It’s Only the First Day and I’m Already in My Feelings…

It only took one day to muster up many of the feelings I’ve been taught to compartmentalize or simply accept as “part of the job”. This morning we were asked, “Why are you here? What do you want to take with you”? In the beginning, my imposter syndrome overwhelmed my mind with anxiety that I couldn’t figure out the answers to these simple questions that I knew deep down inside.  The truth is: I’m tired, I’m fed up, and I don’t want to sit by and accept this anymore.

I’m tired of writing the Incident Reports that never seem to produce a change in the operating room. How many needles have to go missing until we realize our system of popping them off the suture into the air is ridiculous? How many more times will I have to hear about a fellow nurse fudging the count or the chart… Continue reading

Recognizing Premature Closure – Day #1

This morning, our group had the opportunity to watch a film about Lewis Blackman and the medical errors he endured as a 15-year-old following a procedure for pectus excavatum. Afterwards, we were able to speak with Lewis’s mom, Helen Haskell. As Helen walked to the front to field our questions, I felt the mood of the room shift. I had never met anyone who knew a victim of medical error before, let alone a parent of a victim. This was such a profound experience in that I can now picture Helen’s face when I think about medical errors and the lives they affect – something that is so important, because it will always remind me of the humanity behind these mistakes and the reason we want to face them head on. I truly felt as though Lewis was standing beside his mother today.

The biggest takeaway from this morning’s film… Continue reading

Day One Reflection

::SIGH:: As a graduate student who does online blogging daily it is rare that I don’t know how to start a discussion, today is the exception. There are so may factors that I want to touch on;

  1. I appreciate hearing from the different professions on the many viewing and stories we heard today. I am not currently at a major teaching hospital and wasn’t aware of the mounting pressure and expectations that exist among medical students/residents.
  2. One of the quotes I took to heart today was “Develop mindful engagement to have situational awareness to help create a sustainable safety culture through a shared medical model.”
  3. Another quote that I feel will become almost my mantra is that “change comes through disruptive innovation”

After hearing Lewis’ story, the shock of Carol’s daughter, Alyssa, and then the movie ‘To Err is Human’ I am left very frustrated and almost helpless. It’s overwhelming… Continue reading

Telluride Napa Day 1

My first full day of programming of The Telluride Experience: Napa 2019 was so incredible! It was a long day but full of informative and fun sessions, led by leaders in the field. After being introduced to the program, we learned how reflection through our patient safety education can help us better assess scenarios and prepare for better preventative measures. It was also very interesting learning a lot of statistics from The Doctor’s Company CEO , Dr. Anderson, regarding medical malpractice. Outside of the lectures, we were able to watch two videos about medical errors that served as another vessel for quality information. I also enjoyed playing our team building game involving the teeter totter and the communication activities where we learned effective strategies for patient interactions. I look forward to the remainder of the week in Napa!

Day 1 Reflections

Thanks, everyone, for such a great session. One of the things that I love about medicine is how powerful it could become when it involves collaboration from multiple disciplines. I am inspired by the work that many of you do. And, I am looking forward to continue learning about how different specialities function to protect patients and to translate it into my practice. One great opportunity to share with my hospital will be to create a forum for the video to err is human and to create a safe space to share out patient safety stories.

Hospital employee well being

After today’s sessions I realised how intricately all the causes of patient harm are interrelated.

I feel that you work harder and are less efficient when you are sleep deprived. And I feel sleep deprivation, apathy, compassion fatigue are all interrelated. Working as an internal medicine resident at a busy hospital I realize how overworked residents are more prone to making medical errors. I feel a huge investment towards patient safety would be resident/physician/health care provider well being.

I personally feel the difference in my attitude and care I provide on a Monday vs a Friday, at 7 am vs at 7 pm! There are personal events in everyone’s lives that we cannot avoid, but creating a better work environment should be a higher priority for hospitals. The physical wellbeing of Alcoa employees was discussed today, and maybe  graduate medical education programs should learn from them too!

 

telluride 2k19

During my first year of medical school, I joined Mount Sinai’s student High Value Care
Committee (sHVC). SHVC is a student-led organization focusing on finding innovative ways to
bring high value care by improving quality while reducing costs. Over the course of a year, we
designed our own quality improvement initiative and learned more about hospital operations in a
specially designed extracurricular course. Our QI project utilized a multifaceted, multipronged
intervention to improve sleep hygiene in hospitalized patients and helped put in perspective how important it is to always consider patient safety and satisfaction.

Throughout my first two years of medical school, the topic of patient safety has been
absent from the pre-clinical medical curriculum. I want to attend Telluride to learn more about
how to be a positive deviant. It’s easy to become preoccupied with day to day details, and forget to listen to patients and continually think about… Continue reading

Why I wanted to attend

I wanted to attend because I have already learned so many great things from Dr. Mayer that I have used in my career such as the patient safety moment during rounds. It has helped myself to take a moment to improve safety and spread it to others. I believe that anyone he has speak will be excellent and further build on my ability to provide the best patient care. This is important to patient care because especially in anesthesia we cause many iatrogenic problems and knowing the consequences of our actions and the state of our patient we can help prevent greater problems from occuring and ensure that patients always properly place their trust in us.

The Telluride Experience_pre-session

Attending the Telluride Experience is important to me because I want to help make patient safety a priority in healthcare! As a nurse and a nurse practitioner student I am uniquely positioned to advocate for and make changes that will directly impact the patients and their families that I serve. This week in Napa will help me understand how to provide safer care and provide me with the tools needed to encourage others to join me on my journey of safer care.
Ten years ago, I lost my father to his fight with diabetes and that event changed my life forever. My dad received horrible care in the very emergency department that I work in, which makes providing safe care a personal goal for me. My father’s death is attributed to less than stellar care and that has inspired to do better for my patients. I believe that if we… Continue reading

Being an RN

As a ICU RN for ten years in the adult cardiothoracic intensive care unit and in the neonatal intensive care unit, I will never forget the stories of my patients. Most shifts as an RN are demanding. Within 12 hours, there are daily routines for patient care along with recovering postoperative patients, managing complications, transferring patients, procedures, and new admissions. In this short period of time, we are at the front lines of patient care and we must not miss anything. Being a bedside nurse is more than just tasks and following physician orders, it takes compassion and diligence. It requires open communication with multidisplinary staff and developing a trusting relationship with patients, despite our differences in background. Attending the Telluride Experience is important to me because patient safety is critical for improving health outcomes.

During an admission of 30 week twins, twin B was delivered with signs of respiratory… Continue reading