GUILTY AS CHARGED!!!!

Being a part of the 2017 Telluride scholars is definitely an experience that has changed my life forever, not to mention my practice as a physician. My experiences the last 48 hours have given me a whole new perspective on patient safety and i intend moving forward to be the ”change i seek”

As residents and nurses, If we have patient safety concerns, we need to speak up. If you see something, say something, that might save a life.

I find it very disheartening, the irony of harming the very people we set out to heal. Truth of the matter is a lot of people fall through the cracks in our poorly integrated health care system and they need people to speak up for them. Patient improvement should be at the core of every provider. There is always room to grow and to learn from our mistakes.

We need to… Continue reading

Telluride Reflection

Thank you for a rich and unique learning experience. One of my favorite parts of the conference was seeing the transformation of the group over the three days… sharing ideas, experiences, and laughter.

The current culture of healthcare has a great many opportunities to challenge old ways of thinking, particularly as it pertains to a more loving, courageous and wisdom-guided environment. Depending on one’s home institution, the degree to which the culture welcomes transparency, process improvement, blame avoidance, and respectful, interdisciplinary collaboration varies widely.  While grass roots efforts are one way to promote this kind of change within healthcare, this approach can consume time and ‘bandwidth’ in an already challenging healthcare environment.

I wonder if there are more expedient ways to influence our Hospital / Division/ Department leaders and thus, the values and core culture of the institution, in order to facilitate a more Telluride-like culture.

Thank you… Continue reading

Reflections from Mitchell Edwards TE MD 2017

AELPS17 Day 3

This programme continues to be a transformative experience today. What most stood out to me today was that even when we were free to go out on our own and talk amongst ourselves as we visited Arlington National Cemetery and The National Mall, conversations about patient safety and quality improvement continued among participants. This group seems to be very dedicated to the task of protecting patients from harm and I’m sure that its members will serve as leaders in this field. Another striking yet solemn moment was Rosemary Gibson’s speech in Arlington, which gave us a visual representation of the scourge of patient harm, such that if each person who perished at the hands of medical error were to be buried in Arlington, that they would need a new cemetery of that size every year.

AELPS17 Day 4

Over these few days, we have heard the ins… Continue reading

Changing My Practice After Telluride

After my time at Telluride, I only had one day to process everything we learned, and then got right back on the horse and went back to work in the Emergency Department. I truly felt like I was seeing my clinical practice from a new angle. Rather than completing tasks and checking boxes, I found myself thinking through clinical situations and inviting patients and family into conversation about their care.

Of everything that we experienced at Telluride, I am most thankful for the opportunity to learn from the Blackman and Skolnick families. My heart is broke for these two young men and their families, who put their faith in healthcare members, who they should have been able to trust. I learned from their stories that open and honest communication with patients and families, from the very beginning (in my case, the ED waiting room) … Continue reading

The Power of Inspiration

Now that I’ve had some time to process all that Telluride encompassed, I feel immense gratitude to have had this experience. Being a part of this group of passionate and compassionate people is not something I take for granted, as it left me feeling inspired and ready to bring about change in my home institution.

While the memorable moments were numerous, what stuck with me the most is the overall emphasis on the humane nature of medicine. As a pre-clinical medical student, it can be easy to forget what it’s all about. My day to day life at school rarely involves seeing patients and even more rarely involves in-depth discussions about what a good physician is. This is why I so appreciated the platform that Telluride provided. It was a chance for us all to step back and remind ourselves why we’re doing what we’re doing. What drew me into… Continue reading

Breaking down the barriers

The Telluride Conference ended this past Sunday, and within twenty-four hours, I was starting my second year of medical school. I am so thankful to have spent the four days preceding this year learning about patient safety with an incredible group of people committed to putting patients first and hoping to make a change in how we provide healthcare. As I reflect back on my Telluride experience, there is one thing that I keep coming back to. That is the way the barriers between who was a nurse, a resident, a fellow, and a medical student broke down almost instantly. Not only did we get to learn from each other, but we also enjoyed spending time with each other and built relationships with people we may not normally have sought to build relationships with. It was rather remarkable and as my classmates have asked me… Continue reading

Putting it all together

As I reflect over the last week, I feel re-invigorated from the Telluride Maryland Experience. I am lucky to work at Boston Medical Center – a truly progressive, quality- and patient safety-oriented institution but know there is still much work to be done, both at the organizational level and of course, at the national level. I am particularly fascinated with the rigorous data analytics employed by MedStar (from Kelly Smith’s sessions), highlighting the importance of data-driven changes and the power of quality improvement to transform environments into cultures of safety over time. I will be pursuing a fellowship in general internal medicine where I hope to learn the research skills to process and analyze large datasets to help inform future policy, ranging from the institutional or organizational level to the state or national level; I aim to utilize these skills to help transform quality and patient safety.… Continue reading

Words of Thanks

The last few days were amazing. I cant imagine i will wake up tomorrow without a safety moment from David, a story shared from Tim, or a smile and support from Roger. I will always remember Richard’s enthusiasm, Kelly’s “mentorship” on QI, Anne’s overall supervision from the back, and Rosemary’s words / encouragement.

I am so proud to have sugh a great experience from the faculty and all coleagues, and be part of this “tribe”. I have embedded patients safety in my heart and will continue to remember your words and teaching to lead my institution to a better care, wherever I am. Patty and Helen, I am sure your stories will always be remembered and promotes patients safety indefinitely, thanks for your dedication.

You guys left us speechless when we see how dedicated you are in this important and critical aspect of healthcare. I am sure your patients… Continue reading

“Let’s get this show on the road!”

I love this quote from Jack Gentry, the man who’s life was completely changed after he was paralyzed during a cervical spine surgery. It shows that ultimately Jack felt empowered by an organization totally dedicated to correcting its mistakes and supporting victims of medical errors. That quote encapsulates everything that is good and right about CANDOR and the Seven Pillars approach. Instead of spending years in courts in an adversarial relationship with a hospital system that inadvertently caused him harm, he became one of their greatest collaborators and continues to work to make MedStar safer.

Everyone had such great, achievable plans to increase patient safety and quality improvement awareness at their own institutions – please keep us all updated with your progress! I hope you all find your first follower or become a first follower of a colleague whose vision aligns with yours. It takes a… Continue reading

THE TRIBE

Find a group of people who challenge you and inspire you, spend a lot of time with them and it will change your life.     ‘Amy Poehler’

#PATIENTSAFETY, #PATIENTCENTEREDCARE #THINGSMUSTCHANGEFORTHEBETTER

 

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