When I first went to medical school, I was interested in all of the factors that impact a person’s health besides what I was seeing in the exam room. Little did I know that so many of those factors may end up being things done by myself or by other members of a patient’s care team. Progressing through my training, there were countless instances where mistakes were caught, either by built in safety nets or by pure luck in catching a near miss. As I learned about patient safety and I started to identify all of the room for error that exists in day to day medical care, I started to get more interested in what I could do. However, the patient experience that really pushed me into getting involved in patient safety was a relatively simple one.
A patient I was caring for was diagnosed with C difficile diarrhea.… Continue reading