Bledsoe’s oversight, which you’ll read about later, has driven him throughout his career. To this day, he is an outspoken advocate for health care safety, teaching physicians-in-training to treat patients as individuals, not as numbers at a deli counter. It sounds like an obvious message, but an overemphasis on speed is just one of the reasons that, every day, Americans in hospitals around the country are injured or die because of a medical error. “Any physician who says he or she never made a mistake is a liar,” Bledsoe says.
The problem of avoidable medical error burst into the news in 1999 when the Institute of Medicine published To Err Is Human: Building a Safer Health System. Highlighting an estimated 98,000 unnecessary deaths every year, the report inspired a patient-safety movement—but over a decade later, not nearly enough progress has been made, say many experts.
What’s still needed: more thorough approaches to investigating errors, support systems that help doctors admit to and learn from their failings, and better methods of adopting proven solutions. In the meantime, people are still dying needlessly.
“If we don’t talk about the problem of hospital error, there’s no way to fight it,” says Peter Provonost, MD, PhD, a professor at Johns Hopkins University School of Medicine, whose own father died because of medical errors at age 50. “Whenever I’ve worked up the courage to share a personal mistake, my colleagues listen raptly. But most don’t say anything, even though I know they’re just as guilty. The culture of medicine still won’t allow it.”
But that’s changing. When Reader’s Digest first considered approaching health care professionals to ask them to confess their biggest mistake, we worried that few would speak up. We were wrong.
Doctors, nurses, and pharmacists all stepped forward. Each of these professionals welcomed the chance to say “I’m sorry”—and, more important, to address the weaknesses in the health care system that continue to make errors like theirs possible.
Read their stories and see if you, too, don’t entertain some hope that a better, safer health care system is on the way.
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