Podcasts about to err

conversations chief jewish human ethics bret stephens sapir rabbi david wolpe to err

Play Episode Listen Later Apr 3, 2023 38:44

This week we have the honor of being joined by a world-renowned family physician and health equity expert, with deep experience in value-based care transformation, technology and innovation, and health disparities improvement. You are going to hear from the one and only Dr. Nwando Olayiwola, a leader in this Race to Value who is committed to ensuring that everyone has access to fair, high quality and equitable health and health care, no matter their background. To achieve this, she has committed her career to health system reform, practice transformation, primary care redesign and leveraging technology and other innovations to mitigate health disparities. Dr. Olayiwola is Nigerian American physician, professor, author, speaker, consultant, and health equity leader. She was named the American Telemedicine Associate's Woman of the Year in 2019, she was named one of the most influential minority executives in healthcare by Fierce Healthcare in 2021. Dr. O is a tireless advocate for healthcare of underserved populations, women and girls, and community and social determinants of health and innovations in technology, and the intersection of social justice and healthcare. As the inaugural Chief Health Equity Officer and senior VP of Humana, a role that she started in 2021, and she's responsible for setting equity agenda and strategy for Humana. In this episode, you will learn about the enablement of an equitable healthcare ecosystem through actionable data, performance measurement and quality improvement, health equity innovation, and relationship-based care. Episode Bookmarks: 01:30 Introduction to Dr. J. Nwando Olayiwola, a Nigerian American physician, professor, author, speaker, consultant, and health equity leader. 02:30 Dr. O is the inaugural Chief Health Equity Officer and senior VP of Humana. 04:00 Personal background and formative experiences that has led Dr. O towards a career path in healthcare equity transformation. 05:30 The Health Equity Journey at Humana. (“Making Health Equity Part of the Value of Value-Based Care”) 06:45 Humana became a pioneer of health justice and health equity in rebuilding and uniting Louisville after the murder of Breonna Taylor. 07:00 Humana's Bold Goal Population Health Initiative to enable an equitable healthcare ecosystem. 07:45 “We need to innovate constantly in the way that we deliver and finance healthcare. It must fit within the lives of people's own lived experience.” 08:00 Optimism for the evolution of our healthcare ecosystem to better prioritize health equity. 09:00 “We must do everything we can to eliminate barriers to healthcare that are unnecessary, that are avoidable, and that are unjust.” 09:45 Imagining a world where healthcare is more than just having an insurance card – it actually becomes an equitable ecosystem of liberation and authenticity. 10:30 Dr. O provides specifics on the various types of health disparities that we encounter in our country and how those impact minoritized and marginalized populations. 12:00 Dr. O's TED Talk: “Combating Racism and Place-ism in Medicine” 13:00 How is Humana positioning itself as a catalyst for equity innovation by leveraging it health plan and provider assets collectively? 15:00 How the Health Equity movement mirrors the path of the Health Quality movement following the “To Err is Human” report. 16:30 Referencing landmark National Academy of Medicine paper: “An Equity Agenda for the Field of Health Care Quality Improvement” 17:00 Measuring health equity on dashboards measuring organizational performance. 18:00 “We must get the right data to validate we are providing culturally affirming, culturally sensitive, and culturally humble care to people we're caring for.” 18:00 Referencing NEJM Catalyst article on how Humana developed a health disparities impact measure: “Building the Foundation for Reducing Disparities in Medicare Advantage” 19:30 The need for committed leadership to support health equity work.

Webinar Preview: Why Does the U.S. Need a National Patient Safety Board?

Habitual Excellence

Play Episode Listen Later Jan 12, 2023 14:21

Register here January 25, 2023, 1 to 2 pm ET A panel discussion with: Karen Wolk Feinstein, PhD, President and CEO of the Pittsburgh Regional Health Initiative Ken Segel, CEO of Value Capture Moderated by Mark Graban, Value Capture The Institute of Medicine's groundbreaking report, To Err is Human, was published 20 years ago and spurred a vigorous effort to improve patient safety, but preventable medical errors still cause an estimated 250,000 deaths a year in the United States, making this problem the third-leading cause of death. Additionally, the COVID-19 pandemic has put the healthcare workforce in crisis, and safety is suffering. Well-intentioned efforts to improve processes and change behavior in the healthcare industry have been decentralized and resulted in minimal improvements, says Karen Wolk Feinstein, Ph.D. The failure can be traced, in part, to the lack of a single federal agency that investigates healthcare errors and identifies ways to prevent them, she says. Dr. Feinstein is spearheading the creation of a proposed federal independent agency, the National Patient Safety Board (NPSB), modeled in part after the National Transportation Safety Board (NTSB) and the Commercial Aviation Safety Team, that would identify and anticipate significant harm in healthcare; provide expertise to study the context and causes of harm and solutions; and create solutions to prevent patient safety events from occurring. This idea is fully supported by Ken Segel, as he has discussed in this blog post. He will join Dr. Feinstein for the discussion. In December, legislation was introduced into the U.S. House of Representatives: H.R.9377 – the National Patient Safety Board Act. Learning Objectives This session will cover topics including: The inspiration provided by the late Paul O'Neill, Sr. What progress have we seen on patient safety in the past 20 years? Why haven't we seen more? How can we spread proven approaches for preventing harm? Why create another new agency, the NPSB? What models were used to formulate the NPSB? What coalition have you formed to support the NPSB, and how can attendees help? You'll be able to ask our expert panelists live questions about this legislation, the NPSB, and patient safety in general.

covid-19 united states ceo president house phd board medicine national patients human sr webinars feinstein patient safety mark graban to err

S7E3: A Conversation with Rabbi David Wolpe and Editor-in-Chief Bret Stephens

SAPIR Conversations

Play Episode Listen Later Dec 8, 2022 59:58

In this episode, SAPIR Editor-in-Chief Bret Stephens interviews Rabbi David Wolpe, one of the contributors to SAPIR's new Ethics column, Shivim Panim, and author of "To Err is Human; To Disagree, Jewish" in our newest issue.

Episode 13 - Zero

Real Nurses Real Talk

Play Episode Listen Later Sep 27, 2022 36:16

98,000. A number that when put into context is really sobering. In 1999, the IOM published a study in "To Err is Human" finding that as many as 98,000 people die each year from medical errors. So what is the number today? While some have made educated guesses, due to a number of different factors, the true number is unknown. So, what do we as caregivers, as nurses do about it?This is the first episode in a three-part series focusing on safe practice. In this first part, we explore four patient stories about the impact of medical errors. We share our perspectives on these, but more importantly, how they could be prevented. We share practical "walk-aways" for each story that can be put into practice immediately. Ultimately, zero harm is the only acceptable number. ---------------------------------Be sure to connect with us on Instagram:@realnurses_pcSend questions, topic ideas, or comments to realnursespc@gmail.com

human iom to err

Value-Based Care as the Fuel for Virtual Care Delivery Transformation, with Dr. Carrie Nelson

B-Time with Beth Bierbower

Play Episode Listen Later Sep 19, 2022 69:13

One of the silver linings of the pandemic has, in fact, been, the expansion of telehealth services and virtual care delivery. The pandemic has also accelerated the healthcare industry's transition from fee-for-service to value-based care. The continued growth of telehealth is fueled by providing incentives for care delivery in the lowest cost settings, identifying and interacting with highest-risk individuals before disease onset, managing care teams with more efficient workflows, and taking advantage of digital remote technologies. Virtual care is an easy and cost-effective path to achieve value-based care, thereby improving health outcomes and patient satisfaction across a broader population of patients. Our guest this week, is Dr. Carrie Nelson, the Chief Medical Officer for Amwell, a leading digital care and telemedicine company. Dr. Nelson is a seasoned physician leader committed to healthcare transformation. She has demonstrated success in innovation and change management, physician engagement, solution development and deployment, value-based care, managing and coaching other leaders and delivering results. Before joining Amwell as Chief Medical Officer and President of their Amwell Medical Group, she served as the Senior Vice President and CMO for Population Health and Health Outcomes at Advocate Aurora Health. She also served as the Chief Clinical Officer for Advocate Physician Partners, a benchmark organization known internationally for delivering value-based care in collaboration with about 5000 employed and independent physician practices. With more than 28 years' experience as a Family Medicine provider, Dr. Nelson is an innovative physician leader with a proven track in quality improvement, patient safety and population health. Bookmarks: 01:30 The silver lining of the pandemic is the expansion of telehealth services/virtual care delivery and the acceleration to value-based care. 02:15 Introduction to Dr. Carrie Nelson, the Chief Medical Officer for Amwell, a leading digital care and telemedicine company. 05:00 Dr. Nelson's recent career transition from Population Health leadership at Advocate Aurora Health to a national leadership role in digital transformation and virtual care enablement. 06:00 A career in driving healthcare transformation in population health, quality, and patient safety. 06:30 The influence of “Crossing the Quality Chasm” and “To Err is Human” on awakening a healthcare transformation. 07:00 The pace of change across the country is still insufficient due to over-dependence on fee-for-service. 08:00 The consequences of poor disease control during the pandemic as a result of ineffective healthcare delivery. 08:30 The multifactorial limitations in the capacity for healthcare systems to change (e.g. culture, failure to adapt to technology) 09:00 Strong technology partnerships needed to prevent health systems from regressing back to their pre-pandemic care delivery model. 09:30 Workforce burnout in healthcare prevents sufficient time to think about system transformation. 10:30 Telehealth improves patient health, reduces overall costs of care, and improves health equity in medically underserved communities. 11:00 The plunge of telemedicine usage since the peak of the pandemic. 12:00 “During the pandemic, we largely moved brick and mortar care to online. If that is all we ever achieve, we will have fallen far short of the potential for a technologically-enabled model.” 12:30 Shawn Griffin (President and CEO of URAC) and his analogy of COVID-19 telehealth deployment to only “watching the dancing baby online” when launching the Internet. 13:00 Dr. Nelson discusses Amazon Care's recent departure from telehealth and itsrecent acquisition of OneMedical. 13:30 Wider uses cases for telehealth and recent trends in claims activity. 14:30 Inserting new tools into the virtual visit creates healthcare transformation th...

S4E21 - "To Err is Human"

WKRP-Cast

Play Episode Listen Later Aug 30, 2022 67:25

WELCOME BACK!!This roll of film had fifty pictures of a black guy in a tux holding a bottle of shampoo...and ONE picture of a dorky white guy at a bar-b-que grill. Guess which one the printer chose? Would your answer change if you knew the photographer was Herb Tarlek?In a career marked by colossal screw-ups, this is one colossal screw-up. Herb's new client "Soul Suds" went the full multi-media promo route. They're utilizing point of purchase display stand-ups featuring WKRP's own Venus Flytrap. Venus is right there at the store shelf promoting the same shampoo he's pitching on the radio. He's in a tux, his hair is looking awesome and he's holding the product. It's coordinated marketing synergy on an unprecedented level! And HERB is running the show!! What could go wrong?Oh, just the pesky printer mentioned above. Herb told them they should figure anything he said was wrong. They listened to him on this one...the fools. Now Herb is cooking up burgers in convenience and grocery stores all over town while claiming to be a laid-back Venus Flytrap. We can't even see what his hair looks like because he's wearing a HAT!! This might be all she wrote for Herb. Unless a gorgeous blonde temptress can be found to inspire the client to forgive poor Mr. Tarlek. If only we knew a gorgeous blonde temptress...Jennifer, surprisingly, steps up.It's a tale of blind...or possibly blonde...ambition, dueling receptionists, deceptive salesmen and the most perceptive CEO Jennifer has ever met. This time beauty is in the ear of the beholder, and a good thing for Herb.Strap in, fellow babies. It's time to push 'play' and lather up. We're gonna take a ride on the "Soul Suds" train with "To Err is Human" our next to last episode of THE SERIES. WATCH ALONG DETAILS...[Want to watch along with us? It's a blast!! We highly recommend the 'Shout Factory' boxed DVD set of the entire WKRP series. For reasons you'll have to listen to in the "Prolog" episode, all streaming versions of the original "WKRP in Cincinnati" have had the original music cues removed. Generic music beds and stings were used in place of the original music for the syndicated version of the series. 'Shout Factory' has been able to restore an estimated 85% of all WKRP music cues to the original "as-aired" content for their DVD release. They've also restored scenes that had been cut to shorten episodes for syndication. The original eps ran 25 minutes. The syndication eps were shortened to 22 minutes. Over 88 episodes that's more than four hours of lost content, including the performance by "Detective" at the end of "Hoodlum Rock." Get the COMPLETE series...get the Shout Factory DVDs. The Shout Factory complete series box has a release date of 2014. All individual seasons of Shout Factory disks were released starting in 2015.]The WKRP-Cast is a weekly re-watch podcast spending time with the original "WKRP in Cincinnati" which aired from 1978-82. New episodes every Tuesday. Subscribe wherever you get your podcasts.

The Command to Forgive

Will Wright Catholic

Play Episode Listen Later Aug 1, 2022 20:17

The Last Two WeeksOver the last two weeks, we have explored two distinct but related topics: first: judging actions, not people, and second: how ideology can come at the expense of charity and kindness. Those topics are foundational for any conversation on forgiveness. So, if you have not read or listened to those, I highly recommend going back and viewing those first!To Err is Human, to Forgive, DivineAlexander Pope, in his poem An Essay on Criticism written in 1711, says, “To err is human, to forgive divine.” This comes from an old Latin proverb errare humanum est (to err is human). Erring is easy. We do it all the time. We make silly mistakes and sometimes we make big mistakes. We can be selfish, careless, ignorant, or down-right malicious.Every human being sins and falls short of the glory of God (cf. Rom. 3:23). We all need forgiveness. Why then is it so darn hard to forgive sometimes? Maybe we are waiting for the apology that never comes. Maybe we have tried to make things right but it falls on deaf ears.Given our fallen world, it seems that forgiveness is just out of reach, a lot of the time. This is why Alexander Pope says that forgiveness is divine. Do we need the omnipotence of Almighty God to muster up forgiveness? Or perhaps, paradoxically, we need to emulate the sublime humility of God to forgive others?Do We Need to Forgive? - Natural OrderIs it necessary to forgive? Do we need to forgive? If it is so difficult, perhaps it would be easier to forgo the exercise and just move on? The problem with this is that resentment can build. Forgiveness is important for our physical and mental well-being. As the Catholic author Bert Ghezzi puts it in his 1980 book The Angry Christian, “Resentment is like a poison we carry around inside us with the hope that when we get the chance we can deposit it where it will harm another who has injured us. The fact is that we carry this poison at extreme risk to ourselves.”Phrased another way: unforgiveness and resentment is like drinking poison and expecting the other person to die. If we do not let go, this resentment will kill us. Before you get too deep into resentment, remember that most people err out of ignorance. Malice certainly exists. People do bad things out of malevolence; it would be naive to think otherwise. But it would be a mistake to assume malice. Instead, apply “Hanlon's razor” - “never attribute to malice that which is adequately explained by stupidity.” I am not suggesting we assume everyone is stupid. Remember to judge actions and words, not people. However, it is far more charitable to assume someone is acting out of misguided passion or ignorance rather than malice. Do We Need to Forgive? - Supernatural OrderWhat about in the supernatural order, spiritually-speaking? Our Lord Jesus lays it all out on the line for us: “For if you forgive others their trespasses, your heavenly Father will also forgive you, but if you do not forgive others their trespasses, neither will your Father forgive your trespasses (Mt. 6:14-15).”We are all sinners in need of God's forgiveness. Accordingly, it is not only a good idea to forgive; it is absolutely necessary for salvation. Our Blessed Lord shows us also in the Gospel of St. Mark that, “whenever you stand praying, forgive, if you have anything against anyone, so that your Father also who is in heaven may forgive you your trespasses (Mk. 11:25).” Our forgiveness of others is plainly concomitant with the forgiveness that we receive from God. Jesus Himself teaches us to pray to the Father with these words, Father: “... forgive us our debts, as we also have forgiven our debtors (Mt. 6:12).” Hearing this alongside the other two passages calling for us to be forgiving, the necessity is clear. But Jesus makes it even clearer in St. Matthew's Gospel right after giving us the Our Father prayer. He says, “For if you forgive others their trespasses, your heavenly Father will also forgive you, but if you do not forgive others their trespasses, neither will your Father forgive your trespasses (Mt. 6:14-15).”The call to forgiveness is so important that it needs to be put forcefully and plainly. If you and I do not forgive others, we will go to Hell. The call is that simple. This act, however, is not simple; in fact, it is impossible for man. But with God, all things are possible. He gives us the grace in His Holy Spirit and through the merits of His Cross.Forgiving Even Our EnemiesForgiveness is one of the most powerful acts of love. It is requisite, if we are to love. This is all well and good when the person who needs to be forgiven is a friend, family member, or acquaintance, but what about when the person is our enemy? Jesus says at the end of the Sermon on the Mount:“43 You have heard that it was said, ‘You shall love your neighbor and hate your enemy.' 44 But I say to you, Love your enemies and pray for those who persecute you, 45 so that you may be sons of your Father who is in heaven. For he makes his sun rise on the evil and on the good, and sends rain on the just and on the unjust. 46 For if you love those who love you, what reward do you have? Do not even the tax collectors do the same? 47 And if you greet only your brothers, what more are you doing than others? Do not even the Gentiles do the same? 48 You therefore must be perfect, as your heavenly Father is perfect (Mt. 5:43-48).”For a brief reflection on this last line about perfection, check out “The Perfect is the Enemy of the Good” from a couple weeks back, here on Will Wright Catholic!We must love even our enemies and this means forgiving them.Radical Forgiveness, In ChristOne of the most poignant examples in recent memory comes from Corrie Ten Bloom. She was a Dutch woman who was arrested by the Nazis for hiding Jews. She survived countless horrors in the Ravensbrück concentration camp. Later, in 1947, in a church in Munich, she saw one of the vicious guards of Ravensbrück. Since the war, this vile man had become a Christian. After her talk, he approached her and asked her for forgiveness. By the power of Jesus, Corrie Ten Bloom did forgive that Nazi guard. This is the strength God gives us to overcome anger, if we only ask. It would have been easy for Corrie Ten Bloom to give into hatred of this guard who had caused her so much suffering. It would have been easy for her to curse the man and walk away. A compelling argument could even be made that he would have deserved to be treated like dirt. She describes this moment, frozen before the former guard, as one of the most difficult things she has ever had to do. She cried out in the silence of her heart to Christ saying, “Jesus, help me! I can lift my hand. I can do that much. You supply the feeling.” Of course, Jesus answered. He desired for forgiveness to win the day, as it always does. She put out her hand describing being filled with a “healing warmth.” Tears came to her eyes and she said, “I forgive you, brother. With all my heart.” The love of God has a power that cannot be explained in words. This forgiveness is impossible for man, but with God all things are possible. This radical love and forgiveness is only possible with Jesus Christ. He Himself said, “Father, forgive them” of the Romans while suffering His agonizing passion and death.Are We Forgiven?Okay. We can forgive our friends, family members, and acquaintances, and even our enemies. But, what about forgiving ourselves? Sometimes the hardest person to forgive stares back at us in the mirror each morning. Again, the only way to truly forgive ourselves is to love ourselves. To get to this point of humility, we have to see ourselves how God sees us. We need to deeply experience His love, mercy, and forgiveness. You might be thinking: that's fine for other people, but I'm pretty awful. I mean, I suck. Well… first of all, shush. No you don't. In the future, we are going to talk about the difference between conviction and condemnation. Suffice it to say, the former is a gift from God and the latter is from the pits of Hell. What does God reveal to us about His merciful forgiveness? Above all, He showed us the depths of His love from the Cross. Jesus Christ is sinless and blameless, but for our sake, for our sins, He endured the weight of the Cross. He suffered, died, and rose so that we might be forgiven. We share in His merits because He made us coheirs with Him through Baptism. What a gift!God Alone Blots Out Our TransgressionsGod alone can forgive sins. Furthermore, we need Him to see our faults clearly. As the Psalmist says, “Who can discern his errors? Declare me innocent from hidden faults (Ps. 19:12).” As an aside, this is why I end my confession in the Sacrament of Penance with some iteration of: “and for all the other sins I have forgotten, I am sorry.” I am not saying this to “cover my bases;” I am giving thanks to God for declaring me innocent from hidden faults.Only when we receive God's love and mercy with an open heart will we be truly happy. As the Psalmist says, “Blessed is the one whose transgression is forgiven, whose sin is covered (Ps. 32:1).” How do we become so fortunate? How do we receive this divine forgiveness?!? Simple: we ask. As Pope Francis says rightly and so often: “God never tires of forgiving us.” We need only ask for His forgiveness with a contrite heart. Then, we receive the promise of Jeremiah: “I will cleanse them from all the guilt of their sin against me, and I will forgive all the guilt of their sin and rebellion against me (Jer. 33:8).”Further, by a true miracle, it is as if our sins did not exist. To illustrate the point, God speaks through the Prophet Isaiah saying, “I, I am he who blots out your transgressions for my own sake, and I will not remember your sins (Is. 43:25).” The Psalmist echoes the same joyous song: “as far as the east is from the west, so far does he remove our transgressions from us (Ps. 103:12).”When and How Many Times Must We Forgive?It is clear that God forgives us when we are contrite and ask for His forgiveness. He never tires of forgiving us. Every single time you or I commit the same sin that we confessed last time. Every time we find new ways to offend the Lord. He does not stop His mercy. As long as we have breath in our lungs, we can receive His forgiveness. What, then, should our response to this gratuitous mercy be? It should be gratitude, first. What a beautiful gift to continually be drawn back to our Heavenly Father by our Lord Jesus Christ in the power of the Holy Spirit, the Paraclete. Second, we should do likewise. In the Gospel of St. Luke, Jesus says this:“Pay attention to yourselves! If your brother sins, rebuke him, and if he repents, forgive him, and if he sins against you seven times in the day, and turns to you seven times, saying, ‘I repent,' you must forgive him (Lk. 17:3-4).”Likewise, in St. Matthew's Gospel, Jesus is asked by St. Peter: “Lord, how often will my brother sin against me, and I forgive him? As many as seven times?” Jesus replies, “I do not say to you seven times, but seventy-seven times (Mt.18:21-22).” Here, Jesus is not saying that we forgive seventy-seven times but to heck with them on the seventy-eighth time. It simply means an uncertain and inscrutable number - as many times as it takes.This is not an excuse to sin, nor is it a free pass for the offender. Right before this passage Jesus says to His disciples: “Tempations to sin are sure to come, but woe to the one through whom they come! It would be better for him if a millstone were hung around his neck and he were cast into the sea than that he should cause one of these little ones to sin. Pay attention to yourselves… (Lk. 17:1-2,3a).”But when someone does offend us, in sin, but then asks for our forgiveness, who are we to deny them? We cannot judge people. We judge actions. We can judge rightly that an action against us was immoral or imprudent, but we cannot judge the offender's heart and soul. So, following the command of Jesus, we forgive - as many times as it takes.The only way for this platform to grow is for you to get the word out! I would greatly appreciate you taking a few moments to share this episode with your friends or family, if it's been a blessing to you. This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit willwrightcatholic.substack.com

Value Based Payment Models with Francois de Brantes, SVP, Signify Health

Play Episode Listen Later Jul 19, 2022 30:58

Francois de Brantes is a pioneer in measuring and improving healthcare outcomes. Francois began his career at GE Healthcare which provided him with a solid background in measuring what matters. While at GE, Francois helped create The Leapfrog Group focused on improving quality and safety. From there, Francois spent almost 11 years as the Executive Director of the Healthcare Incentives Improvement Institute before moving to Altarum and now Signify where he continues his focus on payment innovation. On this episode you'll hear Francois' perspective on value-based payment models and what we might expect to see moving forward. Show notes: To Err is Human: Building A Safer Health System by Institute of Medicine and Committee on Quality of Health Care in America and Crossing The Quality Chasm: A New Health System For The 21st Century by Institute of Medicine and Committee On Quality of Health Care in America

To Err is Podcast, Maverick Motivations, Marijuana Moments, Pyramid Payday, Lottery Ring of Power, Cancer Cruise Control and Solar Saturation

Humanity Might Make It

Play Episode Listen Later Jun 28, 2022 65:56

This week Scott and Frank talk about To Err is Podcast, Maverick Motivations, Marijuana Moments, Pyramid Payday, Lottery Ring of Power, Cancer Cruise Control and Solar Saturation ....among other things...in their continued hope that Humanity Might Make It. Humanity Might Make it is a fun and easy-going podcast created by two lifelong friends, Scott and Frank. Talking about all things under the sun...and trying to work out each week if humanity will make it...or not. They try to take the positive approach and really want to believe that...Humanity Might Make It!! Send questions, answers, reasons humanity might make it, and all other whatevs to Scott & Frank's super high-tech email below. humanitymightmakeit@gmail.com https://humanitymightmakeit.simplecast.com/ https://www.coombas.com/

Russell M. Howerton, Senior Physician Executive, Atrium Wake Forest Baptist Health

Crosswinds

Play Episode Listen Later May 24, 2022 33:41

Tom Robertson, Executive Director of the Vizient Research Institute is joined by Dr. Russell Howerton, a surgeon and long-time Chief Medical Officer at Wake Forest North Carolina Baptist, now Atrium Wake Forest Baptist Health. Russ and Tom discuss everything from shared experiences with bygone general practitioner physicians to the effects of modern era mergers and acquisitions. Along the way, they tackle issues ranging from the balance between autonomy and systematic reliability to the economics that influence the delivery of care. Guest speaker: Russell M. Howerton, MD, FACS Senior Physician Executive Atrium Wake Forest Baptist Health Moderator: Tom Robertson Executive Director Vizient Research Institute Show Notes: [00:50] Advice to give a young Russ Howerton [01:40] Father exemplified individual accountability, autonomy model of medicine [02:25] Trained under Lucian Leape, author of “To Err is Human” [06:27] There's variation of service with any sized system, and scaling it up with a merger won't change that [11:15] There's some debate that a highly skilled, low-volume surgeon will be better than a low-skilled, high-volume surgeon, but probably little debate that an institution has systems and processes in place better when doing high volume. [12:30] The financing and provisions of the infrastructure to deliver health care is complex – it's like a Jenga puzzle to manage it [15:00] Society doesn't want to see market failure in health care where people can't get service when they need it at a micro level [22:00] Thoughts on price parity for patients [22:50] Price parity would free us from “segregating" patients by their payer status [23:54] Payer parity is different than global budgeting. It puts pressure on the current pricing model and wouldn't survive indefinitely in society because many valued services would be hard to support. [26:50] Atrium Wake Forest Baptist wants to be a regional leader in converting to a value-based care model, but still can't keep the lights on without focus on the volume-based model. Links | Resources: Dr. Russell Howerton's biographical information Subscribe Today! Apple Podcasts Amazon Podcasts Google Podcasts Android Spotify Stitcher RSS Feed

Bitter Justice: Why the Criminal Convictions of Clinicians May Be in Our Best Interests

EMS Today

Play Episode Listen Later May 13, 2022 37:21

The Case RaDonda Vaught was a 39-year old registered nurse serving as the "help-all" nurse (for which there is no specific job description) at Vanderbilt University Hospital on Dec. 26, 2017. She also had an orientee. She was asked to go down to Radiology PET scan and administer the medication Versed to 75-year old Charlene Murphey who had been hospitalized for a subdural hematoma, because she was not able to tolerate the PET scan procedure or else they would have to send the patient back and reschedule it. She pulled the medication from the Pyxis and put the medication vial in a baggie and wrote on the baggie, "PET scan, Versed 1-2 mg" and went to Radiology to administer the medication to Murphey. Since she had never been to PET scan before, she had to ask for directions, and once she found it, she checked the patient for her identity, and told her she was there to give him/her something to help him/her relax. She administered the medication and then left the area without continuing to monitor the patient. The Errors The facts currently understood in this case show that Vaught committed at least ten errors when administering the medication to her patient. These errors include, but are not limited to: -Searching for the medication by trade name instead of generic, despite being trained to the contrary. -Selecting vecuronium instead of midazolam or Versed, even though she reports that she was looking for Versed. -Overriding the warning indicating a none-prescribed medication had been selected (potentially could be excused given the documented EMR issues at Vandy) five times -Ignoring a warning that the selected medication was a paralytic. -Failing to note the red all-caps paralytic warning on the cap. -Failing to note that the medication name on the vial did not match what was ordered or what she was looking for. -Failing to take action to further verify the medication after noting that the medication was in powdered form when the prescribed medication should have been packaged in liquid form (by her own admittance, she found this “odd”). -Following the instructions for reconstitution on the vial again without noting that the medication name did not match what was prescribed and that the concentration did not match what was commonly carried in the hospital. -Actually administered the wrong dose of the wrong medication (1 mg vecuronium instead of the ordered 2 mg versed). -And, last but not least, failing to monitor the patient, even briefly, for any adverse effect after administering the medication. The Outcome Within the hour, the Transporter found the patient unresponsive and the Radiology Technician called a rapid response and started CPR. By the time Nurse Vaught arrived, the patient had been intubated and the heart rate had returned to normal. Nurse Vaight told the team that she had administered Versed to the patient only a few minutes before. Vaught stated RN #2 approached him/her and asked, "Is this the med you gave Ms. Murphey?" and Vaught responded "yes." Vaught then stated RN #2 said, "This isn't Versed, It's Vecuronium." Vaught then went into Murphey's room and informed Physician #2, and the NP that she had made a mistake and administered Vecuronium to Murphey instead of Versed. Murphey was declared brain dead on January 27th and removed from life support. She died a short time later. So....Why Might This Be a Good Thing? The "Go Along" Attitude Clinicians often violate the written policies of the organization because the organization does not want or expect the written policies to be followed. Murphey's care alone required at least 20 cabinet overrides in just three days, Vaught said. "Overriding was something we did as part of our practice every day," Vaught said. "You couldn't get a bag of fluids for a patient without using an override function." https://www.wesa.fm/2022-03-22/as-a-nurse-faces-prison-for-a-deadly-error-her-colleagues-worry-could-i-be-next When peers face criminal charges for "going along," the willingness to "go along" comes to a screeching halt, and they will "work to rule". Employees can force organizations to stop the "paper policy" model by simply demanding that they be allowed to comply with the actual written rules of the organization. If the policy says that you need to check out your truck before responding to a job, then refuse (yes, REFUSE) to take a job until you have completely checked out your truck. That's not insubordination, that's the policy of the organization. The Martyr Problem Clinicians also sacrifice their short- and long-term health and safety in order to try to correct long-standing system problems. At several places where I once worked, the BLS crews would transport every patient, no matter how minor, to the hospital with red-lights-and-sirens in order to get available as soon as possible because the system did not have enough ambulances to respond to all of the jobs in the city in a reasonable time. Worse, it is common in many places for clinicians to work for less-than-sustenance wages and meager or even non-existent benefits instead of EMS systems demanding that local government appropriately fund EMS costs that are not covered, BY DESIGN, by health insurance. When peers face criminal charges for mistakes made (such as recently happened in Hamilton Paramedics Steve Snively and Christopher Marchant in Ontario), the willingness to be a Martyr dissipates once they see that the system does not value their sacrifice. You're never going to get enough ambulances if you keep trying to fix the deficit by regularly risking your life. It is actually a compensatory mechanism that is working against your (and your community's) long-term interests. Plus, if you hit a kid going to the hospital with red-lights-and-sirens with a stable patient, what do you think your department will do- back you up or fire you because you "violated department policy?" References CMS Report on Event: https://www.documentcloud.org/documents/5346023-CMS-Report.html?fbclid=IwAR2xQsxlfKxis4mecgrCSt-6XvKnSmKDeN7Sb_20is2oBbFICt_9xUDkyvQ#document/p6 Vanderbilt's Corrective Action Plan: https://www.documentcloud.org/documents/6535181-Vanderbilt-Corrective-Plan.html Does Your Facility Have Your Back?: https://yournurseattorney.com/does-your-facility-have-your-back/ Vanderbilt Failed To Report Unnatural Patient Death: https://hospitalwatchdog.org/vanderbilt-med-center-cover-up/ At Least 10 Errors: https://www.tennessean.com/story/news/health/2019/03/27/radonda-vaught-vanderbilt-nurse-homicide-trial-vecuronium-versed/3216750002/ Nurses quitting after Vanderbilt Verdict: https://www.npr.org/sections/health-shots/2022/04/05/1090915329/why-nurses-are-raging-and-quitting-after-the-radonda-vaught-verdict Hamilton Paramedics Get 18-month term for conviction: https://globalnews.ca/news/8518655/hamilton-paramedics-to-be-sentenced-in-al-hasnawi-case/ Medical Errors: https://en.wikipedia.org/wiki/Medical_error The Checklist, by Awal Gagande: https://www.newyorker.com/magazine/2007/12/10/the-checklist Institute of Medicine's "To Err is Human" Report: https://nap.nationalacademies.org/catalog/9728/to-err-is-human-building-a-safer-health-system "Just Culture" https://en.wikipedia.org/wiki/Just_culture#:~:text=Just%20culture%20is%20a%20concept,person%20or%20persons%20directly%20involved. Agency for Healthcare Research and Quality Patient Safety Network Resources: https://psnet.ahrq.gov/issue/just-culture-guide Wikipedia page for Outliers, by Malcolm Gladwell: https://en.wikipedia.org/wiki/Outliers_(book)

Consequences

Thinking Critically: A D&D Discussion

Play Episode Listen Later Mar 4, 2022 60:36

This episode I'm joined by Rev from The CritShow, the Powered by the Apocalypse podcast, to talk about the consequences of our actions. We agree that any consequence, positive or negative, must fit the the scale and scope of the inciting activity. This can be achieved by a sliding scale; it doesn't always have to be The Worst Possible Outcome for any given misstep. An element of PbtA games is how the GM can work with the players to build that shared narrative, something explicitly missing from D&D 5e. But with this collaborative approach to consequences, a larger degree of trust is required to ensure both the GM and the players are effectively working together for the benefit of the table. Of course, actions don't stop in-game, and there must also be considerations made for IRL actions, for better and for worse. Rev & I discuss some tools and tactics for dealing with potential misaligned and misguided players. 00:58 - Consequential Collaboration Slide 11:02 - Well if it Isn't the Consequences... 36:05 - Of My Own Actions 46:05 - To Err is Human Find Rev on: Twitter: https://twitter.com/RevDeschain The Critshow Website: https://thecritshowpodcast.com/ Find Thinking Critically on: Website: https://www.thinkingcritically.co.uk Twitter: https://twitter.com/ThinkCritDnD Instagram: https://www.instagram.com/thinking_critically_dnd/ Facebook: https://www.facebook.com/ThinkingCriticallyDnD YouTube: https://www.youtube.com/channel/UCH_BSgazjwyshzo1jazHeaQ Patreon: https://www.patreon.com/thinkingcritically Ko-fi: https://ko-fi.com/thinkingcritically Patrons: Robert Hartley @RobertHartleyGM: https://www.patreon.com/RobertHartleyGM Optional Rule @optionalrule: https://www.optionalrule.com/ Matthew Perkins @mperkinsDM: https://www.matthewperkins.net/ Matt Street @mpstreet88: https://www.virtualtimehustle.com/ Intro Music: 'Local Forecast' by Kevin MacLeod Intermission Music: 'Chill' by Kevin MacLeod Outro Music: 'Local Forecast - Elevator' by Kevin MacLeod

rev consequences gm apocalypse powered ko kevin macleod irl pbta to err

Breakfast Show Podcast 04-01-2022 - Forgiveness / Family Estrangement / Alcohol

Voice of Islam

Play Episode Listen Later Jan 4, 2022 98:27

Join Daniyal Zia and Maaz Ahmed for Tuesday's show where we will be discussing: Forgiveness / Family Estrangement / Alcohol News and Weather updates Segment 1 - To Err is human; To Forgive is Divine. Forgiveness: An important resolution we all should make this year? Segment 2 - Family Estrangement: Why is the world rapidly moving towards it? Segment 3 - Alcohol: Why is it consumed more during festive periods?

family forgiveness divine alcohol estrangement breakfast show to err to forgive

12.15.2021

UBM Unleavened Bread Ministries

Play Episode Listen Later Dec 15, 2021 149:03

Curses of Modern Medicine (Audio) David Eells - 12/15/21 NIH and Fauci Hospital Protocols are Killing Covid -19 Patients (Video) COVID-19 is NOT a “Pandemic of the Unvaccinated.” The most appropriate term is “Pandemic of Medical Malpractice.” Hospital protocols, and not COVID-19, have accounted for a significant portion of deaths. One of the biggest culprits is the drug Remdesivir. The antiviral drug manufactured by Gilead Sciences has remained a central component of the standard hospital protocol for COVID-19 patients. But the toxic drug is responsible for catastrophic side effects like multi-organ-dysfunction syndrome and kidney failure. None other than Anthony ‘Fraudci' and his NIH cronies were behind pushing the dangerous drug for COVID-19 patients. Remdesivir Background To understand the severity of this scandal, let's briefly review some background of how Remdesivir came into use for COVID-19. Remdesivir is a nucleotide analogue prodrug originally developed for the treatment of Ebola virus. A New England Journal of Medicine study claimed that a single United States COVID-19 patient showed improvement after taking Remdesivir. Coincidentally, the Wuhan Institute of Virology sought a patent for the use of Remdesivir. But at the height of COVID-19, the NIH picked Remdesivir as the gold standard treatment for COVID-19. Anthony Fraudci cited the drug's effectiveness against Ebola as the reasoning for its use against this novel coronavirus. Fraudci used this New England Journal of Medicine study to back his claims. A closer look at this study below: Remdesivir was pulled from the study due to 53.1% of recipients dying from the drug. Who supported that study? The NIH & NIAID. Another New England Journal of Medicine study Fraudci used to push Remdesivir as a COVID-19 treatment analyzed 53 patients from the United States, Canada, Europe, and Japan. This is what the study found: Seven of the 53 patients (13%) died after the completion of Remdesivir treatment, including 6 of 34 patients (18%) who were receiving invasive ventilation and 1 of 19 (5%) who were receiving noninvasive oxygen support ... The median interval between remdesivir initiation and death was 15 days (interquartile range, 9 to 17). A total of 32 patients (60%) reported adverse events during follow-up. The most common adverse events were increased hepatic enzymes, diarrhea, rash, renal impairment, and hypotension. In general, adverse events were more common in patients receiving invasive ventilation. A total of 12 patients (23%) had serious adverse events. The most common serious adverse events — multiple-organ-dysfunction syndrome, septic shock, acute kidney injury, and hypotension — were reported in patients who were receiving invasive ventilation at baseline. Despite these alarming studies, Remdesivir was pushed on the general public as the standard hospital protocol for COVID-19 patients. Cheap, off-label drugs like Hydroxychloroquine (HCQ) and Ivermectin were targeted in a vicious smear campaign. The patents for HCQ and Ivermectin expired decades ago, meaning they don't line the pockets of pharmaceutical companies and hospital executives. The toxicity and catastrophic kidney damage caused by Remdesivir provided the ultimate setup to blame deaths caused by the drug on COVID-19 and the federal health agencies made a fortune buying the stock of Remdesivir, an experimental drug at the time. The Blaze highlighted how Remdesivir is the greatest scandal of the “pandemic:” ... why would we run the risk of spending $3,000 a person on a therapeutic that doesn't work anyway if it may create immune escape? Which raises the question: Why are we not treating everyone early with therapeutics like Regeneron, ivermectin, hydroxychloroquine, and other proven safe, cheap, and effective drugs that don't case renal failure like remdesivir and don't run the risk of inducing mutations? This is particularly important for those who are immunocompromised. The last thing people who already have fragile organs should be taking is remdesivir. In many respects the fact that remdesivir was ever approved and is still the only standard of care, as it kills patients and lines the pockets of both hospitals and the maker, Gilead, is possibly the worst scandal of this entire ordeal. On Feb. 5, Reuters reported that none other than the Wuhan Institute of Virology of the China Academy of Sciences sought a patent on Gilead's remdesivir, a failed drug repurposed from treatment of Ebola, based on the alleged improvement of a single individual COVID patient reported in the New England Journal of Medicine. Incidentally, the only drug ever approved for COVID was developed by Dr. Ralph Baric's lab at UNC Chapel Hill, the same lab that applied for the coronavirus spike protein gain-of-function research and is suspected by many to be behind the creation of this virus. Minnesota Doctor Blasts ‘Ridiculous' CDC Coronavirus Death Count Guidelines (VIDEO) Fox News - 4/9/20 Dr. Scott Jensen, a Minnesota family physician who is also a Republican state senator, told "The Ingraham Angle" Wednesday that the Centers for Disease Control and Prevention's (CDC) guidelines for doctors to certify whether a patient has died of coronavirus are "ridiculous" and could be misleading the public. Host Laura Ingraham read Jensen the guidelines, which say: "In cases where a definite diagnosis of COVID cannot be made but is suspected or likely (e.g. the circumstances are compelling with a reasonable degree of certainty) it is acceptable to report COVID-19 on a death certificate as 'probable' or 'presumed.'” In response, Jensen told Ingraham the CDC's death certificate manual tells physicians to focus on "precision and specificity," but the coronavirus death certification guidance runs completely counter to that axiom. "The idea that we are going to allow people to massage and sort of game the numbers is a real issue because we are going to undermine the [public] trust," he said. "And right now as we see politicians doing things that aren't necessarily motivated on fact and science, their trust in politicians is already wearing thin." Jensen gave a hypothetical example of a patient who died while suffering from influenza. If the patient was elderly and had symptoms like fever and cough a few days before passing away, the doctor explained, he would have listed "respiratory arrest" as the primary cause of death. "I've never been encouraged to [notate 'influenza']," he said. "I would probably write 'respiratory arrest' to be the top line, and the underlying cause of this disease would be pneumonia ... I might well put emphysema or congestive heart failure, but I would never put influenza down as the underlying cause of death and yet that's what we are being asked to do here." Jensen then told Ingraham that under the CDC guidelines, a patient who died after being hit by a bus and tested positive for coronavirus would be listed as having presumed to have died from the virus regardless of whatever damage was caused by the bus. "That doesn't make any sense," he said. Jensen also reacted to Dr. Anthony Fauci's response to a question about the potential for the number of coronavirus deaths being "padded," in which the NIAID director described the prevalance of "conspiracy theories" during "challenging" times in public health. "I would remind him that anytime health care intersects with dollars it gets awkward," Jensen said. "Right now Medicare has determined that if you have a COVID-19 admission to the hospital you'll get paid $13,000. If that COVID-19 patient goes on a ventilator, you get $39,000; three times as much. Nobody can tell me, after 35 years in the world of medicine, that sometimes those kinds of things [have] impact on what we do. "Some physicians really have a bent towards public health and they will put down influenza or whatever because that's their preference," Jensen added. "I try to stay very specific, very precise. If I know I've got pneumonia, that's what's going on the death certificate. I'm not going to add stuff just because it's convenient.” Past Statistics: Deaths by medical mistakes hit records HealthcareITNews - By Erin McCann - 7/18/14 Update: Since this article below was written, accidental medical deaths have reached 440,000 a year: In July of 2014 senate hearing exposed 400,000 people each year die of medical mistakes, over a thousand a day. This is the third largest killer in U.S. Between 210,000 and 440,000 patients each year who go to the hospital for care suffer some type of preventable harm that contributes to their death. How Many Die From Medical Mistakes in U.S. Hospitals? Keep this in mind as you read the article below. All the percentages of danger below have risen dramatically. "Witchcraft" or "sorcery" in the New Testament is from the Greek word "pharmakeia"; English "pharmacy" - Healing through the use of drugs. [See etymonline.com and dictionary.com.] Of Babylon it was said: (Rev.18:23)... for with thy sorcery were all the nations deceived. It's a chilling reality – one often overlooked in annual mortality statistics: Preventable medical errors persist as the No. 3 killer in the U.S. – third only to heart disease and cancer – claiming the lives of some 400,000 people each year. At a Senate hearing Thursday, patient safety officials put their best ideas forward on how to solve the crisis, with IT often at the center of discussions. Hearing members, who spoke before the Subcommittee on Primary Health and Aging, not only underscored the devastating loss of human life – more than 1,000 people each day – but also called attention to the fact that these medical errors cost the nation a colossal $1 trillion each year. "The tragedy that we're talking about here (is) deaths taking place that should not be taking place," said subcommittee Chair Sen. Bernie Sanders, I-Vt., in his opening remarks. [See also: EHR adverse events data cause for alarm.] Among those speaking was Ashish Jha, MD, professor of health policy and management at Harvard School of Public Health, who referenced the Institute of Medicine's 1999 report To Err is Human, which estimated some 100,000 Americans die each year from preventable adverse events. “When they first came out with that number, it was so staggeringly large, that most people were wondering, 'could that possibly be right?'" said Jha. Some 15 years later, the evidence is glaring. "The IOM probably got it wrong," he said. "It was clearly an underestimate of the toll of human suffering that goes on from preventable medical errors." It's not just the 1,000 deaths per day that should be huge cause for alarm, noted Joanne Disch, RN, clinical professor at the University of Minnesota School of Nursing, who also spoke before Congress. There's also the 10,000 serious complications cases resulting from medical errors that occur each day. Disch cited the case of a Minnesota patient who underwent a bilateral mastectomy for cancer, only to find out post surgery a mix-up with the biopsy reports had occurred, and she had not actually had cancer... "Why is it when a death happens one at time, silently, it warrants less attention than when deaths happen in groups of five or 10?" he asked. "What these numbers say is that every day, a 747, two of them are crashing. Every two months, 9-11 is occurring…we would not tolerate that degree of preventable harm in any other forum.” In the hearing's closing questions, when Sanders inquired as to why this crisis was not constantly splashed across front page news, he was met with this: "When people go to the hospital, they are sick. It is very easy to confuse the fact that somebody might have died because of a fatal consequence of their disease, versus they died from a complication from a medical error," Jha said. "It has taken a lot to prove to all of us that many of these deaths are not a natural consequence of the underlying disease. They are purely failures of the system. Journal of The American Medical Association declared there was 450,000 deaths a year from iatropic causes. Iatropic means doctor related causes. This is from years ago. So what is it now after 750,000 people have died in the US for the same reason. But as we're going to see, it's a lot worse than this. Recent: 40+ Jaw Dropping Medical Malpractice Statistics Etactics: By Butterfly Meltzer - 7/29/21 Medical malpractice happens more often than most might think and when it does, it's not a “cried wolf” scenario. Doctors do make mistakes, but sometimes the actions classified as malpractice are intentionally taken. Naive, inexperienced, and/or simply bad physicians, unfortunately, exist in all fields of medicine. Whether they're a surgeon, psychologist, primary care physician, or therapist, malpractice can occur across any specialist role. The result can lead to permanent injury and even death. The consequences can be severe and victims often have no choice but to take legal action. Here are over 40 statistics about medical malpractice: General Malpractice Malpractice can occur in many forms across different segments of the healthcare industry. To get a true understanding though, you need to look at healthcare as a whole. You should probably start with the reputation of the doctor in question. Maybe previous patients have sued that doctor in the past. Maybe they have a high rate of misdiagnosis or other medical errors. From nursing homes to outpatient therapy, billing errors to misprescribing, malpractice can happen anywhere. The average person who files medical malpractice claims is 42 years old. (University of California) 10% of all U.S. deaths are now due to medical error. (Johns Hopkins) 99% of physicians face at least one lawsuit by age 65. (New England Journal of Medicine) New York had the highest amount of medical malpractice in the US (16,688 reports) from 2009 to 2018. (NPDB) North Dakota had the lowest amount of medical malpractice in the US. (126 reports) (NPDB) 37% of malpractice claims reviewed resulted in payments (The Doctors Company) It's estimated that 7,000 to 9,000 patients die every year from medication errors. (My Medical Score) 5-10% of all physicians have had sexual contact with patients. (American Medical Association) Medical Overuse Many people agree that doctors tend to overprescribe medicines. There have been countless stories that link the opioid pandemic to overprescribing. Patients are often given too much medicine that ends up doing more harm than good. As a result, the overuse of medical practices can lead to medical malpractice. If a patient receives tests, treatment, and medication that they don't need, the patient will most likely have unnecessary expenses. 15-30% of 2000 physicians surveyed in a study believe most medical care is not needed. (Johns Hopkins) 22% of prescription medications are unnecessary 24.9% of medical tests do not need to happen 11.1% of procedures do not need to take place 30% of outpatient antibiotic prescriptions are unnecessary. (CDC) 20% to 50% of antibiotics prescribed in US acute-care hospitals are unnecessary or inappropriate. (CDC) 27% of doctors say that patients receive antibiotics when drugs won't help. (WebMD) Medical Misdiagnosis So maybe you have certain symptoms that are easily confused between those of several different issues. As a result, your doctor misdiagnoses you and gives you medicine that you don't actually need. But does that count as medical malpractice? As with most situations in healthcare, it depends. Misdiagnosis can lead to surgeries you don't need, medicines that negatively affect your health, and treatment that can lead to permanent damage. In severe cases, medical malpractice that involves misdiagnoses can lead to death. Roughly 12,000,000 American misdiagnoses happen each year (My Medical Score) Over more than 100,000 Americans die or are permanently disabled each year due to medical diagnoses that initially miss conditions or are wrong or delayed. (Johns Hopkins) Nearly ¾ of all serious harms from diagnostic errors occur around vascular events, infections and cancers. (Johns Hopkins) 37.8% are cancers 22.8% are vascular events 13.5% are infections 21% of patients receive an outright wrong diagnosis on their first visit to a doctor. (Mayo Clinic) 66% of patients get a diagnosis that may be on the right track but isn't quite accurate or complete. (Mayo Clinic) 12% of all patients who seek second opinions end up with the same diagnosis they started with. (Mayo Clinic) 22% of malpractice claims filed by hospitalized patients were diagnosis-related. (University of Michigan) 38% of malpractice claims against physicians involving the treatment of children involved a misdiagnosis. (The Doctors Company) Around 5% of outpatients receive misdiagnosis. (BMJ Journal) Surgical Malpractice Any kind of surgery can be terrifying. That's why you should always ask questions before giving consent for surgery. When medical malpractice happens during surgery, feelings of confusion overwhelm patients. They may feel that their doctors abused their trust. Not to mention they could also be in serious pain if something during the operation went wrong. From the patient perspective, they should arm themselves with knowledge in case something goes wrong. 85% of surgeons are likely to get into a lawsuit (The High Court) About 16.7% of 2000 physicians surveyed said that they performed unnecessary procedures for profit (John Hopkins) A little more than 4,000 surgical errors occur each year (My Medical Score) 39 surgeries per week end up with a surgical tool, like a sponge, left inside patients 20 operations per week occur on the wrong body part 20 wrong surgical procedures occur on a patient per week 59% of surgical errors only resulted in temporary injuries (My Medical Score) 40% of surgical errors resulted in permanent injuries or death (My Medical Score) Mental Health Malpractice There are many myths surrounding mental health but medical malpractice isn't one of them. Surgery usually can't fix mental health issues. Diagnosis can really only occur through the evaluation of symptoms, and many mental health issues have similar symptoms. This is especially true for children. If doctors overprescribe opioids and antibiotics, it's safe to say that that carries into mental health. Doctors also prescribe medicines that don't actually help the illness, so naturally, this can happen in the mental health world as well. 41% of US psychiatrists faced a malpractice lawsuit at least once (Medscape) ⅓ of psychiatrists managing their legal risk between 2015 and 2016 had claims involving incorrect treatment. (Sommers Schwartz) 20% were for medication issues 15% involved suicides or suicide attempts 6% percent were for misdiagnosis. More than 60% of people who receive a diagnosis of major depression don't actually have it (Johns Hopkins) Of 706 people surveyed, only 15% received a prompt diagnosis, while 85% experienced diagnostic delay (Bridges to Recovery) Among the 85% delayed, 71% said that their symptoms had become worse as a result of receiving inappropriate treatment 47.3% of 50,000 patients were correctly identified with depression by general practitioners (Bridges to Recovery) A 2008 study found that 57% of adults diagnosed with bipolar disorder did not meet diagnostic criteria upon more comprehensive diagnostic review. (Brown University School of Medicine) According to the table of Iatrogenic Deaths In The United States linked here , We could have an even higher death rate by using Dr. Lucien Leape's 1997 medical and drug error rate of 3 million. (14) Multiplied by the fatality rate of 14% (that Leape used in 1994 (16) we arrive at an annual death rate of 420,000 for drug errors and medical errors combined. If we put this number in place of Lazorou's 106,000 drug errors and the Institute of Medicine's (IOM) 98,000 medical errors, we could add another 216,000 deaths making a total of 999,936 deaths annually. CDC - Iatrogenic Deaths “Disappeared" in 2020, COVID-19 Took Their Place For decades up until 2020 CDC annual reports listed medical error (iatrogenic) deaths as the third-leading cause of death in the US. The only change in that annual "ranking" of deaths was in the last 5 years cancer sometimes overtaking heart disease as a leading cause of death in the US and most other Western ("developed") countries. Now, the latest CDC report has completely removed the iatrogenic category and COVID-19 deaths have taken that third place. If the CDC had simply moved the iatrogenic deaths up or down the list, it would have been at least a debatable issue. However, the complete disappearance of medical error deaths exposes directly the fraud. Iatrogenic deaths can't just vanish in a single year. In fact, if the hospitals were full to brim with patients in 2020 then iatrogenic deaths would be much higher than prior years. Btw, the "unintentional injury" category on 4th place covers "life accidents". They are counted separately from iatrogenic deaths, so one cannot argue that iatrogenic deaths moved to 4th place. Unless I am missing something, this may be the most direct admission yet by the powers that be that the COVID-19 death numbers are completely fake. Either no COVID-19 deaths occurred in 2020 or all of them were iatrogenic in nature so one can swap the names on 3rd place. So, either we have a blatant, public, demonstrable and irrefutable lie or public admission by CDC of genocidal medical interventions for all COVID-19 patients who died in hospitals in 2020. Attorney Thomas Renz – All New Whistleblower Information Rumble — Attorney Thomas Renz Releases Stunning Data from Never Before Seen Vaccine Injury/Death Tracking System Thanks to a Whistleblower that came forth to Attorney Thomas Renz, the public is now seeing, for the first time ever, hard data from the largest database available in the U.S. to study the COVID-19 impact including deaths & injuries; The CMS Medicare Tracking System. During an extraordinary speech at Clay Clark's ReAwaken America Tour, Attorney Thomas Renz shocked the crowd of thousands in attendance and millions watching via livestream as he revealed: That data from the Medicare Tracking System reveals that 19,400 people less than 80 years old have died within 14 days of receiving the COVID-19 Vaccine. In addition, 28,065 people have died that are over the age of 80 within 14 days of receiving the Covid-19 vaccine. The Total number of American Citizens that died within 14 days of receiving the COVID-19 vaccine is 48,465 according to hard data revealed in the Medicare Tracking System. In July attorney Renz's whistleblower, under penalty of perjury, stated that she estimated at least 45K people had died from the Covid-19 Vaccine. USA Today Fact Checkers and other fact checking services claimed that to be “mis-information.” Today's revelations solidify that the “Trusted News Initiative” is actually the source of mis-information and propaganda, and that Attorney Thomas Renz's whistleblower was correct all along. After proving that over 45K people have died from the COVID-19 vaccine, Attorney Renz then moved his attention to focus on the amount of people that are being killed in American hospitals by Dr. Anthony Fauci's instituted protocol of Remdesivir. Attorney Renz is also in possession of Remdesivir death data from the Medicare Tracking System that has been withheld by the government from our citizens. The Remdesivir data reveals of the 7,960 beneficiaries prescribed Remdesivir for Covid-19, 2,058 died. That is 25.9%. 46% of people died within 14 days of the Remdesivir Treatment. The Remdesivir Treatment was established in U.S. Hospitals at the direction of Dr. Anthony Fauci. Serious adverse events were reported in 131 of the 532 patients who received Remdesivir. That is 24.6%. Attorney Renz says ” This begs the question… Why is this the protocol in American Hospitals? Does this appear “Safe and Effective” to you?” RENZ's NURSE WHISTLEBLOWERS REVEAL TWO TIER SYSTEM OF CARE DEPENDING ON YOUR VACCINE STATUS During Attorney Thomas Renz speech at Clay Clark's ReAwaken America Tour in Colorado Springs, Colorado Renz also talked about 2 Whistleblower nurses that revealed to him that they have seen a 2 tier system of health care depending on the patients “vaccination status.” “The nurses revealed to me that patients that are vaccinated are getting Ivermectin, which is proven to heal people. But if you are unvaccinated, they put you on Remdesivir in the hopes that you will die” said Attorney Thomas Renz. THE FDA IS TRACKING VACCINE DEATHS, ALL THE WHILE CLAIMING THE COVID VACCINE IS SAFE AND EFFECTIVE Also during Attorney Renz' speech he revealed that the FDA is actively working with CMS real-time data ( CMS Medicare database ) to gather weekly reports on Covid-19 adverse events, despite the fact that the US population is told repeatedly this vaccine is “safe and effective.” Attorney Renz says “This information has never been given to the public, and you will see why they have kept it hidden and never published. It's very damning, and this data reveals that the FDA knew what was coming, let it happen, and thousands and thousands have died or been injured.” During his speech Renz revealed in one state alone ( New York ) that the amount of people who experienced adverse events after the Covid shot were in the thousands. Adverse events experienced by people who got the Covid-19 shot in New York State included thousands of cardiovascular events, thousands of cases of people getting Covid, and thousands of deaths. At least 13 side effects are reported in the system. “Remember, these are “side effects” that the government, media, and social media continue to tell the public that are not happening. The mantra of “safe and effective” must stop after today's information” says Attorney Renz. A copy of Attorney Renz entire speech along with data from the hidden vaccine tracking system will be posted on his website at www.Renz-Law.com Proof That They Knew! Renz said, Our data comes from a whistleblower with access to CMS data. CMS data includes billing, prescribing, treatment, and all other information related to beneficiary treatment – that is how the government knows how much money to send healthcare providers. This info was all recognized by the US Department of Defense in the presentation we found and reposted on www.renz-law.com Our whistleblowers have searched this data to provide these numbers. This data is being hidden from be public but would be easily searchable for government analysts using the same searches we did. Our question – why aren't our elected officials and bureaucrats searching for this information and sharing it? Percentage of Americans covered by Medicare in 2019: 18.1% 59.4 Million People. 18% of 330 Million is: 59,400,000 Total Medicare Budget: $899 Billion (2020) Largest data base available in the U.S. to study COVID-19 trends. It includes all claims: vaccine dates, treatment dates, death dates, adverse events, hospitalizations. It is not self-reporting like VAERS. As you can see in the information that was excerpted from a presentation by the FDA, they are tracking the data we are presenting here. In other words they know or should know this info. The number of CMS beneficiaries who died within 14 days* of a COVID-19 vaccine are: Under 80 years old - 19,400 + Over 80 year old - 28,065 = 47,465 (*within 14 days of 1st or 2nd dose, whichever difference was lower PER THE CDC – YOU ARE NOT CONSIDERED VACCINATED UNTIL TWO WEEKS AFTER YOUR SECOND SHOT OR FIRST SHOT OF JANSEN SO THESE DEATHS DO NOT COUNT ‐ https://www.cdc.gov/coronavirus/2019‐ncov/vaccines/fully‐vaccinated.html) The FDA planned (all along) to monitor CMS data for side effects in nearly real time to watch for the safety of the COVID vaccines: See all the adverse events including deaths from 9 different states in the latter half of this PDF: COVID Vaccine Cover Up PDF – Renz Law and COVID Pfizer Whistleblower Data – Renz Law Dr. David Martin Explains 7 Felonies that Could Prosecute Dr. Fauci/ Felony Crimes End Big Pharma Immunity from Lawsuits Dr. David Martin has been spending the past year and a half fighting to unravel what he says is the global criminal conspiracy of coronavirus. Parties include the American and Chinese governments, the International Monetary Fund, and Blackrock. Martin says these groups are guilty of criminal conspiracy in a terrorist plot against the American people. A brand new VAERS data analysis from 11/16/21 found hundreds of serious adverse events that were completely missed by the CDC that should have been mentioned in the informed consent document that is given to patients. VAERS Analysis: Over 150,000 Americans killed by covid vaccines The first half of this link below shows the hospitals are the killing fields following DS protocols. This is not for Christians who believe the Word but for those who dont. As you know we need to trust the Word. It is more dangerous for us, as believers and followers of Christ to "trust in the arm of flesh". Now you know why. Dr. Bryan Ardis - TheRevealReport - Emergency Broadcast - Oct 12 2021 Roots of Modern Medicine David Eells The Physicians' Original Hippocratic Oath: I swear by Apollo the Physician, and Asklepios and Hygieia, (We will discuss these three god's and godess as we go on.) and all the Gods and Goddesses that, according to my ability and judgment, I will keep this oath and this syngraphe ('contract'): to consider him who taught me this Art as dear to me as my parent, to share my substance with him, and to relieve his necessities if required; to look upon his offspring as equivalent to my own brothers, and to teach them this Art, if they wish to learn it, without fee or stipulation; and that by precept, lecture, and every other form of instruction, I will impart a knowledge of the Art to my own sons, and those of my teachers, and to disciples bound by a stipulation and oath according to the law of medicine, but to none others. I will follow that system of regimen which, according to my ability and judgment, I consider for the benefit of my patients and abstain from whatever is harmful and mischievous. I will give no deadly medicine to anyone if asked, nor suggest any such advice; likewise, I will not give a pessary to a woman to induce abortion. I will live my life and practice my art with purity and holiness. I will not cut persons suffering from 'the stone', but will leave this to be done by men who are practitioners of this skill. Whatever houses I enter, I will enter for the benefit of the sick, and will abstain from every voluntary act of mischief and corruption, and especially from the seduction of females or males, of free persons or slaves. Whatever I see or hear in connection with my professional practice or not in the life of men, which should not be made public, I will not divulge, considering that all such knowledge should remain secret. As long as I continue to keep this Oath inviolate, may it be granted to me to enjoy life and the practice of the Art, respected by all men, at all times. But if I should trespass and violate this Oath, may the opposite be my lot. www.csun.edu Apollo in Greek Mythology Apollo is in many respects the paradigm of a Greek god. He represents order, harmony, and civilization in a way that most other Olympian deities cannot quite equal. One only has to compare him with Dionysos to understand how Apollo is depicted as a bright, rational counterpart to the chaotic and frenzied god of wine and women. Indeed, Apollo is most often associated with the cultivated arts of music and medicine, and his role as the leader of the Muses establishes him as a patron of intellectual pursuits. Pronunciation - {a-pol'-lo} Etymology - "Destroy or excite" Other names - Apollon (EDITOR'S NOTE: The angel of the abyss is Apollyon, meaning destroyer.) (EDITOR'S NOTE: Witchcraft or Sorcery in the New Testament is from the Greek word Pharmakia; English Pharmacy; Healing through the use of drugs. Of Babylon it was said, (Rev.18:23)... for with thy sorcery were all the nations deceived.) In Greek mythology, Asklepios (Asclepius) was the god of healing. He was the son of the Olympian god Apollo and a mortal woman named Coronis. Asklepios (Roman Aesculapius) The Hesiod places Aesculapius' origin in Thessaly where he lived in a subterranean cleft with both a serpent and a hound as companions. Born of the god Apollo and the mortal woman Coronis (a "former" virgin of the Lapithae), Aesculapius was raised by the centaur Chiron, from whom he learned the art of healing and became a physician. (EDITOR'S NOTE: This healer God is an imitation of Jesus. This god is supposedly born of an earthly mother and a god (Son of God) he supposedly raised the dead etc. The physicians symbol, the serpent on a rod, was an imitation of Moses serpent that was lifted up in the wilderness, which pointed to Christ the healer. This god is clearly a false Christ.) According to Greek legend, patients seeking healing would sleep the night in the temple of Aesculapius. During the night, Aesculapius would appear to the patient in a dream, accompanied by his daughter, the goddess Hygieia, and by a serpent who followed Aesculapius wherever he went. At that point, Aesculapius would treat the patient in the dream, often by having the serpent lick his or her wounds. In the morning, the patient would awaken healed. As a result, throughout history, the symbol of the physician has been, and continues to be, the Staff of Aesculapius, a wooden staff with a SINGLE serpent entwined. Many readers, however, are probably more familiar with the Caduceus, which is the winged staff of Hermes, the messenger of the gods, with TWO intertwined serpents. His followers established temples called Asclepions, temples of Asklepios, temples of healing. The greatest asklepion was in a grove of trees south of Corinth, Greece where the sick had to spend a night while the proper remedies were revealed during a dream to the priests of the temple and the cured had to make a suitable sacrifice (usually a rooster) to the god. According to mythology, Asculapius had a number of children including Hygieia, the goddess of health (from whose name comes the word "hygiene") and Panaceia, the goddess of healing (from whose name comes the word "panacea" for a universal remedy). Today, the staff of Aesculapius is a commonly used symbol of medicine. It is the symbol of the American Medical Association (AMA) and many other medical societies. Chiron taught Asclepius the art of healing. According to Pindar (Pythian Odes), Asclepius also acquired the knowledge of surgery, the use of drugs, love potions and incantations. www.loggia.com Physician Humor.........or is it? Original Author unknown - David's notes in red These statistics are very outdated but are far worse now and they do prove a point. Think about this: Statistically, doctors are approximately 9,000 times more dangerous than gun owners. (These numbers have now skyrocketed) a. The number of physicians in the US is 700,000. b. Accidental deaths caused by Physicians per year is 120,000. (We just proved that this number, as of the early 2,000's, is closer to 1 million.) c. Accidental deaths per physician is 0.171. (US Dept. of Health & Human Services) Then think about this: a. The number of gun owners in the US is 80,000,000. b. The number of accidental gun deaths per year (all age groups) is 1,500. c. The number of accidental deaths per gun owner is .0000188. Statistically, doctors are approximately 9,000 times more dangerous than gun owners. FACT: NOT EVERYONE HAS A GUN, BUT ALMOST EVERYONE HAS AT LEAST ...ONE DOCTOR! Please alert your friends to this alarming threat. We must ban doctors before this gets out of hand! As a public health measure I have withheld the statistics on lawyers for fear that the shock could cause people to seek medical attention. Man's Methods or God's Glory What we've seen so far has proven that the curse of God is in trusting in man. Jer 17:5 Thus saith Jehovah: Cursed is the man that trusteth in man, and maketh flesh his arm, and whose heart departeth from Jehovah. (God has a method that never fails but it is foolishness to man.) But God chose the foolish things of the world, that he might put to shame them that are wise; and God chose the weak things of the world, that he might put to shame the things that are strong; and the base things of the world, and the things that are despised, did God choose [yea] and the things that are not, that he might bring to naught the things that are: that no flesh should glory before God (1 Cor.1:27-29). God's methods will always be considered foolish, weak, base, and despised by the world and the worldly church… In my past experiences, at the end of all of my works to save myself by man's methods, God gave me faith to see His works. God's method was faith in Him combined with my own weakness. He said, "[my] power is made perfect in weakness" (2 Cor.12:9). Faith is foolish, weak, and base to the world but it brings God's power... Worldly methods failed me, but faith in the promises brought the most awesome deliverance. Glory to God! Recently, I watched a report on antibacterial soaps on the national news. They reported that the net effect was that they were not wiping out bacteria, but making them resistant. What did penicillin do but make antibiotic resistant bacteria for which there is no medical cure on the horizon? Poisons on the crops, to try to destroy the curse, go into the water supply and cause a multitude of diseases. Read your toothpaste tube; fluoride is a deadly poison. The Journal of the American Medical Association Vol. 284, July 26, 2000, reported that doctors are the third leading cause of death in the U.S., causing 250,000 deaths every year from iatrogenic causes! (Now over 450,000 and this does not including the medical murders being committed because of CV-19.) Iatrogenic is defined as induced in a patient by a physician's activity, manner, or therapy, used especially of a complication of treatment. If this is what their organization admits, what is the truth? The numbers are much higher. If, as some believe, this is God's preferred method of healing today, He is surely making a lot of mistakes. I have a good doctor friend who prefers to not use drugs. He has told me how he prays for patients who will believe, with results. The problem is that most are not interested in deliverance from their curse if it takes repentance and faith so he does what he can. My mother took a drug for years. One day she was reading an article by Reader's Digest on the side effects of medicines. The side effects of the drug she was on were breast cancer and glaucoma, and she had them both. That was a terrible trade. My father's favorite doctor told him after an examination, "One thing I am sure of, you are not going to die of a heart attack. You have the heart of a much younger man". About a month later, he had a serious heart attack. I became convinced it was because of a drug he was taking to put oxygen into his blood because he lost a lung to smoking. Two close friends took a drug that had a side effect of damaging their kidneys. Their doctors admitted this in both cases. Man shifts the curse around and sometimes multiplies it, but he cannot deliver by his own efforts. If he could, then Jesus' death was for naught. I believe it is God's purpose that we understand that there is no permanent deliverance from the curse except God's deliverance through Jesus Christ. The world's deliverance is a deception, because, ultimately, their gods fail them. God wants us to see through that. We have been told that God now uses modern methods for delivering us from the curse. God's method is always free. It is salvation by grace, which is the unmerited, unpaid for, favor of God. Neither Jesus nor His disciples charged anything for healing, deliverance, provision, or any other form of salvation. The world's method always cost. The poor often go untreated until they die. In God's kingdom, all are treated on condition of faith. God desires to use the same method He used in the Scripture, the word of faith, because it is the only one that does not give glory to man. If a Christian receives a recovery from some disease while under the care of doctors and medicine, everyone wants to know what the medicine was or who the doctor was. God will not share His glory with another. I am not condemning those who use doctors or medicine. I offer the good news that Jesus has already healed you almost 2,000 years ago. Reading the New Testament once shows that God did not use the methods of man. In the coming wilderness we will need to understand this. Soon God's people will not be able to buy or sell with the world. Then all will be forced into a wilderness experience where there will be no idolatry with the gods of this world. For the people of God in the wilderness there will be a great lack of doctors, medicine, lawyers, bankers, psychiatrists, insurance, food, clean water, and public assistance of all types. Then we will see God's power in man's weakness (2 Cor.12:9-10). The churches' methods of obtaining provision today are the same as the world's methods and are therefore acceptable to it. God has a peculiar method for ministering deliverance from the curse that costs nothing, gives no glory to man, and proves His sovereignty. (1 Cor.1:28) And the base things of the world, and the things that are despised, did God choose, [yea] and the things that are not, that he might bring to nought the things that are: (29) that no flesh should glory before God We see here that God chose to use something that does not exist in the physical realm in order to destroy the things that do. The "things that are not" are the promises in the Word that we do not see fulfilled. The "things that are" are the cursed things of sin, sickness, and lack, which God wants to "bring to nought". For example, if you are sick, that is a thing that is; but "by whose stripes ye were healed" is a thing that is not in the physical realm. God chose faith in His promises "that are not" in order to bring to naught the sickness. Jesus and the disciples used God's method for dealing with the curse by calling "the things that are not, as though they were" (Rom.4:17). They just commanded it done according to the promises. They did not choose "the things that are", like doctors, medicine, psychiatrists, banks, and such to "bring to naught the things that are", like sin, sickness, torment, lack, debt, etc. The things that appear in this realm are the things that are and are all under the curse. (Heb.11:3) By faith we understand that the worlds (Greek: "ages") have been framed by the word of God, so that what is seen hath not been made out of things which appear. God's method is to use the Word and not the physical things that appear, just as in the Gospels and Acts. In anointing with oil, it is obviously not the oil but the faith that heals. Oil is just a symbol of the Holy Spirit. Paul's handkerchief did not heal; it was the power from his faith (Acts 19:12). Some might think that once Jesus also used things such as when He made clay with His spit to heal a blind man in John 9:6-7. It was not the clay that healed his eyes, but the washing it out of his eyes; clay symbolizes the Adamic nature and the things that are (Job 10:9; 33:6; Isa.29:16; 45:9) just as man was made from clay. In other words, our eyes must be cleansed of seeing through eyes of clay. We need the spiritual eyes to see the promise as done by faith. (2 Pet.1:3) Seeing that his divine power hath granted unto us all things that pertain unto life (Greek: zoe, "God's life") and godliness.... To have spiritual eyes, we must see that Jesus has already given us His life and blessings. We need to be cleansed of fleshly eyes that keep us from God's blessings. ... The natural man (of clay) receiveth not the things of the Spirit of God: for they are foolishness unto him; and he cannot know them, because they are spiritually judged (Greek: "examined" or "seen") (1 Cor.2:14). By the way, the spit from Jesus' mouth symbolizes that which comes out of the mouth of the Lord that gives life to man, the Word or manna (Dt.8:3; Jn.1:13; 6:33,51). I once knew a preacher who said, "The reason Paul did all those miracles was because Luke the physician was with him". Wrong! Not in one verse do we see Luke using physician skills, which could never result in a miracle. The Greek word iatros is falsely translated "physician" but it just means "healer". Iatros is also used of Jesus as "healer". Translators put their modern ideas here. "Physician" means "one who practices medicine", which Jesus and the apostles never did. The term used for drugs or medicine in the Greek is pharmakia (English: "pharmacy") and is translated "witchcraft" or "sorcery", which Paul called a work of the flesh in Galatians 5:20. The nations are deceived with pharmakia (Rev.18:23). Luke was a healer in the same way Jesus and the other disciples were. It should seem strange to these people that Jesus and his disciples did not use "the things that are" to administer healing or deliverance. If Paul's handkerchief had the power to heal, why could it not heal before he touched it? It only acted as a medium to carry the healing anointing to the sick by faith. I have prayed over handkerchiefs, water, or people as mediums and seen healings. A brother, whose wife was very sick, came into our meeting. He was very troubled and on the edge of tears about this. The brother was not yet convinced that he needed to be filled with the Holy Spirit. Asking the Lord in my thoughts what to do, it came to me to pray over him to impart healing power to him, which we did. Then I said, "Now brother, go lay hands on your wife, and she will be healed". He was not convinced that healing was our right today, but he went home to lay hands on his wife. When he did, she was healed, and he came back excited. You see, it is not the medium; it is the healing power manifested through it, or in this case him, by faith. Jesus imparted authority to the disciples to heal before they received the Holy Spirit. So how do we use God's method of "the things that are not"? By calling "the things that are not, as though they were" (Rom.4:17). In other words, agree with the promise and call it done. God chooses to use "the things that are not, that he might bring to nought the things that are: that no flesh should glory before God" (1 Cor.1:28-29). God does not desire to use man's inventions so that only He can brag. God's salvation is not by our works. It is by getting our eyes off the problem and on the promise. 2 Corinthians 4:17-18 teaches that our affliction will be temporary if "we look not at the things which are seen, but at the things which are not seen". When the Israelites got their eyes off the snake bite (curse) and on the serpent on the pole (Christ who became our curse [Jn.3:14]), they were healed (Num.21:49). As we saw, Paul's "thorn in the flesh" had nothing to do with sickness but a demon that was bringing him into humbling circumstances where he was weak to save himself so God's power was present to save him. His advice to Timothy puts a question in some concerning the use of remedies. In the text we can see that sin is the subject before and after the verse in question. (1 Tim. 5:22) Lay hands hastily on no man, neither be partaker of other men's sins: keep thyself pure. (23) Be no longer a drinker of water, but use a little wine for thy stomach's sake and thine often infirmities (Greek: asthenia; meaning "weaknesses"). (24) Some men's sins are evident, going before unto judgment; and some men also they follow after. (25) In like manner also there are good works that are evident; and such as are otherwise cannot be hid. The word sometimes translated "infirmities" is actually "weaknesses" and is clearly seen in other texts where the same word is correctly translated. (1 Cor.1:25) ... The weakness of God is stronger than men. Now we know that God is not infirm or sick so this word has to be "weakness". (2 Cor.13:4) For he was crucified through weakness, yet he liveth through the power of God. For we also are weak in him, but we shall live with him through the power of God toward you. We know that Jesus Christ was not crucified through infirmity, but weakness because He would not defend Himself when He was brought before Pilate and the Jewish leaders. Timothy had spiritual weaknesses for which the only cure was the spiritual wine of the nature of Jesus. The stomach or belly was spiritually considered the seat of rulership for the carnal man. It represented being driven by the lusts (Greek: "desires") of the flesh, driven by sin. (Php.3:19) Whose end is perdition, whose god is the belly, and [whose] glory is in their shame, who mind earthly things. Peter called those who returned to their sins, "the sow that had washed to wallowing in the mire". The sow best identifies those who are servants to their flesh's appetites. On the other hand, wine was considered the cure for bondage to sin. Wine represents the blood of Jesus. (Mt.26:27) And he took a cup(of wine), and gave thanks, and gave to them, saying, Drink ye all of it; (28) for this is my blood of the covenant, which is poured out for many unto remission of sins. (29) But I say unto you, I shall not drink henceforth of this fruit of the vine, until that day when I drink it new with you in my Father's kingdom. Through our own blood we have inherited the lusts of the sinful flesh and through Jesus' pure blood that nature is destroyed. (Lev.17:11) For the life of the flesh is in the blood; and I have given it to you upon the altar to make atonement for your souls: for it is the blood that maketh atonement by reason of the life. His blood is in us to the extent that we repent and partake of the life of His Word. (Jn.6:53) Jesus therefore said unto them, Verily, verily, I say unto you, Except ye eat the flesh of the Son of man and drink his blood (wine), ye have not life in yourselves. (54) He that eateth my flesh and drinketh my blood hath eternal life: and I will raise him up at the last day. Partaking of the blood or wine is a matter of walking in His Word by faith in His blood that was given to us. (1 Jn.1:7) But if we walk in the light, as he is in the light, we have fellowship one with another, and the blood of Jesus his Son cleanseth us from all sin. The combined fruitful faith that resides in the true body of Christ is the answer to the question of why Isaiah commanded a cake of figs for Hezekiah's boil. (Isa.38:21) Now Isaiah had said, Let them take a cake of figs, and lay it for a plaster upon the boil, and he shall recover. The figs here represent the Body of Christ or Israel as in Jesus' warnings about bearing fruit. (Lk.13:6)And he spake this parable; A certain man had a fig tree planted in his vineyard; and he came seeking fruit thereon, and found none. (7) And he said unto the vinedresser, Behold, these three years I come seeking fruit on this fig tree, and find none: cut it down; why doth it also cumber the ground? (Rev.6:13) and the stars of the heaven (Abraham's seed) fell unto the earth, as a fig tree casteth her unripe figs when she is shaken of a great wind. Jesus identified the righteous as being under the fig tree when He saw Nathanael there as an Israelite without guile (Jn.1:47 50). Notice that in the verse before the "cake of figs" was laid on the boil, faith was expressed to God by the body for Hezekiah's healing as the saints in the "house of the Lord" were praising God for this. It was the figs' faith that sucked the poison out of the boil. (Isa.38:20) The Lord is [ready] to save me: Therefore we will sing my songs with stringed instruments All the days of our life in the house of the Lord. The cake of figs was a natural parable that represented a spiritual happening just as in Jesus' parables of planting wheat and corn, etc. See God's Vaccine Please read our book Faith for all Things

covid-19 united states god jesus christ american new york university california canada father lord art europe english israel spirit man body healing pandemic japan americans gospel doctors christians michigan chinese holy spirit reading western minnesota medicine single safe acts jewish scripture institute greek congress hospitals gods corinthians defense journal patients wine vaccines md human drink republicans rev mt greece senate galatians new testament bernie sanders billion cdc prevention fda public health olympians behold apollo surgery destroy pilates israelites parties physicians methods rom cheap diagnosis cor poison sanders oil sciences his word nursing medicare bridges centers cv largest anthony fauci rn accidental witchcraft ridiculous corinth whistleblowers heb btw new york state jehovah disease control colorado springs blackrock us department ebola curses digest mayo clinic lay nih oath ds num cms johns hopkins hermes lev dt worldly felony translators gilead disappeared php sorcery goddesses jn ivermectin american medical association lk pronunciation unvaccinated percentage new england journal unc chapel hill statistically adverse chiron international monetary fund virology naive million people harvard school preventable verily etymology subcommittee american citizens david martin medical malpractice regeneron us dept renz medscape ingraham iom wuhan institute partaking gilead sciences clay clark adamic jha niaid scott jensen 45k minnesota school asclepius brown university school caduceus american medical association ama thessaly iatrogenic asklepios to err attorney thomas renz china academy american hospitals trusted news initiative fraudci aesculapius panaceia pharmakia hygieia renz law

Donna Prosser and the Patient Safety Movement Foundation: Working Toward Zero Harm

Habitual Excellence

Play Episode Listen Later Nov 30, 2021 37:14

Show notes and links: https://www.valuecapturellc.com/he56 In today's episode, our guest is Dr. Donna Prosser, the Chief Clinical Officer for the Patient Safety Movement Foundation, an organization that Value Capture is proud to partner with, given our shared interests in improving healthcare. Donna has been in the healthcare industry for more than 30 years and is currently the Chief Clinical Officer at the Patient Safety Movement Foundation. She spent the first fifteen years of her career at the bedside and transitioned into administration after a personal experience helped her to understand just how fragmented and unsafe patient care can be. This experience ignited a passion to improve healthcare quality and safety in her that continues to burn to this day. She previously worked as a healthcare consultant, helping organizations across the United States and previously had leadership roles and/or clinical roles at Martin Health System, Carteret Health Care, and the Washington Hospital Center. Dr. Prosser received a Doctorate in Nursing Practice at the University of Central Florida, a Master of Science in Nursing at Duke University, and a Bachelor of Science in Nursing at George Mason University. In the episode, Donna discusses efforts to improve patient safety and healthcare quality — and her personal motivations for doing so — with our host, Mark Graban. topics and questions include: What inspired you to get so involved in patient safety? A personal experience... How can we help advocates and patients be partners and not adversarial? Two stories — helped STOP the errors Fixing errors vs. focusing on culture, systems, etc. Fragmented care, system issues -- or systemless? Covid era - lack of visitation, impact on errors?? What's the scale of the problem? It's been 20+ years since To Err is Human… is it getting better?? Are we seeing results? Goal of Zero Harm by 2030? How do we get there? Making a commitment to zero harm PATIENT AIDER app PSMF resources that can help? Coaching support for organizations that commit to zero harm Creating a foundation for safe and reliable care Previous episode with Dr. David Mayer, former CEO of the Foundation

Saying Sorry: Failure in Medicine

What Brings You In Today?

Play Episode Listen Later Nov 17, 2021 42:00

Humanity and human interactions make medicine beautiful, but they also make error and failure inevitable parts of the field. Failures in medicine range from struggles on medical school exams and pimp questions to medical error, and in each of these situations, we benefit ourselves and our patients by treating “failures” as opportunities to learn and grow rather than as shameful secrets. Within a three part series on Failure in Medicine, we explore medicine's deep-seated discomfort with “failure” and ways we can better manage our mistakes. For part 1 of this series, we talk with Dr. Thalia Krakower, an Internal Medicine physician at Massachusetts General Hospital about her piece “To Err is Human, To Apologize is Hard” in which she describes her family's experience suffering from medical error and what it highlighted about the medical field. Dr. Krakower's story emphasizes the importance of confronting medical mistakes personally, institutionally, and with patients.

failure medicine humanity human failures internal medicine massachusetts general hospital saying sorry to err

Episodio 18. Crisis Resource Management

99% Emergencias

Play Episode Listen Later Oct 15, 2021 9:36

En este episodio de hoy, hablo del factor humano en nuestro trabajo diario. Un punto muy importante, que en muchas ocasiones pasamos por alto. Para ello, os hablaré del CRM propuesto por Gaba. 15 puntos para usar todos los días en nuestro trabajo, sea cual sea la unidad en la que trabajemos: 1. Conoce el entorno. 2. Anticipar y planificar. 3. Pedir ayuda pronto. 4. Ejercer el liderazgo y saber seguirlo. 5. Distribuir la carga de trabajo. 6. Movilizar todos los recursos disponibles. 7. Comunicarse eficientemente. 8. Utilizar toda la información disponible. 9. Prevenir y manejar los errores de fijación. 10. Comprobaciones cruzadas. 11. Utilizar ayudas cognitivas. 12. Re-evaluar periódicamente. 13. Buen trabajo en equipo. 14. Repartir la atención de forma juiciosa. 15. Establecer prioridades de forma dinámica. Referencias: - Gaba DM, Fish KJ, Howard SK. Crisis managment in anesthesiology. New York: Churchill Livingstone, 1994. - Rall M, Dieckmann P. Crisis resource managment to imrove patient safety. Austria. European Society of Anaesthesiology, 2005. - Kohn LT, Corrigan JM, Donaldson MS. To Err is Human - Building a Safer Health System. Washington: National Academy Press, 1999.

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Urgent Care - Featured Guest - Ariana Longley, MPH - Enhancing Patient Safety

Minda Wilson | Urgent Care - The Podcast

Play Episode Listen Later Oct 7, 2021 26:04

Ariana Longley has been with the Patient Safety Movement Foundation since 2015 and is currently serving as Chief Operating Officer. Since joining the Patient Safety Movement, Ariana developed the Committed Partners opportunity for professional societies, associations, and other aligned healthcare-related organizations to work with the Movement and has helped grow the number of committed organizations to over 4,710 worldwide, spanning 51 countries. When the 1999 report To Err is Human: Building a Safer Health System was released by the Institute of Medicine, it was the first time the impact and consequences of medical errors were quantified. The report generated a sort of enlightenment that led many like-minded people to form organizations to combat medical errors and hospitals to begin implementing processes to reduce harm. In January 2019, the Patient Safety Movement Foundation held its 7th Annual World Patient Safety, Science & Technology Summit and announced over 90,146 lives were saved because of commitments made by over 4,710 partnered hospitals across 50 countries. Twitter | Facebook | Linkedin | Youtube | Instagram https://patientsafetymovement.org/

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To Err is Human; Forgiveness is Divine

East Delta Baptist Church Podcast

Play Episode Listen Later Aug 15, 2021 34:28

"To Err is Human; Forgiveness is Divine" -Does the Bible Really Say That - SeriesAugust 15,2021Pastor Jake VaughnOur purpose is to exalt God the Father as we assemble together, demonstrating His love to everyone while sharing the Gospel and growing towards maturity in Jesus Christ.https://www.eastdeltabc.comhttps://www.facebook.com/eastdeltabcEast Delta Baptist Church | Copyright 2021

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To Err is Human; Forgiveness is Divine

East Delta Baptist Church Podcast

Play Episode Listen Later Aug 8, 2021 40:47

"To Err is Human; Forgiveness is Divine" -Does the Bible Really Say That - SeriesPastor Jake VaughnOur purpose is to exalt God the Father as we assemble together, demonstrating His love to everyone while sharing the Gospel and growing towards maturity in Jesus Christ.https://www.eastdeltabc.comhttps://www.facebook.com/eastdeltabcEast Delta Baptist Church | Copyright 2021

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Failing Forward for Success in Value, with Dr. Jesse James

Spiritual Gupshup - सरल भगवद् गीता - Bhagavad Gita Simplified (Hindi Podcast) !!

Play Episode Listen Later Jun 7, 2021 54:37

The difference between average people and achieving people is their perception of and response to failure. “Failing Forward” was a concept defined by John C. Maxwell several years ago, and that axiomatic truth could not be more readily apparent than in value-based care. Transforming healthcare to lower costs and improve patient outcomes is tough work. PERIOD. It requires many years of experimentation and “trial and error” innovation. The suffering index in the value movement can be immense, but the returns – in both financial success and personal/professional fulfillment – make it a purposeful endeavor. Dr. Jesse James, the Chief Medical Officer for CHESS Health Solutions, is a leader in the value movement who believes in Failing Forward as a key to success in value-based care. In his role, he oversees quality and clinical services for a population health management company that supports more than 3,000 providers and 150,000 patients. Dr. James joins us this week to show us that as leaders in value, “We must be willing to fail forward. “It's our scar tissue that makes us stronger.” Tune in this week to learn from one of the best! In this episode, Dr. James provides leadership and business insights that are profoundly helpful for physicians, executives, and entrepreneurs looking to win this Race to Value. Episode Bookmarks: 04:20 Dr. James' “defining moment” when he found his calling to practice medicine 06:00 The decision to begin a medical career at the bedside and then working at the system-level to transform healthcare 07:30 Dr. James' early work in clinical quality and the influence and mentorship of Dr. Cary Sennett (“The Godfather of Quality Measurement”) 08:45 The permission to fail bestowed by a mentor has been a constant reminder to “Be Humble” in the practice of medical leadership 11:00 The legendary basketball coach John Wooden on how "Failure is not fatal, but failure to change might be." 12:25 “As a leader, you have be willing to fail forward. It's our scar tissue that makes us stronger.” 12:45 The story of how CHESS was borne out of an innovative medical practice that embraced value before the payment environment would support it 14:30 Lessons learned from hardships in the Value Journey (transitioning from FFS to P4P to Gainshare to Full Downside Risk) 15:30 “You have to remove the stigma around failure. These are opportunities to learn and grow.” 15:40 The story of Sir William Osler and how the ideal physician should be equally to call out failures as much as successes 16:50 The influence of the Institute of Medicine report “To Err is Human” on the culture of safety in the practice of medicine 17:00 The need for a new culture change in medicine to learn from mistakes and failed experiments to advance population health and VBC 19:00 Medicare payment model innovation and how CHESS isgetting as close to premium dollar as possible by taking downside risk with MA and commercial insurers 20:00 CMS experimentation with global capitation and why providers should be thinking about the Direct Contracting model 23:30 The use of “innovation cells” to effectively disseminate learnings within partner organizations 25:00 Addressing transportation as a social determinant of health in rural areas 26:00 Partnering with Wake Forest Baptist Health to deploy a “hospital at home” model 27:15 Creating wrap-around services in the technology and clinical domains to meet with needs of clients with varying degrees of maturity 29:30 Dr. James describes the value-based care landscape in North Carolina and the impact of the Atrium Health--Wake Forest Baptist Health merger 33:10 Developing a leading Medical Management program with service hubs in Care Management, Pharmacy, Quality, and Risk Adjustment 33:40 Data Analytics and Predictive Modeling and how CHESS partnered with Wake Forest to develop a frailty index 34:35 Implementing a high utilizer conference to re...

0096- क्षमा एक दिव्य गुण!! To Err is human to forgive is Divine!!

Play Episode Listen Later May 30, 2021 87:19

0096- क्षमा एक दिव्य गुण!! To Err is human to forgive is Divine!! --- Send in a voice message: https://anchor.fm/spiritual-gupshup/message

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We're Going to Make Mistakes. What's Your Contingency Plan?

Write Medicine

Play Episode Listen Later Apr 27, 2021 50:19 Transcription Available

Summary Steve Powell DHA is the CEO and Founder of Synensys Global and is a recognized leader in performance improvement. He has led programs in the US Navy, commercial airline industry, and the healthcare industry for more than 30 years and is passionate about patient safety, quality control, and patient-centered care improvements. Steve shares what he learned in safety when he was a Navy Pilot and how these experiences crossover nicely into the medical industry. He also shares his thoughts on what makes a team successful when it comes to patient handoffs, and the 5 key principles to a high-reliability organization. ResourcesInstitute of MedicineTeamSTEPPSKohn KT, Corrigan JM, Donaldson MS, eds. To Err is Human: Building a Safer Health System. Washington, DC: Committee on Quality Health Care in America, Institute of Medicine: National Academy Press; 1999.Nash D, Beliveau ME. Two lessons hospitals can learn from their COVID response. MedPage Today. Dec 7, 2020. Connect with Steve: Synensysglobal.com + LinkedInConnect with Alex: Thistleeditorial.com + LinkedInPodcast TeamHost: Alexandra Howson PhDSound Engineer: Suzen MarieShownotes: Anna Codina

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HMOTD R50: Soul Suds

Hold My Order, Terrible Dresser: The WKRP in Cincinnati Podcast

Play Episode Listen Later Mar 10, 2021 81:07

HMOTD is now in reruns! In this episode, released January 31, 2018 Mike & Rob discuss the final two episodes of WKRP in Cincinnati, "To Err is Human" and "Up and Down the Dial." All audio clips are the property of their owners/creators and appear in this work of comment and critique under fair use provisions of copyright law. Show Notes: https://www.holdmyorderterribledresser.com/2018/01/hmotd-050-soul-suds.html

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Good Healthcare Matters: Lessons from the Pandemic (with Don Berwick)

In the Bubble with Andy Slavitt

Play Episode Listen Later Feb 17, 2021 40:24

Dr. Bob dials up Dr. Donald Berwick for a big-picture discussion about improving healthcare – generally, and as it relates to COVID. Don talks about the origins of the patient safety movement, his time running the Centers for Medicare & Medicaid Services during the passage and implementation of the Affordable Care Act, and what lessons he's taking away from the pandemic. Plus, how to tackle the longstanding inequities in health care – and beyond – in America. Follow Dr. Bob on Twitter @Bob_Wachter and check out In the Bubble’s new Twitter account @inthebubblepod. Follow Don Berwick on Twitter @donberwick. Keep up with Andy in D.C. on Twitter @ASlavitt and Instagram @andyslavitt. In the Bubble is supported in part by listeners like you. Become a member, get exclusive bonus content, ask Andy questions, and get discounted merch at https://www.lemonadamedia.com/inthebubble/ Support the show by checking out our sponsors! Click this link for a list of current sponsors and discount codes for this show and all Lemonada shows: https://drive.google.com/file/d/1NEJFhcReE4ejw2Kw7ba8DVJ1xQLogPwA/view Check out these resources from today’s episode: Keep up with all the work being done at the Institute for Healthcare Improvement (IHI) at their website: http://www.ihi.org/ Check out the book Don mentioned, The Health Gap by Michael Marmot: https://www.bloomsbury.com/us/the-health-gap-9781632860781/ Learn more about the Swiss Cheese Model of pandemic defense: https://www.nytimes.com/2020/12/05/health/coronavirus-swiss-cheese-infection-mackay.html Read the 1999 Institute of Medicine report on medical mistakes that Bob mentions in today’s episode: https://www.nap.edu/resource/9728/To-Err-is-Human-1999--report-brief.pdf Watch Don’s full 2012 Harvard Medical School commencement speech: https://youtu.be/wmEbO58chac Learn more about Dr. Bob Wachter and the UCSF Department of Medicine here: https://medicine.ucsf.edu/ To follow along with a transcript and/or take notes for friends and family, go to www.lemonadamedia.com/show/in-the-bubble shortly after the air date. Stay up to date with us on Twitter, Facebook, and Instagram at @LemonadaMedia. For additional resources, information, and a transcript of the episode, visit lemonadamedia.com. See omnystudio.com/listener for privacy information.

Episode #77: Insights on Nurse Fatigue, the Impact on Nursing and Patient Safety, and What You Can Do with Dr. Linda D. Scott

The Psychology of Copywriting

Play Episode Listen Later Dec 30, 2020 51:38

“Just like water and food we need sleep, and so every time we lose it we jeopardize our own health and the health of others”- Dr. Linda D. ScottIn this episode it was a delight to interview Dr. Linda Scott, the Dean of Nursing at University of Wisconsin-Madison about her research on nursing fatigue and the impact on safety.Early in the interview Dr. Scott shares she was motivated to embark on such important research when the To Err is Human was published by the Institute of Medicine in 1999 and reported there were almost 100,000 deaths associated with preventable errors. At that time Linda says it was clear there was a gap in scientific evidence regarding the number of nurse work hours and the relationship to making errors.Dr. Scott reveals her initial studies showed nurses worked long shifts and worked overtime regularly and the risk for error tripled when working more than 12 hours and doubled when working overtime beyond any shift and that errors increased when nurses had insufficient sleep. These initial studies demonstrated the need to learn more about work related fatigue and the potential impact on patient safety.Dr. Scott explains when people are awake for a consecutive number of hours you can see some of the same neuro- bio-behavioral affects as you would with intoxication, as an example when you are awake for more than 15 hours it’s like having a blood alcohol level of .05. During the interview she shares when you have a sleep deficit you can’t get it back and for every hour of sleep lost the risk for making an error increases by 7%. Dr. Scott explains what decision regret means and how it is related to fatigue and sleep deficits and is a personal and professional well-being issue.The research studies are transferrable to other health professions. There are other research studies looking at physicians and other ancillary staff as well as other safety critical positions. It was also noted during the interview that there is no regulatory oversight on hours in the United States for health professions.Dr. Scott reveals there are recommendations coming from other industries that reflect nursing and other health professions and could inform the healthcare sector.You probably already realize this is a phenomenal and eye-opening interview. Go ahead and listen now!Visit the show notes here for more:https://www.missinglogic.com/new-podcastNEWS FLASH! The doors to our Virtual Work Life Balance Bootcamp will be opening soon! Wouldn’t you agree leveraging a proven strategy for Work Life Balance is the absolute best way to start the New Year! Start 2021 with your own unique blueprint for work life balance!CLICK HERE to join the interest waitlist. As a BONUS when you join the waitlist, you’ll receive a copy of our NEW perspective paper, The Three Biggest Mistakes Healthcare Leaders Make When Trying to Achieve Work Life Balance.Email us at questions@missinglogic.com if you have any questions, we may use your question on a future episode.

013: The Psychological Impact of... Typos?

Play Episode Listen Later Dec 22, 2020 26:29

When you're buying a product online, do you look at the reviews? What makes a review trustworthy? How do you decide whether or not you can trust strangers' reviews? The study in today's episode is looking at the power in online reviews and how typos or incorrect spelling impact our trust in online strangers. The researchers look at 2 groups of reviewers: low trust individuals and high trust individuals. High trust individuals were found to blame typing mistakes on carelessness and focused on this more than they did on spelling mistakes. The impact of typos on the copies we write can have a surprisingly horrible outcome. Typos on your post can destroy consumer trust. Listen in to hear about some of my top tips for writing to maintain your clients trust. Don't forget to check out my 6P group coaching program, a 6 week group coaching cohort where you'll learn the same email campaign that I write for my clients. Sign up today at www.6psequence.com. What To Look For In This Episode: [00:03:40] What do online reviews have to do with building trust? [00:16:00] 3 tips for avoiding reputation damage caused by something as simple typos. [00:24:28] My 6P group coaching program. Journal Article: To Err is human? How typographical and orthographical errors affect perceptions of online reviewers. https://www.sciencedirect.com/science/article/abs/pii/S0747563217303205 Cox, D.S., Cox, J.G., & Cox, A.D. (2017). To Err is human? How typographical and orthographical errors affect perceptions of online reviewers. Comput. Hum. Behav., 75, 245-253. Resources: Join the 6P Group Coaching Program [6psequence.com] Brand Voice Template [brandvoicetemplate.com] Got a question you want answered on the podcast? Awesome! Go to geoffkullman.com/questions Connect with Geoff: Instagram: instagram.com/geoffkullman Twitter: twitter.com/geoffkullman Inquiries: geoffkullman.com Subscribe To The Podcast Here: Do you have friends, colleagues, or clients who would find The Psychology of Copywriting podcast valuable? Spread the word! *** EPISODE CREDITS: If you like this podcast and are thinking of creating your own, consider talking to my producer, Danny Ozment. Danny helps thought leaders, influencers, executives, HR professionals, recruiters, lawyers, realtors, bloggers, coaches, and authors create, launch, and produce podcasts that grow their business and impact the world. Find out more at https://emeraldcitypro.com

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Achieving a highly reliable organization — Part 1

Modern Practice Podcast

Play Episode Listen Later Nov 19, 2020 15:12

Over twenty years ago, the landmark report To Err is Human shook all of health care with its focus on medical errors causing patient deaths. It cast a light on the systems that failed to ensure high-quality, safe clinical care. Yet, today, errors continue, and on this episode of Modern Practice, two leading experts discuss the principles of high reliability that address system failures and the errors they cause. Guest speakers:David Munch, MDSenior PrincipalVizient Bradley Schultz, MBAPrincipalVizient Moderator:Tomas Villanueva, DO, MBA, FACPE, SFHMAssociate Vice PresidentClinical ResourcesVizient Show Notes[01:26] Costs of medical errors – to hospitals, patients and caregivers[02:47] Overall costs to the health system[03:52] Need to sustain efforts[05:10] Applying high reliability to health care[08:15] Need for standard work[09:58] Staff roles in the high reliability organization[13:04] The problem is not with the front-line staff Links | Resources:Evidence Brief: Implementation of High Reliability Organization Principles (NIH) Click hereHRO Development Services – Achieving a high reliability organization (Munch) Click hereThe Future of Health Care (Vizient page) Click hereHigh Reliability (AHRQ) Click here Subscribe Today!Apple PodcastsSpotifyAndroidGoogle PodcastsStitcherRSS Feed

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Protecting Patients from Our Healthcare System: A Discussion with Linda Beck and Michael Eisenberg

Healthy Skeptic, MD

Play Episode Listen Later Nov 13, 2020 39:35

How safe are we in the doctor’s office or your local hospital? Not as safe as you might think, according to today’s guests, Linda Beck, the founder of Square One Elder and Health Advocacy (https://squareoneadvocacy.com/), and Michael Eisenberg, producer and director of the documentary “To Err is Human” (https://www.toerrishumanfilm.com/). Also here the Healthy Skpetic, MD take on vitamin D supplementation to protect against COVID-19 as well as the new Pfizer COVID-19 vaccine data.**Be sure to subscribe to The Healthy Skeptic MD on your favorite podcast app and on Youtube!Link for our channel on podcast apps and Youtube: wavve.link/healthyskepticmd

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Kedar Mate and Patricia McGaffigan on Workforce Safety & Patient Safety

Habitual Excellence

Play Episode Listen Later Nov 3, 2020 31:26

Show notes and links: http://www.valuecapturellc.com/he26 Welcome to Episode #26 of Habitual Excellence, presented by Value Capture. We are joined by Kedar Mate, MD, President and Chief Executive Officer at the Institute for Healthcare Improvement (IHI), President of the IHI Lucian Leape Institute, and a member of the faculty at Weill Cornell Medical College. We are also joined by Patricia A. McGaffigan, RN, MS, CPPS, Vice President, Safety Programs, Institute for Healthcare Improvement (IHI), previously served as COO and Senior VP of Programs at the National Patient Safety Foundation until 2017, when the Foundation merged with IHI. In this episode, our host Mark Graban asks Kedar and Patricia about the IHI National Action Plan to Advance Patient Safety, how this is connected to the late Paul O'Neill, and the connections between workforce safety and patient safety. We also chat about the IHI National Forum and how that is a virtual event this year. Other links: To Err is Human (report) Safer Together (report) IHI Lucian Leape Institute

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Mormon 7-9

Teaching With Power

Play Episode Listen Later Oct 26, 2020 46:14

Teaching and Study helps for Mormon 7-9. These insights coincide with the lesson for Nov 2-Nov 8 in the Come Follow Me manual. Principles include: Courage over Companionship, To Err is Human, “Mormon”ads and more.Links to the blog, Etsy shop, and the channel all available at teachingwithpower.com.To download handouts and slides go to https://www.etsy.com/shop/TeachingWithPower.Follow me on Instagram @teachingwithpowerYou can reach me by email at teachingwithpower@gmail.comMusic Provided by Youtube Audio Library. Track Name: Dancing StarDisclaimer: I alone am responsible for the content of these videos. The opinions in them are mine. They represent my ideas and insights and do not reflect the official position of The Church of Jesus Christ of Latter-day Saints.

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Episode #104: Reframing Healthcare - A Moral Imperative, with Dr. Don Berwick

Creating a New Healthcare

Play Episode Listen Later Oct 7, 2020 47:27

Welcome to Episode #104 (Season 4) of Creating a New Healthcare. I’m delighted to welcome back to this podcast Dr. Don Berwick - one of the leading authorities on healthcare quality & improvement over the past few decades. Dr. Berwick is President Emeritus and Senior Fellow at the Institute for Healthcare Improvement (IHI), an organization that he co-founded and led as President and CEO for 18 years. In July 2010, President Obama appointed Dr. Berwick to the position of Administrator of the Centers for Medicare and Medicaid Services (CMS), which he held until December 2011. An elected member of the Institute of Medicine (IOM), Dr. Berwick served two terms on the IOM’s governing Council, and was a member of the IOM’s Global Health Board. He served on President Clinton's Advisory Commission on Consumer Protection and Quality in the Healthcare Industry. His body of work & contributions to the field of healthcare quality & safety are unparalleled, including two classics: the 1999 IOM report, ‘To Err is Human’ and the 2001 IOM report, ‘Crossing the Quality Chasm’. In 2005, he was appointed “Honorary Knight Commander of the British Empire” by Queen Elizabeth II, the highest honor awarded by the UK to non-British individuals, in recognition of his work with the British National Health Service. To say that Dr. Berwick brings a seasoned perspective on the current state of our healthcare system and the challenges we face as a nation is, to put it mildly, an understatement. What distinguishes Dr. Berwick even more than his record of accomplishment or his brilliant mind is his tireless reminders of the ethical responsibility we have to attend to the health of the American public - especially for those of us who are providers, administrators, policy makers, health insurance companies, as well as pharmaceutical and device manufacturers. A relevant quote from one of Dr. Berwick’s recent articles underscores this responsibility; “Fate will not create the new normal; choices will.” In this episode, we’ll cover a range of topics, including the following:Dr. Berwick’s recent article, Choices for the “New Normal” - which is a call-to-action and a leadership roadmap outlining crucial choices in six critical domains that will play a significant role in determining the future of healthcare delivery.Inequality and Inequity - the relative lack of social support services provided in the US as compared to other developed nations; which Dr. Berwick describes as “the most notable wake-up call”.An ethical reframing of the social determinants of health, described in his recent article, The Moral Determinants of Health; along with some shocking statistics on inequities related to poverty, hunger, homelessness, social isolation, and the uninsured.The tragic and insidious institutional racism that is embedded in our healthcare delivery system, as well as in other institutions such as our criminal justice system.A critical reframing of healthcare that Dr Berwick refers to as “What Matters to You Medicine”; which he suggests should disrupt and replace the legacy “What’s the Matter With You” paradigm.Dr. Berwick is one of the greatest healthcare humanitarians and transformational leaders of our era. He is the quintessential example of empathic ethical leadership. We need more leaders like this in and around healthcare. Dr. Berwick’s recent publications are seminal. In these articles, he courageously cuts to the stark realities of our healthcare system. He not only lays bare the truth for all to see but also outlines the crucial leadership choices of our time. And even beyond that, he lays out a pathway for positive action. Dr. Berwick writes, speaks & acts with intellectual integrity, academic rigor, and with a disarmingly insightful and honest authenticity - as well as with a powerful voice based in morals and compassion. At times, it’s unsettling, uncomfortable and inconvenient. Make no mistake about it, Dr. Berwick’s message is not an academic treatise. It is a call for ethical action.Until next time, Be safe and be well.Zeev E. Neuwirth, MD

Medical Malpractice: How to Thrive After Litigation, with Dr. Stacia Dearmin

White Coat Wellness

Play Episode Listen Later Oct 5, 2020 46:50

Shame and guilt are common emotions faced by health care providers when dealing with a malpractice lawsuit. These struggles intensify when physicians hear phrases such as “don’t talk to anyone about this” from their lawyers, leading them to feel isolated, depressed, or anxious. Today’s guest discovered an unusual way of combatting some of these stressful emotions: reading. In this episode of Prosperous Doc, our host Shane Tenny is joined by Dr. Stacia Dearmin, a pediatric physician who faced an unfortunate patient outcome. In 2012, Dr. Dearmin checked on a young woman in the emergency department and, after her examination, concluded the best course of action was to send her home to finish recovering. The next day Dr. Dearmin found out the young woman had been admitted to the ICU. The young woman had suffered a cardiac arrest and stopped breathing; Dr. Dearmin knew the potential outcomes for this patient were grim. She was devastated, “I began to question what, if any responsibility I had for her death. I began to question my competence as a physician. I felt ashamed, I felt guilty, I grieved her death, I grieved my own sense of myself as a competent physician, and really struggled with these difficult feelings for much longer than I think I might have anticipated. I really didn't know how to understand the experience I was going through.” (5:32) A year later, Dr. Dearmin herself, was facing medical malpractice litigation. While the verdict was unanimously in her favor, prevailing in the lawsuit did little to ease the stress of the ordeal. “I felt critical of myself that I wasn't shaking it off, and that caused me to question even further, ‘do I belong in this profession?’ I see now that all that emotion is actually very closely tied to how seriously we take our work.” (10:39) During her struggle, Dr. Dearmin found comfort in the essay To Err is Human (https://www.thrivephysician.com/blog/2018/4/19/albert-wu-and-me-on-becoming-a-second-victim), by Dr. Albert Wu. Dr. Wu “identifies the victim as a physician or other healer who has injured themselves when something bad happens or nearly happens to a patient and that physician has made or fears that they've made a mistake.” This essay was powerful for Dr. Dearmin because it described the emotional experience she was having. She discovered she was not alone. “Oh, that's me. I'm not weak. I'm not badly suited to medicine. I'm reflective, and we don't want the reflective people to all abandon medicine." (11:19) The works of authors Brené Brown and Sidney Dekker also provided Dr. Dearmin a sense of peace. In their books she found words that allowed her to name her experience. “[I]t is powerful to have a vocabulary for these experiences because if I'm able to name my experience, just like Dr. Wu was able to name my experience, you realize, ‘oh, I'm not so alone in this. This is actually commonplace.” (17:02) Financial Wellness TipThis episode’s Financial Wellness Tip focuses on physicians’ and dentists’ desire to purchase homes after finishing school. Will Koster, CFP®, recommends three often under-discussed factors when buying a house, before making a hasty purchase: Hidden costs. The maintenance on a house can be sneaky expensive. Paying 6% of the sales price for a realtor to help you sell your house can often be a wise investment in order to save time, hassle, and to get you a higher price for your home. Lack of diversification. Oftentimes when a young person buys a house, it immediately becomes the overwhelming majority of their assets. (19:55) For more information on Dr. Stacia Dearmin or to view her resources and support for physicians facing malpractice litigation, visit thrivephysician.com (https://www.thrivephysician.com/) If you enjoyed this episode of Prosperous Doc, you might also like Finding Freedom and Balance as a Locum Tenens Doc, with Dr. Nii Darko (https://www.sdtplanning.com/podcasts/finding-freedom-and-balance-as-a-locum-tenens-doc) Prosperous...

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S1E107 | 2:39 | To Err is Human | Quranic thoughts in Bangla

Quran for our times - Bengali

Play Episode Listen Later Sep 1, 2020

S1E107 | 2:39 | To Err is Human | Quranic thoughts in Banglaআমি হুকুম করলাম, তোমরা সবাই নীচে নেমে যাও। অতঃপর যদি তোমাদের নিকট আমার পক্ষ থেকে কোন হেদায়েত পৌঁছে, তবে যে ব্যক্তি আমার সে হেদায়েত অনুসারে চলবে, তার উপর না কোন ভয় আসবে, না (কোন কারণে) তারা চিন্তাগ্রস্ত ও সন্তপ্ত হবে। আর যে লোক তা অস্বীকার করবে এবং আমার নিদর্শনগুলোকে মিথ্যা প্রতিপন্ন করার প্রয়াস পাবে, তারাই হবে জাহান্নামবাসী; অন্তকাল সেখানে থাকবে।WATCH IT ON YOUTUBEhttps://www.youtube.com/watch?v=1K1WG_5BkGE

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Leading a Quality Improvement Revolution, with Stephanie Mercado

Play Episode Listen Later Aug 31, 2020 46:54

Quality in health care has been a hot topic for over 20 years, ever since the landmark report, To Err is Human, which declared that up to 100,000 people die each year from preventable medical errors. Since that time, the industry has increased its efforts to incorporate quality principles from Lean, Six Sigma and other models, but only one organization has raised a quality standard for health care organizations and their workforce. The National Association of Healthcare Quality (NAHQ) is leading the quality revolution with its framework of essential qualities for the health care professional. Join the conversation as we speak with Stephanie Mercado, CEO of NAHQ. Stephanie is a leader in healthcare association management, advancing healthcare professions, and workforce development. Since joining NAHQ in December 2013, NAHQ membership has increased by more than 70%. Stephanie has raised NAHQ's prominence and value in the healthcare quality space, with the introduction of industry elevating initiatives such as the award-winning HQ Essential Competencies and the National Healthcare Quality Summit. In partnership with NAHQ's Board of Directors, and an outstanding staff and volunteer team, Stephanie led the development of the profession's first-ever Comprehensive Competency Framework, and the profession's first-ever Workforce Study, offering critical insights to workforce development opportunities for healthcare quality and safety professionals. In addition to her work with NAHQ, she currently serves on the Institute for Healthcare Improvement's National Steering Committee for Patient Safety, the Association Forum Healthcare Collaborative Steering Committee, and is a board member of the Commission on Accreditation for Healthcare Management Education (CAHME), and more. In 2018, Stephanie was selected as a recipient of the Outstanding Nonprofit Leader Award from .orgCommunity. We are grateful for Stephanie's leadership in the race to value! Bookmarks: 6:00 Workforce Empowerment and Culture Alignment to support Quality Improvement6:55 Healthcare Quality Competencies needed to improve patient safety and health outcomes 8:45 The acceleration of Value-Based Care and the recognition of codependent relationships across the care continuum 9:45 A coordinated and competent workforce is a ‘must have' to thrive in health value 10:15 Breaking down the barriers to coordinate care across the continuum 12:00 The NAHQ Healthcare Quality Competency Framework 12:55 The juxtaposition of Quality Training and Medical Training 14:00 Setting a standard to serve as a roadmap for the industry 14:40 Governor Leavitt providing thought leadership in the creation of national standards 15:00 NAHQ's support of individual contributors 15:45 NAHQ's partnerships with healthcare organizations to find opportunities for improvement 16:15 Healthcare leaders sometimes don't know who is doing the work of quality in their organization 17:00 NAHQ's partnerships with academic organizations to hardwire competencies into curriculum 18:05 WGU as a leading national example of hardwiring quality competencies into nursing education 22:35 Leveraging the synergies between health value and quality in partnership with the ACLC 25:30 The Quality competencies that are underperforming the lowest are ones that are underpinnings to Health Value 29:00 Data that shows a correlation between quality training and a higher level of work performance 32:20 Stephanie speaks about the administrative burden of quality measures and the need for standardization 33:10 Looking at other industries with similar challenges in alignment and harmonization of standards, e.g. the history of railroads 35:56 How healthcare can have its own “intercontinental connectedness” with outcome measures, systems, and competencies 38:46 How consumer focus on service reliability and customer service can align with clinical performance and process imp...

#31 Do you know what's in the landmark report on Clinician Burnout from the National Academy of Medicine? A behind the scenes interview with Charlee Alexander

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Play Episode Listen Later Feb 11, 2020 47:58

We are so excited to have Charlee Alexander from the National Academy of Medicine (NAM) with us on the podcast today.Charlee gave us a behind the scenes take on the NAM Action Collaborative and the work that began in 2017 to not only address clinician burnout but to shine a light on the issue, improve our understanding of the challenges, and accelerate evidence-based solutions.The development of the Action Collaborative enabled multiple stakeholders to come together around a common purpose and develop a systems approach versus multiple isolated approaches across a variety of professions and professional organizations. Charlee and the Action Collaborative were wise to recognize that they did not have all the information, ideas, or answers and they needed others outside of the Collaborative to contribute. This resulted in NAM pioneering the development of Networking Organizations as unique way for leaders and organizations to contribute to the collective effort (see the show notes for the link). The NAM Consensus Report -Taking Action Against Clinician Burnout: A Systems Approach to Professional Well-Being was released in October of 2019 and is considered as significant as previous IOM landmark reports such as To Err is Human: Building a Safer Health System and Crossing the Quality Chasm: A New Health System for the 21st Century.Charlee states “I hope the report kind of anchors us to the systems change that we need to undertake and provides a platform for us to kind of set aside our differences from our different stakeholder groups and to see what the massive charge is a head of us and to know we can only do that if we work together”.Join us for this informative and enlightening interview.

#23 Patient and Clinician Safety in Hospitals Today: A Chief Nursing Officer’s experience and perspective featuring Liz Murphy

united states medicine safety healthcare institute hospitals patients problem solving clinicians polarity western michigan patient safety chief nursing officer polarities cno healthcare leaders to err liz murphy

Play Episode Listen Later Dec 17, 2019 46:12

When it comes to patient and clinician safety, what’s keeping you up at night?Are the clinician’s in your organization at risk? Is their safety being threatened?Patient safety has been on the minds of healthcare leaders across the United States ever since the Institute of Medicine published the landmark report, To Err is Human: Building a Safer Health System.More recently there is increasing concern about clinician safety. Clinician harm is escalating. Are we doing enough to keep clinician safe? Do we have the right safeguards in place?In this episode we talk with Liz Murphy an experienced CNO from a large hospital in Western Michigan. Liz shares her insights and experiences around clinician safety and examples of processes, and practices for keeping clinicians safe.Join us to learn more about the safety challenges and some innovative practices to maintain safety for both patients and clinicians.

How to use Color Code in the workplace

What's Your Workplace MO?

Play Episode Listen Later Oct 18, 2019 18:46

Welcome to what's your motive in healthcare, the podcast that's all about understanding the core motive of the people you work with and manage in healthcare. Hi there, I'm Megan Guido, your host for what's your motive in healthcare. And today I have a very special guest, Dorcas Hirzel. She is a fellow color-code trainer and healthcare professional who's worked in hospital settings as a nurse in charge of risk management, regulatory and quality control. Dorcas, thanks so much for coming on my podcast and we have worked together for a very long time. We have, and I'm just thrilled to have you here. How long have you worked in health care? ----more----Dorcas: I received my RN license in 1975 and so really long, really long time. how has healthcare changed in that? Oh, it's just been amazing. It really has been amazing. I mean, the technology, just keeping up with the technology is such a challenge. I mean, I really admire the people that are doing clinical care and in all aspects, not just nursing but respiratory, respiratory care and other areas. and being part of the care team. Megan: Yeah. And now, I know you worked in regulatory for quite awhile. Dorcas: I did, yes. I, probably my most recent job started in 1989 and I retired in 2015. Cool. And what was life like working in the regulatory field in healthcare? it was very dynamic. I think it was a challenge in the sense that a healthcare organization has its own culture and sometimes finding that compatible with regulatory requirements is, is a big challenge. Megan: And in addition to the work as I'm doing regulatory, also became trained as a color code facilitator. I did. And provided that service to the hospital that you were working for for a long time. I’m teaching it at new employee orientation. And then I know you've taught it at different organizations as well and that's, you were really my mentor and that's how I got involved in it. how long did you teach color code then? Dorcas:. Actually has been 30 years. Wow. And why is it so fun for you? Why do you like Color Code? I think it's, for me it's a labor of love. It really made sense to me and gave me some real insight, not only in my work life and my work relationships, but also my personal life and for instance, my children and, a lot of things became very clear. It's amazing how it does that. It's like the light bulb goes off. It does. Yep. So maybe you can share with the audience, I've gone into some of the traits and wants and needs of the different colors. You are a strong red. Dorcas: Yes, yes I am. Megan: And how did that translate into your work life? Dorcas:. I think for one thing, I was very driven and being productive is huge and I was in a job where that was important as well. So it seemed to mesh pretty well. but I think, there are challenges, especially I think healthcare attracts quite a few blue personalities because of that human connection and that human bond. And I think that, just learning sort of the composition of our healthcare facility and understanding more about how we were as an organization, sort of what colors we reflected really helped me in terms of approaching others and working with teams. I, I did work a lot with teams. and it just, it, it clarified a lot and gave me some tools that really helped me be more proactive, not just reactive, to be able to really anticipate how people receive information differently, how they communicate differently, how they process differently. It was all very, as I said, insightful and again gave me a lot of tools. Megan:. So in your role in regulatory, I mean that's a very somewhat rigid world disciplinary defined what the rules are, etc. How do you color code kind of give you a, a balance to that? Dorcas:. I found out pretty early in my career that telling people that something is required by law doesn't always give them a lot of incentive to do things differently. But what I found was if I could somehow blend the culture of the organization with the requirements, the regulatory requirements, and show how we are meeting those based on our own culture base based on how we do things. That was a real plus. I think people appreciated that because it wasn't like they had to change because they were, they, they were doing things right. It's just that it was a matter of finding a way to communicate sort of our unique culture to the regulators and help them understand how we, in fact we're meeting these very important requirements. Megan:.So a key part of doing that I imagine was incentivizing people like, okay, the joint commission is coming and we know that we have to have all these things in place. How do you motivate a yellow, for instance, who is very motivated by fun, to get on board and be all about roles for awhile? Dorcas: we had training events and actually I engaged a yellow coworker to be the party planner because I knew that wasn't really my strong point. so she was able to put together these, these great events that, where people were learning what they needed to learn. And, and I, I think becoming more comfortable with questions that may maybe asked of them, but at the same time we're able to have a good time. So. Cool. So that was a direct way to use what you know in terms of people's motives and what drives them to produce a successful outcome. Dorcas:. Right. Yes. And I think, for the most part we had great attendance and great response and we use that, many times because healthcare is a pretty serious business. And to give people an opportunity to have some fun and eat some food.Megan:. Yeah. So speaking of serious, safety and healthcare, huge topic, they've been talking about it probably since the early two thousands when I know the, To Err is Human came out and that was such a kind of breakthrough, in terms of the role of safety and it was a wake up call. Yeah. A wake up call. So we've done a good job in terms of realizing the role of human beings and healthcare and the importance of reliability and, ensuring that processes are in place, et cetera. how would, I mean it seems like kind of a leap, but it really isn't. Color-code is all about communication and improving communication and relationships. How would that relate to safety in the hospital? Dorcas:.I think that if you understand where the other person is coming from and that includes what their motive is, their driving motive, then you can approach them in a way that isn't threatening, isn't condescending that you can actually communicate with them in a way that helps them understand what's happening. Like for instance, if you're doing a handoff, which is a care team turning over the care of a patient to another care team, if you know what the motives are of the folks on the team, you can approach them in a, in a very appropriate way. For instance, with a red, they think in and, bullet points. They do not think in stories. So you try to tell them a story, you'll lose them. So just get the pertinent information to them as efficiently as possible. With a blue blues tend to like stories. So they want to know everything about their patient and they'll want to know how the best way is to care for them. And those are important points to point out with the white. I think what you need to do is probably just give them the facts, their logic based like the red is blues and yellows are emotion-based. So to know that they're logic-based to provide them with what is necessary for them to do their job with a yellow, I think it's important to make sure that they feel like they can manage the project, whatever it is or manage the care. And so it's important to keep it small, keep it confined, don't give them a whole thing at, in one session. But keep them on task, keep them focused. That's very important. And, and I think that provides an opportunity for success of that team. Also I think is important that the team understands who they are, what their team members are and what motivates them as well. We have had a lot of conversations around that. Megan:. Yes, the composition of the team, by virtue of its makeup and the different colors that are on the team is going to have a certain personality or there might be someone who's a little bit more dominant. But as someone who has an understanding of those colors, you can see how to more effectively communicate with them individually, but then it might be more of a challenge as a whole. Dorcas: I think collectively, I think we need all the colors. And so the ideal team has some of all the colors. but we didn't use color code to actually formulate teams. We basically got the people in there that were closest to whatever process we were looking at and be able to have their input in terms of where improvements need to be made or, and, or changes needed to be made. Megan:. And you're not going to always have the luxury of putting together the team that you want to have. Right, yeah. On team. Yeah. And then there are some downsides to having like everybody who thinks like you may not always be the most productive or the best way to go. Dorcas:. Absolutely. That's why I say, the most balanced team is where you have all the colors represented. And that again, you don't always have control over that, but at least you can recognize the gifts that each member brings to the team and really look at how you can optimize those gifts. Megan: Exactly. Focus on the strengths. Absolutely. So let's talk a little bit about that, that whole idea of strengths and limitations that each color has. And I know that I'm pretty familiar with my limitations as a blue, as a blue purist. And, and they usually come out when I'm under some amount of stress and I can even, because I'm pretty familiar with color code and I think I'm gaining on self-awareness, I can even feel myself going into those limitations of a blue. How about you? In terms of a red, how have you had to navigate through your strengths and limitations? Dorcas: I, I am, I feel like I want to be very productive. I want to be, I want to contribute. I am not a processor. so that has been a challenge. I'm not very patient. That also has been a challenge. I've had to work on those things. But I think one thing that I found is that if I know someone, for instance, instances a strong white, I have to really tone down my intensity because I just scares them. And so if I can just be a little bit more mellow, make a more relaxed environment for them, then that will help them feel more relaxed as well. And I think it's a great tool to use.Megan: Isn't it? When you can know, and we talked about a hundred percent responsibility and that you have control over this situation because you have that tool and you know how to approach that person. Absolutely. To have the most effective relationship. So it really is a gift. Dorcas: and it is, it's about diversity. It's about meeting people on their own ground, not expecting them to change for you or not ex, not expecting them to accept you, or to try and change them. Right. Because we'd like to try and change people.Dorcas: Well blues do. Megan: Yeah. I should speak for myself. Yeah. So as a blue, I know that some of my challenges have been not taking things so personally. being able to kind of step back and let someone else run the show. blues are pretty controlling. Dorcas: Just like the reds we like high quality. Megan:. Yes. We like the high quality and then, and being on the, what I call the moral high ground, probably want one of my biggest challenges is working with, and you brought up whites, yellows I, I have trouble with because I have a little sliver of yellow and it's so foreign to me. It's probably what I'd like to be. I'm very envious of yellows. I want to be, I don't want to be a yellow want to be, but I've had to learn to embrace yellows. And what I might think is kind of flighty behavior is, is them being them. And like you said, kind of giving them small tasks and not just laying the whole thing out and certainly not talking about any negatives. that's not going to go over well with the yellow. Dorcas:.No. And I think with the whites is similar, in the sense that you give them tasks that aren't overwhelming and then leave them alone so they can do those things because they know how they know how to do it. probably better than you, but just to let them have their autonomy and have their blues are like that too. They like to have their autonomy. but I also think it's very helpful to understand how people process information and make decisions. Because for me that was a big Aha. I thought everybody thought like me and they don't, so I was impatient with them. Such as, “Why can't you make a decision about this?” And I think it's so important to be able to say, some people need more time to process information and come up with a solution or decision while others can do it pretty easily on the spur of the moment. those are your crisis management people. but I think being able to, one have permission to say, I just need some time to think about this and I'll get back to you I think is so valuable as well as on the other side. For instance, a red going, "I know you need some time, get back to me when you can.".MeganRight? Having that awareness and that's something that I know has grown with you in terms of, what I've seen and our personal relationship and how color-code has taught you that, which is pretty cool.And I think what happens is that, again, this is, this is also about empowerment, about taking responsibility for your relationships and understanding that it's not their problem. It's something I can fix. It's something that I can, I can, I can do to change. And that growing and evolving. And developing in life is what it's all about.This has been a wonderful time just chatting with you about one of our favorite subjects, which is color code and how it's impacted our life. And just happy to have you as a regular guest. Always appreciate your insights as someone who has taught me so much, and I hope we can do it again real soon. Dorcas:. I certainly enjoy our being able to work together and teach together and learn from each other. Megan:. So thank you. Okay, thank you. Until then, this is what your mo in healthcare.

focus human color workplace rn aha dorcas color code to err

WIHI: NO LET UP ON SAFETY

WIHI - A Podcast from the Institute for Healthcare Improvement

Play Episode Listen Later Sep 19, 2019 46:40

September 19, 2019 Featuring: Tejal K. Gandhi, MD, MPH, CPPS, Chief Clinical and Safety Officer, Institute for Healthcare Improvement (IHI) Rear Admiral Jeffrey Brady, MD, MPH, United States Public Health Service, Director, Agency for Healthcare Research and Quality's Center for Quality Improvement and Patient Safety Helen Haskell, President, Mothers Against Medical Error and Consumers Advancing Patient Safety Jay Bhatt, DO, MPH, MPA, FACP, Senior Vice President & Chief Medical Officer, American Hospital Association; President, Health Research and Educational Trust It’s been 20 years since the renamed National Academy of Medicine (former Institute of Medicine) first shined light on the unintended consequences of medical errors in American health care. Their report, To Err is Human: Building a Safer Health System, has served as a catalyst for safety initiatives at health systems, and progress has been made on multiple fronts — from significant reductions in health care - associated infections, to an embrace of quality improvement and patient safety solutions that now encompass the entire continuum of care. Even with this progress, obstacles to safe and reliable care persist. Systems are confronting a new payment environment, it remains difficult to sustain improvement gains, there are EHR headaches, and ongoing concerns about physician and staff burnout. These are just some of the reasons IHI convened national safety leaders and stakeholders to form the National Steering Committee for Patient Safety (NSC). Co-chaired by IHI and the Agency for Healthcare Research and Quality (AHRQ), the NSC is hard at work on a new National Action Plan it expects to release in early 2020. In light of these developments, and in support of World Patient Safety Day on 9/17, we’re focusing this edition of WIHI: No Let Up on Safety, on the work of the NSC and their bold intention to re-energize the safety movement in the US with foundational safety principles and priorities. If you’re looking to continue the conversation, join industry leaders at this year’s IHI National Forum on Quality Improvement in Health Care and attend a special interest breakfast with members of the NSC.

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Mike Eisenberg: To Err Is Human: A documentary about medical error and patient safety

Medical Error Interviews

Play Episode Listen Later Sep 13, 2019 82:13

The Sheridan family knows first hand the devastation caused by medical error. Sue and Pat’s newborn son Cal, due to misdiagnosing his jaundice, was brain damaged. Cal now lives with significant cerebral palsy. Years later, Pat was correctly diagnosed with cancer, but for 6 months a pathology report failed to be communicated to the doctor or Pat. Pat died of cancer at age 45. In this episode of Medical Error Interviews, I chat with documentary filmmaker Mike Eisenberg about his film To Err Is Human and about the Sheridan family and the state of patient safety. Mike is the son of late patient safety pioneer Dr John M Eisenberg, and as you will hear Mike say, when he started looking into medical errors and patient safety, he felt compelled to carry on his father’s legacy. Mike Eisenberg Show Notes Following his Father's footsteps 0:07:00 Mike was born in Philadelphia - childhood mostly in Maryland - but as a child was not interested in health care, even though his father was a patient safety advocate - as documentary filmmaker he wanted to tell stories otherwise not seen - fiction is harder and more expensive to make into film - the documentary path led down the path to make "To Err is Human" 0:09:30 About 3.5 years ago it started with a short film on AHRQ: Agency for Health Research and Quality, the organization Mike's father started and was the Director until he passed away in 2002 - there was annual debates over AHRQ's budget and attempts to slash it - but AHRQ has far less money they should given their role 0:10:30 Started the documentary by driving to DC, pay out of pocket, and interview his father's old colleagues about AHRQ's role that the public knows nothing about - themes of medical error, patient safety and improving care emerged - it was evident to Mike that conversation was no longer being had - if felt to Mike it was his responsibility to carry on his father's work 0:11:30 We, including his production partners Matt Downe and Kailey Brackett try to stay positive in tone and show what happens when people take this seriously - focus on the process to make things better 0:12:45 Report in late '90s titled To Err is Human, Building a Safer System - a report that used research that determined how bad medical error was - the data was shocking - it said 44,000 to 98,000 died each year from medical error - that was brand new concept, made new headlines, President Clinton said it would be tackled 0:14:00 At the time, those numbers were questioned - but today one study, Marty Macquarrie out of John Hopkins that says 251,000 die each year - and John James's study that says between 240,000 and 440,000 die each year from medical error - hard to quantify because CDC (Centre for Disease Control) doesn't have a box to tick for 'death by medical error' - even conservative estimates have medical error as 3rd leading cause of death 0:16:00 We compare how many plane crashes, 7 or 8, would happen each day to equal medical error deaths each day - a staggering number, almost the same as the opioid epidemic - the important question is not accuracy of numbers, but how to get accurate numbers The Sheridan family and medical errors 0:18:00 There is not a consensus around medical error death numbers - sometimes people die at home from hospital errors - part of the reason we've not seen more solutions is that the public, especially Americans, have been trained to treat the medical system: that physicians don't make mistakes, they are right all the time 0:19:45 The real reason we've not seen change in patient safety is because physicians have not embraced the patient in this process - some health care systems have, they visited over 250 health care systems - many of them doing interesting things to help curb error, but only a few have really engaged the patient 0:21:00 If a Hospital engages patients in a patient safety process, then the Hospital is admitting it makes mistakes, and that admission is considered guilt - but Med Star Health, especially out of Georgetown, show promise: they had a public facing explanation of an error that was prevented - great message that most of these errors are preventable 0:22:30 It is easy to say to public we are humans too and make mistakes, and most are not egregious or intentional - most hospital surgeries have a practice called 'stop the line' and reasses if things are organized correctly, a bean counter will say it is not efficient and costs money, but it costs less then lawsuits 0:24:15 Regarding body cameras worn by physicians for patient safety, Mike considered including that aspect but thought it was too touchy subject - solutions for other societal problems can be embraced by health care - aviation is the most obvious, they interviewed Sully Sullenburger of the water landing in the Hudson River - vital health care takes a look outside its own walls 0:25:45 In Toronto we found a surgical team using video and other data to show when errors are most likely to occur and to use that data for better safety - 'hand offs' to other staff is obvious time things can go wrong 0:27:45 Improving patient safety is more than preventing law suits - the real 'bottom line' is about lives not profit - we expect health care to do what it is supposed to do and not cause new problems - what's important is communication with the patient 0:29:15 One of the stories in our film is about Sue Sheridan - her family experienced 2 medical errors - the 1st was her son Cal who has cerebral palsy and got that at 5 days old because of a small over sight by not performing an available and cheap test when he was born with jaundice - the other case is about the father Pat who was diagnosed with cancer - they thought it was benign but sent sample for pathology examination Aviation Culture vs Medical Culture 0:30:15 The results showed it was malignant, dangerous and needed to be removed - but those results didn't get through for 6 months because it was an over looked fax - so Pat didn't get treatment and died of cancer - but what doesn't go on the death certificate is that he lost 6 months of treatment 0:31:30 Organizations like the Society for Diagnostic Error in Medicine (SDIM) is leading the charge on diagnostic errors 0:33:00 The biggest difference between airline industry culture and medical industry culture is the lack of transparency of the latter - recently an airplane window cracked and fell off and sucked a woman out the window, that was the 1st aviation accident that lead to a death in years - studies have found that most plane tragedies are not accidents 0:34:00 Recently Boeing had 2 large plane crashes and they've been open about determining what went wrong and how to fix it - the same thing should happen in health care 0:35:00 In aviation pilots have to re-take their test every 5 years to prove their competence - don't do that with driving cars, just give licenses when people are 17 and assume they'll good for the rest of their life - same thing with health care - we need to be honest about where health care is weak and where it can be improved 0:36:30 In aviation, airlines work together globally to improve safety for all airlines - but this is not the practice in most hospitals - but there are exceptions that share their research and date like Inter Mountain Heath Care in Utah, and some in Boston that have embraced imperfection - when an error happens they gather the team to learn how to prevent it in the future, as opposed to how avoid bad PR (public relations), or blaming someone and firing them - that's not how you fix the problem 0:38:15 In the documentary, Sue's family engaged in litigation, they 'won' in one instance of medical error, but not in the other - Mike chose not to focus on the litigation angle in the documentary - for the medical error to Sue's son, they did not get a resolution - Sue has turned her entire life into advocacy - one of her achievements is that the test her son should have received - bilirubin - is now a requirement 0:39:45 For Sue's husband's medical error - been about 18 years since her husband died, and the hospital recently had a screening of the documentary and a panel discussion afterward - the first time the hospital had openly discussed the case with its own staff - the pathologist had told Sue that it was not his responsibility to make sure the info he sent got through to the receiver Physicians have highest suicide rate 0:41:45 The US will have a shortage of physicians by 2024 often due to burnout - because they are also enterpreneurs - they have one of the most challenging jobs in the world 0:43:00 Physicians have highest suicide rate of all professions - rampant in physician culture, especially clinicians - Mike's friends that are doctors are over worked and its scares him - they needed to be treated right - but its hard to expect humans to be perfect all the time when they are not treated that way - when things go wrong, the hospital worries more about its image then the people, its a systems vs people problem - it promotes volume and that is not conducive to reliability 0:45:30 Mike calls upon patients to be a voice, its not just a hospital problem - don't have to go to school for many years, just need to listen and look - can avoid a lot of these mistakes if they listened to patients, and patients felt empowered to engage 0:47:00 Re physician suicide, it is an individual choice - wouldn't be surprised if financial problems are a factor - many start with 6 figure deaths, have families, and witness trauma every day, its a tough job - Mike has screened his film a lot in hospitals and he hears staff worried about losing job if point out errors - there is heirarchy in health care that is not healthy - old gaurd is not embracing new reality 0:50:00 One hospital claimed they had solved physician burnout by mandating that there was at least 6 hours between shifts - but that is still not reasonable - lessen to learn is suicide is individual, but common is that they feel their profession is not respected, appreciated - the message is that its been working for 70 years, why change now - but now is the time to change to take patient safety seriously 0:52:00 Fixing patient safety is about how care is delivered, and how we treat health care workers 0:53:00 In aviation, they do not permit pilots to fly if they haven't had a specific number of hourss of sleep, or if they've had even one drink of alcohol - some hospitals have similar standards, but why is that not a federal mandate? The Agency for Healthcare and Research Quality (AHRQ) is important to learn where to get better - but not much done with that info because they are underfunded but could cause huge change 0:55:00 This is not new issue, its been around for 20 years - need to have discussions about access to care, about diversity and care - but they are only improved if thought from a patient safety perspective Media and its messages 0:56:15 Aviation has done it well because they've collaborated globally, but in the US hospital are autonomous and its hard to develop a plan that all will follow - while aviation has an organization that investigates crashes, that doesn't exist in health care - why is that not happening in health care? Because one person dies at a time. 0:58:00 In aviation, they 2 or 3 hundred at a time and those stories are on all the front pages - but when someone dies from communication breakdown there isn't the same collective impact or response - it boggles the mind 0:59:00 Since his documentary released, seen a documentary on HBO called Bleed Out, made by a comedian who tells about his family's experience with medical error over the years - also Bleeding Edge on Netflix about tthe FDA's lackadaisical approval of medical devices - 3 documentaries coming out in 1 year is progress - but how to make progress on the national stage? Mike working collaboratively on a project to put patient safety on the map 1:01:30 Media has a responsibility in patient safety too - Mike says every day there are 4 or 5 stories on gun violence in Chicago, where he lives - and that problem persists despite local government action to fix it - in health care errors will always occur, but can learn from errors to prevent future harm - but to fix the problem requires engaging the public 1:03:15 Media is hugely responsible for what people care about - the media has all the power about what people care about - essentially telling the political atmosphere what it should care about - Americans choose what they want to protest about - we need a better way to show the scope and scale of medical error without blaming doctors and nurses - there is no villain in patient safety - malpractice is different from patient safety 1:05:00 We need a villain, somebody to blame - last year at Vanderbilt, a nurse was thrown under the bus for making an error that resulted in death, but it was actually a system failure that allowed her humanness to make an error, it was not her fault - instead of the hospital changing the system, they throw an employee under the bus, and she went to jail - then we wonder why people don't report errors when they see them 1:06:45 A culture shift in health care is needed, and it must come from the top - by working together we can send a message to 'the top' to make a change 1:08:00 Most patients want to be treated with honesty and transparency and will work together if something goes wrong - but that's not usually how it happens, it is usually a cover up, or denial, or this is how health care works and sucks to be you - but a culture of lawsuits has emerged as the way to get info out of hospitals - its not about money for most of these people Less money, more transparency 1:09:15 In Sue's case, she sued for less money in exchange for greater transparency - we should get away from lawsuit culture and move toward working together 1:10:20 Mike has been fortunate to travel around the country to talk to people who knew his father {Founder of AHRQ} and sharing the film - a lot of people share the sentiment and passion he had still inspires them today - it is really cool as his son to hear that 17 years after passed away that he still has an impact on the health care system 1:11:00 Mike feels that a lot of the work that his father did - you can see clips of him on Youtube addressing Congress - is gone - don't why - was it because of his leadership, or because it was the right time? Mike thinks we need another leader who has the ability to bring people together - the way culture is set up, we need a celebrity - Dennis Quaid, famous actor, almost had his 2 sons die due to medical error and he made a short documentary and started a foundation 1:12:30 There are other examples, Serena Williams who nearly died due to preventable harm and racism - problem is 'medical error' is a very scary term and it is applied to all doctors, nurses, surgeons and it shouldn't be that way - there is resistance by the health care industry to embrace the terms 'patient safety' etc and not as an offensive term 1:14:00 Mike is proud of father's legacy, but worries that it has been forgotten by the people who spearheaded it in the first place - we need a superhero who can jump up and say these are issues we should be talking about 1:15:00 Mike is now balancing promoting To Err is Human and speaking at medical conferences and symposiums and screened the film hundreds of times - we need to go one person at a time, change one mind at a time 1:17:00 There will be a screening of the film in Ottawa on World Patient Safety Day {Sept 17th} and for the first time there will a free online screening of the movie - to find link for free online screening check out his website ToErrIsHumanFilm.com and through twitter @ToErrIsHumanDoc 1:18:20 Website also lists other screenings in local areas - if you're interested in hosting a screening for your community, contact Mike - they tried to make the film so it is a conversation starter - but this issue is not solved, so we need to remind people where we are at, so we can continue in the right direction Connect with Mike Twitter: To Err is Human @ToErrIsHumanDoc Facebook: https://www.facebook.com/ToErrIsHumanDoc Documentary Website: https://www.toerrishumanfilm.com ______________________________________________ Podcast Host and Counsellor Scott Simpson Do you need an experienced counsellor for your medical error trauma? Or for living with a chronic illness? You can book an online video counseling appointment with me at RemediesCounseling.com

#5 Interprofessional Education and Interprofessional Collaborative Practice: Why isn't it sustainable?

Illuminated Path: Shining a Light on Healthcare's Best Operational Practices

Play Episode Listen Later Aug 13, 2019 31:56

Both of us have spent a good portion of our careers developing and helping organizations implement tools, processes and infrastructures that support interprofessional education and collaborative practice. As you might guess this is a topic that is near and dear to our hearts. During the episode we talk about how the Institute of Medicine (IOM) reports, To Err is Human: Building a Safer Health System (1999); Crossing the Quality Chasm: A New Health System for the 21st Century (2001) and Health Professions Education: A Bridge to Quality (2003), served to heighten the awareness of concerns about safe, quality, cost-effective care within the United States healthcare system. These reports also reinforced the need for interprofessional education (IPE) and interprofessional collaborative practice (ICP). We talk about what is being learned and the current realities educators and leaders are facing. Recent reports indicate the traditional cultures and practices in healthcare settings do not support ICP (Brandt, KItto, & Cervero, in press) and those who have experienced IPE go into practice settings that do not support what they have learned. IPE and ICP represent an interdependent pair. Both are necessary to prepare the future and the current workforce to work collaboratively.Achieving the national goals of safe, quality, efficient, effective care will require a healthcare workforce prepared and supported to work collaboratively. Managing the IPE and ICP polarity is key in achieving sustainable outcomes. Leveraging strong partnering relationships between practice and education leaders may be one way to manage the IPE/ICP polarity and support current and future workforce preparation.

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Mike Eisenberg, The Film “To Err is Human” and the Patient Safety Emergency

Lean Blog Interviews

Play Episode Listen Later Jan 21, 2019 60:42

Joining me today for Episode #329 of the podcast is Mike Eisenberg, the director, editor, and producer of the film “To Err is Human,” a documentary about the incredibly important issue of patient safety. The film shares a title with the groundbreaking 1999 report from the Institute of Medicine.The film is available on as a digital download (through iTunes and other platforms) and a Blu-ray or DVD (through Amazon) and there also screenings taking place around the country (and you can arrange one at your organization).In our conversation, Mike and I talk about the scale and breadth of patient safety problems, some of the systemic causes, and some of the solutions that are being tried and used in healthcare. The term “Lean” is not a part of the film, but Mike said he's become aware of the alignment between Lean and systemic patient safety improvement, but there are limitations to what could be put into a 77-minute film. But, there are common themes including not blaming “bad apples” and improving the way care is delivered in a systematic way.I had the opportunity to watch the film before the interview — it's very powerful and well produced. I hope you'll check out the film, whether you are a patient or a healthcare professional (or leader). It's important that we help the public understand that patient safety can't be taken for granted… and it's important that hospitals step up their efforts on this front.

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Health Care Reboot: Megatrends Energizing American Medicine Pt. 2

Health Story

Play Episode Listen Later Jan 2, 2019 12:48

In Part Two of a three-part series, Michael J. Dowling, Northwell Health President and Chief Executive Officer and coauthor Charles Kenney describe energizing megatrends in medicine, including; new practices in education, brain health, information technology, and health care value. Micheal J. Dowling, Charles Kenney, Health Care Reboot, hospital consolidation, brain health, To Err is Human,

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Illuminated Path: Episode 8: Promoting Quality-Based Care to Improve Outcomes

Play Episode Listen Later Nov 9, 2018 17:27

In this episode of Illuminated Path, host Evan Danis welcomes guest Daria Byrne, vice president of clinical and medical surgical solutions at Intalere. Byrne shares her thoughts on what progress has been made with patient safety and quality since The Institute of Medicine released its “To Err is Human” report nearly 20 years ago. Learn more about why the C-suite is paying closer attention to things like survey and accreditation readiness, palliative care planning and sepsis identification. Byrne also provides ideas for how healthcare providers can deliver patient-centered excellence at maximum value.

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Life Without God

life without without god to err

Play Episode Listen Later Aug 19, 2018

To Err is Human | Judges 19:1-21:25 | Chipper Flaniken

Ep. 20 How healthcare systems scapegoat physicians: the Bawa-Garba case

The Accad and Koka Report

Play Episode Listen Later Aug 13, 2018 65:22

https://accadandkoka.com/wp-content/uploads/2018/08/jha_saurabh-e1534048950589.jpg ()Dr. Saurabh Jha Hadiza Bawa-Garba was convicted of involuntary manslaughter by a British court for her role in the care of a patient in a hospital setting fraught with system failures. Our guest is Dr. Saurabh Jha who returns on the show to share his insights on this case. Dr. Jha trained in the NHS but practices in the United States as Assistant Professor of Medicine at University of Pennsylvania Perelman School of Medicine. He is intimately familiar with the details of the Bawa-Garba case and has recently returned from London where he attended the most recent legal proceedings in the physician’s appeal of the General Medical Council’s decision. GUEST: Saurabh Jha, MD: https://twitter.com/RogueRad (Twitter) LINKS: Saurabh Jha. http://thehealthcareblog.com/blog/2018/01/30/to-err-is-homicide-in-britain-the-case-of-dr-hadiza-bawa-garba/ (To Err is Homicide in Britain: The Case of Dr. Hadiza Bawa-Garba) (The Health Care Blog). Saurabh Jha. If Hadiza Bawa-Garba Worked in the US She Would Still Be a Doctor. (The Guardian) Saurabh Jha. http://thehealthcareblog.com/blog/2018/08/05/the-doctor-who-thwarted-the-charge-of-the-general-medical-council-part-1/ (The Doctor Who Thwarted the Charge of the General Medical Council) (The Health Care Blog) Saurabh Jha. http://thehealthcareblog.com/blog/2018/08/12/dr-jonathan-cusack-versus-the-general-medical-council/ (Dr. Jonathan Cusack versus the General Medical Council) (The Health Care Blog). Ganfyd site entry of the http://www.ganfyd.org/index.php?title=The_Bawa_Garba_case (Bawa-Garba case), with all the relevant facts and court documents. WATCH ON YOUTUBE: https://youtu.be/Bg9XYgHWbf4 (Watch the episode) on our YouTube channel Support this podcast

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Uncompromised Worship

worship uncompromised to err

Play Episode Listen Later Aug 12, 2018

To Err is Human | Judges 17-18:31 | Matt Bahr

How God Restores His Fallen People

Play Episode Listen Later Aug 5, 2018

To Err is Human | Judges 16:1-31 | Chipper Flaniken

fallen restores to err

When God's People Fall

Play Episode Listen Later Jul 29, 2018

To Err is Human | Judges 14:1-15:20 | Chipper Flaniken

to err

God is Wonderful

Play Episode Listen Later Jul 22, 2018

To Err is Human | Judges 13:1-25 | Chipper Flaniken

to err

How to Walk with God

Play Episode Listen Later Jul 15, 2018

To Err is Human | Judges 10:6-12:15 | Chipper Flaniken

walk with god to err

Gideon and Abimelech

Play Episode Listen Later Jul 8, 2018

To Err is Human | Judges 8:22-35 | Ryan Harding

abimelech to err

God Delivers