What should doctors do with their mistakes?

Clinical audit is one of the most important things we do, and I have been looking for a way to safely perform personal case reviews. I need to critically review cases where something bad happened, or I feel I could have done better. I need to record that information for my development, but obviously in a secure way.

I recently started using viJournal Lite to keep both a personal and decision analysis journal, and can recommend it.

You can keep multiple journals, backdate journal entries, and, importantly, encrypt journals using double passwords. It is a simple interface, and I can export entries to standard format if required. The shareware version ($25) adds extra functionality like syncing between computers, a drop box and rich content. However, if you are looking for a simple, encryptable Leopard-like journal, then I encourage you to check the free version out.

ViJournal.jpg

For any who are interested, I have been using this format for my personal case reviews:

  1. What happened?

  2. What was good?
  3. What was bad?
  4. What could I do differently in a similar situation?

  5. Key lessons (in dotpoints)

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