It’s great to be back at the Telluride experience! My co-participants have been asking me if it is worth coming back for a second experience and so far it is just as great as my first time! Not only is it good to get a refresher on a lot of QI/PS topics, but you can never have too many unique and educational conversations about patient safety, especially when others share their story for you to learn from. So in this theme, I thought I would share my own, especially because it hits on a human factor that we do not usually discuss.
The short version of my story is that a chronic status epilepticus patient in the Neuro ICU was tube fed into his abdomen when a nurse deflated his PEG balloon and it dislodged from his stomach while I was the covering in-house provider… Continue reading
First and foremost, I’d like to thank all the leadership, instructors, and patient families for having me and taking the time out of thier busy schedules to share with us their valuable information and experiences. I will echo what Rick said yesterday in that this conference definitely re-ignited that fire in me to change our culture in Medicine and put the focus back on patients and their safety and well-being. When I go back to my slightly younger self to think of how I expected to be as a physician, I never thought of the negative effects I could have on patients, I only thought of myself as a healer. Then I said to myself, “OK, I can change my ways and improve myself so that I am better aware of errors around me or because of me, and correct them before they do real harm to… Continue reading