This document discusses performance optimization in healthcare. It addresses questions like what, why, who, where, and how to optimize as well as examples of optimization. Key points mentioned include optimizing for different roles like doctors, nurses, and managers. The document also discusses metrics like competence, confidence, and "safeness" as well as strategies like simulation and debriefing to aid in optimization. References are provided to related publications and educational resources.
30. Roland et al. A qualitative study of self-evaluation of junior doctor performance:
Is perceived safeness a more useful metric than confidence and competence?
BMJ Open 2015;5
Clinical
Performance
outcomes
Competence
Low High
Reported
Confidence
Low Safe Suboptimal
High Unsafe Safe