IHI Forum Reflections: 10 'Aha' Moments

Cheryl Clark, for HealthLeaders Media , December 9, 2010

10. Frederick Ryckman, MD, senior vice president of medical operations and professor of surgery at 523-bed Cincinnati Children's Hospital.

"One of the themes here was the near misses and precursor events, and to have a new appreciation of all this work being done to recognize those on multiple fronts.  The old idea that there is a threshold (of mistakes and mishaps that happen in healthcare), and you can't get below that, is being dissolved."

There were more 'aha' moments expressed by others. But I'll write about those another time.

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1 comments on "IHI Forum Reflections: 10 'Aha' Moments"

Cathy Jaynes, RN, PhD (12/20/2010 at 12:27 PM)
Loved the "aha" moment that describes the need to share personal stories with members of the hospital board. Have been working for the last couple of years on a project to collect stories in a digital format to teach quality and safety to my students as well as my colleagues in the air medical transport industry. Starting a bank of them and also using the stories at the Patient Voices website in the UK. They are powerful!




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