Graded assertiveness

Question 1

Graded assertiveness (write it out)

Answer 1

• Avoiding Blame:
  o Focus on identifying each person’s role in the communication breakdown.
  o Assigning blame may feel satisfying but hinders learning from safety events.
  o Root cause analysis often shows a series of events and interactions, not just one person’s error.
  o Viewing safety events this way helps implement safety measures to prevent future issues.
• Challenges in High-Stress Situations:
  o Heightened emotions can cloud judgment and interfere with understanding.
  o Loss of control feelings may stop individuals from seeking help.
  o Ego can prevent admitting help is needed.
• Formal Communication Structures:
  o Tools like closed-loop communication (e.g., ACLS, PALS) help manage stress and improve teamwork.
• Overcoming Personal Bias:
  o Avoid getting stuck in personal interpretations of events.
  o Recognize that others may view the situation differently and offer valuable insights.
• Team Awareness:
  o Encourage input from all team members, including students, to gather diverse perspectives.
  o Example: Experienced clinicians often ask for input from everyone during codes to ensure all ideas are considered.
• Simulation and Debriefing:
  o Practice communication during emergencies through code simulations.
  o Teams that debrief and analyze both successful and unsuccessful situations improve real-life communication.