2010/05/23

Josie's Story

King, Sorrel
ISBN 978-0-8021-1920-9
Published by Atlantic Monthly Press in 2009

In Short: I believe this is quality improvement (QI) in its most heart wrenching, systematic, civilian, and effective form. A must read for anyone who lays hands on another human being.

Josie King was an 18 month old who died due to a medication error while hospitalized for burns. The story (and error) did not involve EMT's or out of hospital care, but the story is one we should all read and the resulting initiative is one we should all embrace.

Josie's Mother, Sorrel, has made it her life's work to not let her daughter's death be for naught. She founded the Josie King Foundation with the mission "to prevent others from dying or being harmed by medical errors. by uniting healthcare providers and consumes, and funding innovative safety programs, we hope to create a culture of patient safety, together."

One example of an initiative stemming from the foundation is the "Condition H" call at University of Pittsburgh Medical Center. "H" stands for help. Described as a "family life line" this program allows patients and their families to signal a need for a rapid response team at their bedside to review the plan of care or any other issue that they feel has not been adequately addressed.

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