These Things Happen:How Harm Occurs in Hospitals and
What We Can Do About It
Paul F. LevyFormer President and CEO
Beth Israel Deaconess Medical Center
Children’s Mercy Hospital Grand RoundsKansas City – January 24, 2013
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The paradox
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Mrs. Marcus had the answer
Cite: Ethel Merman responding to Milton Berle in It’s a Mad, Mad, Mad, Mad World.
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Lessons from girls soccer
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“You haven’t taught until they have learned”
Swen Nater, via John Wooden
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I just hadn’t reached a conclusion!
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Board’s on Board
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Transparency of harm by category
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“I am a great defender”
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You can’t hide, and you don’t want to
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The payoff
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Saving Lives in the ICUs
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National Recognition
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Let superstars shine, and create them!
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Secret weapon 1: Front-Line Staff
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Secret weapon 2: Patients and Families
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Saving/Making $ in the ICUs
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The virtuous cycle
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