Podcasts about to err is human

Jeff Surges, CEO of RLDatix, offers global cloud-based solutions for risk management, compliance management, and regulatory management in healthcare. To address patient safety, Jeff emphasizes the need for a collaborative workforce, data analytics, and AI. RLDatix uses technology to automate information gathering, facilitate incident reporting, and analyze data to determine proactive actions to prevent incidents and improve safety.  Jeff explains, "The simplest analogy when I get asked this is: how does this relate to other industries? We all fly in airplanes, and we've seen in the airline industry most recently with doors coming off, the emergency exit doors, close calls, or what we'll call incidents where you need to look at the root cause. The key difference is if a plane goes down, as tragic as that is, the pilots and the crew go down. But in healthcare, if there's an incident or a procedure or an event that has occurred, it's likely only affecting the patient and the patient's family. That's not meant to say that people don't care, everybody cares, but it doesn't affect the entire circumference. What we try to do is make it automated, make it easy to use, engage with what we call a culture of safety, which starts at the very highest level, and then using data analytics, now, generative AI." "For 20 years, an article written in our industry called To Err Is Human kicked off the energy around improving patient safety. I think the first phase of that for over ten years, 15 years, was just documenting the event after it happened. Let's document. Let's run around and automate, document, and report on it." "Today, that's no longer the case. All of our customers and our industry want to prevent this. We use terms like highly reliable- I want to be an HRO, a highly reliable organization. We're competing on safety. Everybody wants to go to the safest place for care. We're trying to use data and analytics to both prevent and gain the insights to make sure that we can continue that not just one time. The data is telling us there are some decisions we can make in our policies and our procedures, in our staffing levels, and in our credentialing of staff to make sure that we can continue. So, going from reactive to proactive risk mitigation."  #RLDatix #ConnectedHealthcareOperations #PatientSafety #HealthTech #AI rldatix.com Listen to the podcast here

Jeff Surges, CEO of RLDatix, offers global cloud-based solutions for risk management, compliance management, and regulatory management in healthcare. To address patient safety, Jeff emphasizes the need for a collaborative workforce, data analytics, and AI. RLDatix uses technology to automate information gathering, facilitate incident reporting, and analyze data to determine proactive actions to prevent incidents and improve safety.  Jeff explains, "The simplest analogy when I get asked this is: how does this relate to other industries? We all fly in airplanes, and we've seen in the airline industry most recently with doors coming off, the emergency exit doors, close calls, or what we'll call incidents where you need to look at the root cause. The key difference is if a plane goes down, as tragic as that is, the pilots and the crew go down. But in healthcare, if there's an incident or a procedure or an event that has occurred, it's likely only affecting the patient and the patient's family. That's not meant to say that people don't care, everybody cares, but it doesn't affect the entire circumference. What we try to do is make it automated, make it easy to use, engage with what we call a culture of safety, which starts at the very highest level, and then using data analytics, now, generative AI." "For 20 years, an article written in our industry called To Err Is Human kicked off the energy around improving patient safety. I think the first phase of that for over ten years, 15 years, was just documenting the event after it happened. Let's document. Let's run around and automate, document, and report on it." "Today, that's no longer the case. All of our customers and our industry want to prevent this. We use terms like highly reliable- I want to be an HRO, a highly reliable organization. We're competing on safety. Everybody wants to go to the safest place for care. We're trying to use data and analytics to both prevent and gain the insights to make sure that we can continue that not just one time. The data is telling us there are some decisions we can make in our policies and our procedures, in our staffing levels, and in our credentialing of staff to make sure that we can continue. So, going from reactive to proactive risk mitigation."  #RLDatix #ConnectedHealthcareOperations #PatientSafety #HealthTech #AI rldatix.com Download the transcript here

Hey everyone I'm Gary Hoban and welcome to Refinery Life Church. We are in a continual process of being changed into the image of Jesus Christ. This month we are discussing Jacob's son Joseph, I have titled this series “Lessons from Joseph.” Today's message is titled To Err Is Human, To Forgive Is Divine. One more story remains in this series from the life of Joseph. Events moved rapidly after the cupbearer finally told Pharaoh about the prisoner who had such wonderful ability because of his God. Pharaoh called on Joseph to interpret his dream. Soon the Hebrew boy was made prime minister of the land, second only to the king himself. Later his brothers came to Egypt to but grain during the famine. For a short time, Joseph played cat and mouse with them, but at last he revealed himself to them. One of the noblest statements in God's Word is Joseph's address to his brothers. Not only did he forgive them for what they had done, but he went so far as to say that God was actually using them in His plan when they sold him as a slave. Of course, Joseph's forgiveness did not lessen their guilt, but it may have diminished their fears of his possible revenge. This evening, let's look at some truths from this story. Until next time Stay in the Blessings I really want to encourage you to be diligent with your Bible study time, because God has so much more for us than we can get from just going to church once or twice a week and hearing someone else talk about the Word. When you spend time with God, your life will change in amazing ways, because God is a Redeemer. Theres nothing thats too hard for Him, and He can make you whole, spirit, soul and body! You're important to God, and you're important to us at www.refinerylife.org  When it comes to prayer, we believe that God wants to meet your needs and reveal His promises to you. So whatever you're concerned about and need prayer for we want to be here for you! Or even if you just want to say Hi, you can contact us 2023 IS A YEAR OF DIVINE RESTORATION AND RECOVERY © www.refinerylife.org  2013-2023 All rights reserved. Except as permitted under the Australian Copyright Act 1968, no part of this Article may be reproduced, stored in a retrieval system, communicated or transmitted in any form or by any means without the prior written permission.  Visit us at www.refinerylife.org  Twitter @PastorGaryHoban @RefineryLifeGC Facebook @PastorGaryHoban @RefineryLifeChurch Instagram @gary_hoban @refinerylifechurch Patreon YouTube Gary Hoban http://www.youtube.com/channel/UCxvrTCsjg98vGjMTObxJhtQ Refinery Life Church Australia http://www.youtube.com/channel/UCkvD9z50SuKWxhSw0TPQkgQ --- Send in a voice message: https://podcasters.spotify.com/pod/show/refineryliferadio/message

Since the publication of “To Err Is Human” over 20 years ago, focus on healthcare quality has intensified. Yet, progress has been halting at best, with hospital-acquired conditions, medication errors, and many other issues still prevalent. This episode begins a three-part series on clinical quality: why it is still elusive and what are recommended actions that clinical practices and organizations can take to attain quality improvement.   Guest speakers: Angela Hunt, RN, MBA, CCDS Principal, Clinical Documentation Vizient   Rick May, MD Senior Principal, Clinical Quality Improvement Vizient   Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient   Show Notes: [01:22] The status of clinical quality today [02:49] The impact of the workforce shortage [03:42] Areas of concern [04:54] Process and training issues [05:43] The impact of financial issues [08:06] Clinical documentation issues   Links | Resources: Advance clinical operations and quality (Vizient) Click Here AHA Leadership Roundtable: The Future of Health Care Quality (Aug 3, 2022) Click Here To contact Modern Practice: modernpracticepodcast@vizientinc.com To contact Angela Hunt: angela.hunt@vizientinc.com To contact Dr. Rick May: rick.may@vizientinc.com   Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify Stitcher RSS Feed

To Err Is Human, To Forgive Divine...Is This Applicable To Supersize Your Business? Check in here every day for a dose of different business building perspective: https://facebook.com/supersizebusiness #supersizeyourbusiness #whatthingsmean #toerrishumantoforgivedivine

What's SHE Up To Now Day 1787? Born Good, Plant Seeds, To Err Is Human... Drop in to get the real scoop--the good, the bad, the ugly, the truth (well my truth anyway). https://facebook.com/beme2thrive #documentthejourney #shareyourexperience #borngood

To Err Is Human, To Forgive Divine...Is This Applicable To Supersize Your Business? Check in here every day for a dose of different business building perspective: https://facebook.com/supersizebusiness #supersizeyourbusiness #whatthingsmean #toerrishumantoforgivedivine

Title: ⏰ Synergy Traders #38.20: To Err Is Human, To Profit Divine with Julie Manz of TraderInsight.com   Recorded on May 25th, 2022 as part of the "Synergy Traders #38, Day 2: Psychology, Discipline, and Time Management" event, hosted by TradeOutLoud and TimingResearch.   The full event video/podcast series and presentation notes are available here: https://timingresearch.com/blog/2022/synergy-traders-38-day-2-psychology-discipline-and-time-management/   Terms and Policies: https://timingresearch.com/policies/  

"To Err Is Human,To Forgive, Divine"We Learn From Failure, Not From Success. Well,We All Make Mistakes,So Just Put It Behind You.We Should Regret Our Mistakes And Learn From Them, But Never Carry Them Forward Into The Future With Us. Learn From Your Mistakes And Move On.

The National Academy of Medicine's 2000 report "To Err Is Human" launched the health care quality movement in the US. Victor Dzau, MD, president of the National Academy of Medicine, and Don Berwick, MD, MPP, from the Institute for Healthcare Improvement, discuss progress to date in advancing quality and prospects for improving outcomes and reducing harms, errors, and cost in the next 20 years. Recorded December 22, 2020. Related Article(s): Two Decades Since To Err Is Human

This week's Out Now with Aaron and Abe (https://www.facebook.com/outnowpodcast) is cranking up the firefights and trying to get you out of the hot zone. Aaron and Abe are joined by filmmaker Mike Eisenberg to go over the Netflix action flick Extraction, starring Chris Hemsworth. The trio goes over gritty action-thriller produced by the Russo Brothers and directed by acclaimed stunt coordinator Sam Hargrave. Additionally, the second half of this episode is focused on discussing the 2020 movies the group would pay a pretty penny to see immediately if given the opportunity. This continues our newer ongoing format for Out Now, so enjoy what we have this week, and be prepared for more! So now, if you've got an hour or so to kill... Get yourself a free audiobook and help out the show at AudibleTrial.com/OutNowPodcast (http://www.audibletrial.com/outnowpodcast) ! Follow all of us on Twitter: @Outnow_Podcast (http://www.twitter.com/outnow_podcast) , @AaronsPS (http://www.twitter.com/aaronsps4) 4, @WalrusMoose (http://www.twitter.com/walrusmoose) , @Eisentower30 (http://www.twitter.com/eisentower30) Check out all of our sites and blogs:  TheCodeIsZeek.com (http://www.thecodeiszeek.com) , Why So Blu? (http://www.whysoblu.com) , We Live Entertainment (http://www.weliveentertainment.com) Check out Mike’s film To Err Is Human (https://t.co/INWUFbkgBd?amp=1) Support Indie Film and Indie Theaters at FilmMovement.com (http://www.filmmovement.com) Next Episode: ??? #chrishemsworth #extraction #netflix #russobrothers #samhargrave #randeephooda #golshiftehfarahani #davidharbour #outnowwithaaronandabe #outnowpodcast #aaronandabe #spotify #itunes #joerusso #anthonyrusso #rudkrakshjaiswal #shivamvichare #pankajtripathi #action #film #movies #entertainment

This quick highlight clip from Episode 022 of the ClassCast Podcast features host Ryan Tibbens discussing a new unit he hopes to teach online ("To Err Is Human" -- focus on errors, mistakes, and the human condition) and the need for more confident, long-term decision-making by politicians and education bureaucrats during the Coronavirus pandemic ----- Close Schools Now! He also discusses how long-term planning is a necessity and why short term official guidance is counterproductive. Support the show (http://paypal.me/TibbensEST)

The Institute of Medicine report “To Err Is Human” in 1999 shook health care with the finding that as many as 120,000 Americans die each year due to medical mistakes. A noted researcher re-examines how far we’ve come since then and the difficult cooperation it will take to make patient safety more certain.

Listen NowTwenty years ago last month the National Academy of Sciences published the landmark report, “To Err Is Human, Building a Safer Health System.”  The report found upwards of 98,000 people die each year in hospitals alone as a result of medical errors.  One specific medical error, diagnostic error, was, and remains today, a substantial contributor.  Defined as a wrong, delayed or missed diagnosis, misdiagnoses continue to constitute a major public health problem, adversely affecting more than 12 million annually.  Approximately one-third of whom are seriously harmed and an estimated 40,000 to 80,000 die each year from diagnostic failures in hospitals alone.  Resulting costs are estimated over $100 billion annually.  Despite the problem's pervasiveness and dire effects, the federal government spends less than $10 million annually researching the problem.  (For perspective, the 2019 NIH budget was $39 billion.)   During this 30 minute conversation, Mr. Epner briefly describes the Society to Improve Diagnosis in Medicine's activities, discusses the use/non-use of autopsies in reducing diagnostic errors, the extent to which improved imaging technology is reducing errors and the extent to which this issue is a disparities problem.  He, moreover, discusses efforts to increase funding to address the problem, needed payment reforms, efforts to identify related quality performance measures and recently introduced legislation to improve funding and research.   Mr. Paul L. Epner, MBA, is the Chief Executive Officer and Co-founder of the Society to Improve Diagnosis in Medicine (SIDM).  He is also Chair of the Coalition to Improve Diagnosis, a collaborative with more than fifty of the country's leading healthcare societies, health systems, patient organizations, and organizations focused on improving quality.  He recently was named to the National Steering Committee for Patient Safety.  Mr. Epner is a Past President of the Clinical Laboratory Management Association (CLMA) where he also created the Increasing Clinical Effectiveness (ICE) initiative.  He was recently a member of the CDC's “Clinical Laboratory Integration into Healthcare Collaborative” and a consultant to their Laboratory Medicine Best Practices program (an evidence-based practice initiative).  Mr. Epner is an Associate Editor for the peer-reviewed journal, Diagnosis.Information on SIDM is at: https://www.improvediagnosis.org/. The 2015 National Academy of Sciences expert committee report noted during this interview, "Improving Diagnosis in Health Care," is at: http://www.nationalacademies.org/hmd/Reports/2015/Improving-Diagnosis-in-Healthcare. Recently introduced legislation to address misdiagnoses, i.e., the "Improving Diagnosis in Medicine Act of 2019" (HR 5014), is at: https://www.congress.gov/search?q=%7B%22congress%22%3A%22116%22%2C%22source%22%3A%22legislation%22%2C%22search%22%3A%22HR%205014%20%22%7D&searchResultViewType=expanded.  This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com

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           

To Err Is Human is an in-depth documentary about medical mistakes and those working behind the scenes to create a new age of patient safety. Through interviews with leaders in health care, footage of real-world efforts leading to safer care, and one individual's compelling journey from victim to empowered patient advocate, the film provides a unique look at our health care system's ongoing fight against preventable harm. Join us for a special private screening of the documentary. See acast.com/privacy for privacy and opt-out information.

This episode explores To Err Is Human, & the idea that healthcare is a decade behind other industries in some important areas.

Listen NowIn 1999 the Institute of Medicine published "To Err Is Human," a report that shocked the medical establishment because it concluded as many as 98,000 Americans die annually from hospital caused medical errors.  In 2000 the highly respected scholar Dr. Barbara Starfield estimated medical errors or adverse events actually amount to 225,000 deaths annually making them the 3rd leading cause of death after heart disease and cancer.   Most recently a study published this past September in the Journal of Patient Safety estimated medical errors cause between 210,000 to 440,000 deaths annually.  Added to these sobering estimates is the fact there's never been an actual count of how many patients have been killed by medical errors and what progress that has been made in reducing errors, or at least the growth in the number of errors, has been charterized as "frustratingly slow" and "agonizingly slow."During this 23 minute intereview Ms. Gibson discusses the prevalence of medical errors and why she believes the rate of medical harm is actually getting worse.  She explains why she believes both the medical community's response as well as federal and state government responses have been inadequate and what is needed to reverse this extraordinary number of medical-related deaths.       Ms. Rosemary Gibson is a Senior Advisor at the non-profit Hasting Center, a research organization dedicated to addressing ethical issues in health, medicine and the environment.  Ms. Gibson is also an editor for JAMA Internal Medicine.  Previously, Ms. Gibson was a Program Officer at the Robert Wood Johnson Foundation where she addressed safety and quality issues particularly in palliative care.  Among other books Ms. Gibson is the author of "Wall of Silence, The Untold Story of the Medical Mistakes That Kill and Injure Millions of Americans."  Ms. Gibson serves on numerous boards including the Consumers Union Safe Project and among others she received the Lifetime Achievement Award from the American Academy of Hospice and Palliative Medicine.  Ms. Gibson is a graduate of Georgetown University and the London School of Economics.To learn more about Ms. Gibson's work go to: http://www.amazon.com/s/?ie=UTF8&keywords=rosemary+gibson&tag=googhydr-20&index=stripbooks&hvadid=18834377909&hvpos=1t1&hvexid=&hvnetw=g&hvrand=187281419643604594&hvpone=&hvptwo=&hvqmt=b&hvdev=c&ref=pd_sl_6ynacw5hh2_b This is a public episode. If you would like to discuss this with other subscribers or get access to bonus episodes, visit www.thehealthcarepolicypodcast.com

(Part 2 of 2) The “Father of Patient Safety” reflects on the impact of the patient safety movement a decade after the IOM report….its successes…and its disappointments, from a national vantage point.

(Part 1 of 2) The “Father of Patient Safety” reflects on the impact of the patient safety movement 10 years after the IOM report.... its successes…and its disappointments, from a national vantage point.