Health Law Workshop Saturday, Nov. 21st 8:30 - 12 noon

Title of Workshop: "The Anatomy of Medical Error"

There is no cost to attend but you must RSVP
to Nancy Washington at nwashington@ucsd.edu or 858-964-1053.

Location: Room 101, UCSD Extension La Jolla Campus, 9600 North Torrey Pines Road. Parking is free on Saturdays.

Description of the Session:
Using elements of lecture, discussion, role-playing, and psychodrama the presenting faculty deconstruct the case of Libby Zion, the tragic and complicated story of an 18 year-old college freshman whose final five days in the Spring of 1984 have come to represent a landmark study of the complex interplay between individual, systems, cultural, interpersonal, and socioeconomic factors as they relate to patient care.

The faculty hopes for a very interactive educational experience and hope that all in attendance will experience a greater degree of empathy and understanding with all of the participants in this human drama, while providing no easy answers to the questions that will be uncovered.

While we do not limit ourselves to prescribed topic areas, this 3-hour session (with one break) will include, at a minimum, the following issues:

o Patient responsibilities in clinical outcomes
o Drug abuse and mental health issues
o Issues of supervision and “back-up” in medical education
o Sleep deprivation in medical education and clinical practice
o Work load and over-work in medical education and clinical practice
o Resident (and intern) work hour legislation
o Hand-offs and transitional care
o Pharmacokinetics issues and Polypharmacy
o Clinical heuristics and errors in diagnostic thinking
o The use of restraints: physical and chemical
o The challenge of diagnosing the uncommon or unexpected disease
o Challenges of human communication (the patient, family, and providers)
o Social and cultural influences on health care
o Response to call and physician responsibility
o Hospital responsibilities in patient care
o Systems issues in patient care
o Group discussion: After a quarter century, what do you think happened?

Speakers:

David E. J. Bazzo, M.D., Clinical Professor of Family Medicine, Associate Director, UCSD PACE Program;

Paul A. Craig, J.D., R.N., Director of Risk Management, UCSD Medical Center; Stephen Hjelt, J.D., Administrative Law Judge, Office of Administrative Hearings, State of California;

Robin Samit, J.D., Director of Business Contracting, UC San Diego Health Sciences;

David Balfour, J.D.;

Jan Mulligan, J.D.;

William A. Norcross, M.D., Clinical Professor of Family Medicine, Director, UCSD PACE Program
Faculty Participant: Ed Dauer