The Emergency Mind Podcast EP 90: Dan Dworkis MD PhD on Excellence in Crisis
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Aug 9, 2023 Dr. Dan Dworkis, an expert in searching for and building excellence in crisis, discusses the complex relationship between safety and excellence in emergency medicine. They explore the differences between safety one and safety two mindsets and emphasize the importance of continuous learning and intentional discussions about excellence. The speaker highlights the need to differentiate between performance and outcome in emergency medicine and reflect on the impact of the pandemic. The hosts conclude by encouraging ongoing dialogue and engagement to strive for excellence in emergency medicine.
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Safety vs. Excellence
- Safety is often used as a proxy for excellence, especially the absence of negative outcomes.
- True excellence, however, represents something more positive and proactive.
Metrics and Excellence
- Traditional metrics like door-to-dock times represent a baseline, not the ceiling of performance.
- Excellence involves pushing boundaries and raising standards, not just meeting minimum requirements.
Safety One vs Safety Two
- Safety one focuses on work as imagined, creating a perfect scenario that prevents failure.
- Meanwhile, safety two focuses on work as done, building a system and team to succeed in dynamic situations.