Amy Edmondson
speaker
344 appearances
1 recordings
1 series
first heard Aug 2026
last heard 3 Aug
Amy Edmondson’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 1 in all, peaking in Aug 2026 with 1.
Appearances
Yes, we call them adverse drug events.
So that is when something bad happens to a patient that is
deemed caused by human error.
And so I would get a phone call from one of the physicians in the study who would say, there's just been an event.
And so we're going to take a look at what happened.
And so I would hop on my bike and ride down to the hospital and I'd find myself in a conference room.
And we would then sit around and hear from the perspective of different people who may have touched or been aware of the adverse event.
and we try to truly understand what happened.
So for instance, in one case there was a patient that received a drug called lidocaine and they were supposed to get a drug called heparin.
Now the two drugs were labeled similarly and they were in the same location even though they do very different things.
Now in this case the lidocaine would not hurt the patient but the absence of heparin might have led to real harm.
It didn't.
So these adverse events didn't always involve harm, but they always involved at least the potential for harm.
Well, I used a classic team survey called the Team Diagnostic Survey, and it measured such things as the quality of interpersonal relationships in the team, the team's own self-assessment of how well they were performing.
The team's assessment of whether and the degree to which they had the resources they need to do their job well.
Especially interested in their assessment of the leadership of the team and how good was that leadership.
And these are a set of factors that had been previously recognized as important to team effectiveness.
Yes, and I think that assessment is partly captured in the quality of relationships measure.
But there also was the measures of their satisfaction with the work, how happy they were in their job.
And all of these measures tend to travel together.
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