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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

Thanks #healthxph team for joining me! @helenvmadamba.bsky.social @bonedocph.bsky.social @stephaniemiaco.bsky.social

Reposted by Iris Thiele Isip Tan MD, MSc

Helen Madamba @helenvmadamba.bsky.social · 5d

The trick here is TIMING. One should not appear vindictive& impulsive. The feedback should be given thru proper channels. The person most responsible for correcting the employee would be the direct supervisor. Report to that person. make them accountable for their responsibilities. #HealthXPH

Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

T3. The powers that be hopefully will appreciate it when someone speaks up and not take it personally. Ideally, speaking up is not seen as disrespect but I guess that depends on the leader. #healthxph

Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

Oops time is almost up. Here’s T3. #healthxph

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

Largely it will depend on how bringing up a patient safety issue is done. Is there a platform or meeting where it is done regularly so it’s normalized? Also the language used so as not to blame or be disrespectful. #healthxph

Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

Oops time is almost up. Here’s T3. #healthxph

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

T3. The powers that be hopefully will appreciate it when someone speaks up and not take it personally. Ideally, speaking up is not seen as disrespect but I guess that depends on the leader. #healthxph

Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

Oops time is almost up. Here’s T3. #healthxph

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

Oops time is almost up. Here’s T3. #healthxph

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Reposted by Iris Thiele Isip Tan MD, MSc

Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 5d

T2. two settings: In a group, there should be an avenue to say things anonymously, like in an online bulletin board or an open forum. Oftentimes, it can fairly common to have ideas or comments shot down because someone in the group opposes the contributor, impeding real honest feedback. #healthxph

Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

Let’s go to T2. #healthxph

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

The way I understand the Swiss cheese model, there is no single point of failure because there’s supposed to be other layers of defense. Hence it’s not the fault of one person alone but of the system itself. #healthxph

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Reposted by Iris Thiele Isip Tan MD, MSc

Helen Madamba @helenvmadamba.bsky.social · 5d

Would it be possible to develop a "no blame" culture? Where HCW can openly admit their mistakes to find solutions or bettrr ways of doing things? #HealthXPH there has to be strong political will from the top to ensure this.

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

And that’s how witches get burned at the stake ✌🏼😅. #healthxph

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Reposted by Iris Thiele Isip Tan MD, MSc

Stephanie Miaco, M.D. @stephaniemiaco.bsky.social · 5d

T1. Talk travels fast, and if your ideas are dissenting, or controversial, people might peg you to be a nuisance or menace, rather than an agent of change (for the better). I wouldn’t want to be misconstrued as an irreverent or disrespectful person because of ideas. #healthxph

Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

Let’s go to T1. Feel free to jump into the convo anytime! #healthxph

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

T2. I think it’s hard when there are new team members because they are observing to see what the culture is like. Those who have bee around long enough may have fatigue? “It’s always been this way.” #healthxph

Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

Let’s go to T2. #healthxph

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Reposted by Iris Thiele Isip Tan MD, MSc

Remo Aguilar @bonedocph.bsky.social · 5d

T2. Should be two way - from top to bottom and vice versa . Organizational level is the ideal but its very hard to implement unless the one on top pushes for it. #Healthxph

Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

T2 up next! #healthxph

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

No worries! Hi Steph! #healthxph

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

T2. Psychological safety means one can speak up without fear of being shamed or losing status or having a career misstep. #healthxph

Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

Let’s go to T2. #healthxph

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

With a whistleblower policy, someone who speaks up knows his rights and the protection afforded if one does speak up. #healthxph

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

T2 up next! #healthxph

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Reposted by Iris Thiele Isip Tan MD, MSc

Remo Aguilar @bonedocph.bsky.social · 5d

Happens usually when hierarchy or seniority is emphasized in organizations. #Healthxph

Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

T1. I think it’s fear of retribution lest one be called NOT a team player or too righteous. #healthxph

Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

Let’s go to T1. Feel free to jump into the convo anytime! #healthxph

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

Agree! There’s leadership that fosters a culture of silence. #healthxph

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Reposted by Iris Thiele Isip Tan MD, MSc

Remo Aguilar @bonedocph.bsky.social · 5d

T1. Leadership, Hierarchy and maybe personality types. But the first two are usually the bigger challenges. #Healthxph

Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

Let’s go to T1. Feel free to jump into the convo anytime! #healthxph

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

Let’s go to T2. #healthxph

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

The PGH Department of Medicine has IM QUIPS - quality inprovement and patient safety committee. They have regular ward huddles. #healthxph

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

We don’t want to embarrass someone or apportion blame hence privately correcting. But this might mean that issues remain unseen and therefore not corrected at the systems level. #healthxph

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

T1. It’s also possible that the healthcare worker does not know where to bring his/her concern esp if the reporting processes are not discussed often or routinely evaluated. #healthxph

Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

Let’s go to T1. Feel free to jump into the convo anytime! #healthxph

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Reposted by Iris Thiele Isip Tan MD, MSc

Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

Let’s go to T1. Feel free to jump into the convo anytime! #healthxph

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Iris Thiele Isip Tan MD, MSc @endocrinewitch.bsky.social · 5d

Good to know Helen! There was a low intensity earthquake this afternoon in Manila too huhu. #healthxph

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