Throughout this course, we have provided significant information to assist clinicians to understand the ongoing history of medical errors, the costs associated with those errors, and government actions in response to the information presented in IOM 1 and 2. We have provided techniques and processes to eliminate errors in the clinic and hopefully provided enough insight to help each and everyone be comfortable to admit mistakes so that others can learn, new processes can be developed, and those mistakes will not continue to occur. The aviation industry has reported near misses for years to try and gain insight and to avert actual disasters. So let us leave you with this thought from, “The Best Offense is a Good Defense Against Medical Errors”.
“Raise your hand if you treat patients in any way, Keep your hand up if you have ever made an error/mistake in taking care of a patient, If you put your hand down, I bet you are lying, We have all made mistakes, let’s hope they were near misses.”
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