. Do you why the parents are concerned. Why Not?
145. Practice what you preach or preach what you practice?
144. When laughter causes pain
143. You can’t “Click & Collect” Healthcare
142. If you know what it’s not, it is ok to not know what it is?
141. A Mental Health 5-a-day
140. With great (digital) power comes great responsibility
139. Failure – likely and visible
138. The three curses of organisational culture
137. Is the #NHS crying wolf?
136. If the NHS ran Disney
134. Don’t Multi-Task, Multi-Think
133. It’s easier to recognise wrong from right
132. The Look
131. Why a coffee replenishes more than just caffeine levels
130. Variation: Is it poor, or just different, practice that frustrates?
128. Do nothing without appearing there is nothing to do
127. A pre-mortem to prevent a post-mortem
126. Malignant Meeting Mindsets
125. Do we need Quality Insight rather than Quality Improvement?
124. Feeling meek? The only time you are allowed to CUSS
123. Acting on instinct: Blessing and Curse
122. Medical Conferences: Time to include everyone?
121. Unconscious Incompetence at scale?
120. Does it matter what the public think of doctors?
119. Should we learn how to make mistakes?
118. Patient care is not sport but should it be funded like it is?
117. Why does no one answer the phone in hospitals?
116. How not to manage flow (or no more forms please)
115. Digital Downtime
114. Surprise: When fear collides with joy
113. Sepsis and Self-doubt
112. Time to embrace a new style of conference
111. Seeing the doughnut instead of the hole
110. The presumed love of a parent: an uncomfortable cognitive bias
109. Failure Fatigue
108. Learning from, rather than on, patients
107. Is our response to failure misplaced in medicine?
106. Don’t cause unnecessary distress! P.R.E.D.I.C.T before your paediatric procedure
105. Risk and Change: Useful in an Emergency?
104. Filter Failure – not just knowledge overload
103. What healthcare can’t learn from Leicester’s football success
102. Hospital Humour
101. Children’s experience of emergency care as a measure of quality
100. Who are unprofessional professionals?
99. Should we stop making the complex simple?
98. Is your powerpoint slide teaching or are you?
97. Everything worth fighting for unbalances your life
96. Quality improvement as a clinical skill
95. The dilemma of the last patient
94. The seed of doubt
93. Let’s consider ‘appropriateness’ inappropriate
92. Oh NHS, you are still sick
91. Giving those who need the most the least
90. Intentional leadership is just management
89. Making sepsis an eucatastrophe
88. You’re wrong, but does that make me right?
87. As calm as you are, is as calm as she’ll be
86. Is quality defined by a standard of care you didn’t expect to receive?
85. Resolution or Resolve for 2016
84. Avoid a confirmation cock-up this christmas
83. Should we simulate like spacemen?
82. How the #NHS spirit “pulls through”
81. Patient safety in complex contexts
80. Maximising the social capital of the NHS
79. The signs of burnout
78. Is excitement a return on emotional and physical investment?
77. The need to improve my social media hygiene
76. The power of feedback to your face
75. Can medicine learn from the Television Match Official?
74. Missed Diagnosis – do we fear for ourselves or our patients?
73. If you can’t trust oxygen what can you depend on?
72. The imposition of implication
71. Can rudeness cause harm?
70. The amount of night in a night shift
69. Not knowing what other people know is uncomfortable
68. The impact of i-phones of doctors’ decision making
67. 5 things specialities don’t understand about “Ed”
66. Simulating harsh lessons from history
65. A parents’ view of the world may also be knee high
64. Don’t just ‘hear’ a symptom and don’t just ‘see’ a sign
63. Are hearts and brains enough without courage?
62. How to learn something you don’t understand
61. Why you need a digital holiday
60. I am not negotiating the way you think I am
59. The Poison of Passion
58. Are you calling for help for you or your patient?
57. Quality is not one box to tick
56. Confirmation bias – the cousin of over confidence
55. Noise from stress or stress from noise?
54. Not everyone knows how to hold a child
53. Admission is not the safe option
52. Learning to live with not always learning
51. I am gender biased
50. Still learning, Still training, Still Experiencing
49. The importance of listening and language
48. Does time make teams?
47. Being honest with the trouble with twitter
46. Maintaining Morale – What movers and medics have in common
45. Safe checklists versus speedy check-ins
44. Understanding the patients who may make you angry
43. You can make a little effort go a long way
42. Whose change is it anyway?
41. Patience can be the cruelest of virtues
40. What estate agents can learn from healthcare
39. The importance of capacity in system AND self
38. Bringing two worlds together
37. Paracetamol – a simple drug with not so simple dosing
36. Research Resilience
35. Rejecting the notion of the Emergency Department referral ‘bomb’
34. Not everything should be open: the value of “Closed Loop Communication”
33. The real value of Simulation
32. The Xmas review
31. The Education in the Observation of Education
30. How to get people to alter their typical ‘change’ vintage
29. Changing your perspective on time allows time to give you perspective on change
28. Some uncomfortable truths about insight
27. Not revealing your grief doesn’t mean you are not hurting
26. The challenge of learning something new
25. Am I narcissistic in my enjoyment of emergency care?
24. The justification of risky behaviour with public or patient safety
23. Good “Leadership” is tangibly unrewarding but ultimately fulfilling
22. The frustrating advantage of being difficult
21. Don’t discharge your discharge summary responsibility
20. Balancing proper procedure with paediatric passion
19. What you see is maybe not what I see?
18. Am I really learning..?
17. The importance of #connectingwith
16. Everything is awesome
15. #doctorwho would have no difficulty adopting a more managerial role
14. #Everybodycounts – really everybody does!
13. Organisation is more than files and folders
12. It’s not what you say it is how you say it
11. The importance of being part of a team (Sir Bradley Wiggins says so!)
10. Learning not to be as busy as a “Backson”
9. Feel the fear and do it anyway
8. It’s not you, it’s me
7. The Challenge of Compassion
6. Remember what you loved to do…
5. Accepting I’m a curator and examiner of knowledge rather than a gatekeeper of it
4. Shared values doesn’t always mean shared vision
3.The power of personal stories
2.The importance of ‘shared’ gut feeling