

As I imagine several other people here attending can relate, I have long been a “fixer.“ Rather, I have always wanted to be a fixer, but throughout the years I came to realize what I could and couldn’t control and where I could actually make a difference. I was intrigued by quality improvement and patient safety because it simply made sense. You assess a situation or adverse event, and you get to the root cause of everything that led up to that event before trying to create a solution. So much in medicine is unknown and our research processes are hypothesis-driven based on what we think we already know about a subject. But with QI, we have the humbling benefit of seeing the end result of a situation and being able to work backwards to understand what led to it. With that information you can test a hypothesis or intervention… Continue reading