Learning safely from error? Reconsidering the ethics of simulation-based medical education through ethnography
File(s)Learning safely from error for deposit.docx (76.24 KB)
Accepted version
Author(s)
Kneebone, RL
Pelletier, C
Type
Journal Article
Abstract
‘Human factors’ is an influential rationale in the UK national health service to understand mistakes, risk and safety. Although there have been studies examining its implications in workplaces, there has been little investigation of how it is taught, as a form of professional morality. This article draws on an observational study of human factors teaching in four hospital simulation centres in London, UK. Its main argument is that the teaching of human factors is realised through an identification and positive evaluation of ‘non-technical skills’ and the espousal of ‘non-judgemental’ pedagogy, both of which mean that mistakes cannot be made. Professional solidarity is then maintained on the absence of mistakes. We raise questions about the ethics of this teaching. The study is situated within a history of ethnographic accounts of medical mistakes, to explore the relationship between claims to professional knowledge and claims about failure.
Date Issued
2015-09-30
Date Acceptance
2015-08-25
Citation
Ethnography and Education, 2015, 11 (3), pp.267-282
ISSN
1745-7831
Publisher
Taylor & Francis
Start Page
267
End Page
282
Journal / Book Title
Ethnography and Education
Volume
11
Issue
3
Copyright Statement
This is an Accepted Manuscript of an article published by Taylor & Francis Group in Ethnography and Education on 30 Sept 2015, available online at: http://www.tandfonline.com/10.1080/17457823.2015.1087865
Sponsor
London Deanery
Grant Number
RDOTH
Subjects
1303 Specialist Studies In Education
Publication Status
Published