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Creating safety by strengthening clinicians' capacity for reflexivity

Authors
Journal
BMJ Quality & Safety
2044-5415
Publisher
BMJ
Publication Date
Volume
20
Identifiers
DOI: 10.1136/bmjqs.2010.046714
Keywords
  • Challenges Of Professional Education
  • 1506

Abstract

This commentary explores the nature of creating safety in the here-and-now. Creating safety encompasses two dimensions: revisiting specific behaviours by focusing on substandard performance (reflection), and a more broad-ranging attention to everyday behaviours that are taken as given (reflexivity). The piece pays particular attention to this second dimension of creating safety. Two techniques that promote reflexivity are discussed: video-filming real-time, everyday clinical practice and inviting clinicians' feedback about their own footage, and reflecting on the knowledge and questions that patients and families have about their care, and about unexpected outcomes and clinical incidents. The piece concludes that feedback about everyday practice using these methods is critical to enhancing the safety of everyday activity.

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