ZERO Preventable Deaths are Possible!

Letter from the Chairman, April 2019

Dear Readers,

With the recent airplane crashes that killed over 500 people, every country grounded the Boeing Max airplanes.  We lose more than 500 people per day due to medical errors in the US alone. Why are we not stopping everything we are doing and implementing all of the proven patient safety processes in our hospitals and saving 4,800,000 people a year? This month’s spotlight is about Hospital Español de México. They are the fourth hospital in the world and the first hospital outside of the United States that has implemented all 18 of our patent safety processes called Actionable Patient Safety Solutions (APSS) to become a Patient Safety Movement 5-Star Hospital. We talked to Dr. Luis Ramon Torres Torija Arguelles – a new Regional Network Chair in Mexico that is partnering with existing chair Dr. Javier Davila. He shared the importance of creating a culture of safety as the thread that ties all of the other APSS together. I am so impressed with the commitment and passion of their team.

We also feature a blog article written by Dr. Margrit Shoemaker, Assistant Chair of Internal Medicine, Geisinger Commonwealth School of Medicine; co-Chair, Geisinger Patient Safety Workgroup. Dr. Shoemaker and the Curriculum team have been working on our Patient Safety Curriculum for over 18 months. She talks about the deadly gap between what we have learned from patient safety science and its effective application to clinical care. She introduces the Patient Safety Curriculum as the key to change and I agree with her wholeheartedly. It’s critical that we introduce the topic and proven processes of patient safety early and continuously in the education process.

The clock is ticking and 2020 will be here before you know it. We all agree that even one preventable death is one too many, but we can’t keep doing the same things and expecting different results. We also can’t listen to the naysayers that think ZERO is not possible. We didn’t know that anyone could break the four-minute mile, but Britain’s Sir Roger Bannister did it in 1954 and just 46 days later Australian, John Landy accomplished it. Today, the record is 3.43 minute mile by Morocco’s Hicham El Guerrouj. Parish Medical was the first to implement all of the APSS, University of California Irvine, Children Hospital of Orange County and Hospital Español de México broke this record soon after.  Please be the person that starts the process at your hospital to implement all of our APSS. Let’s show the world ZERO preventable deaths in our hospitals are possible.

Spring is the season of new beginnings. If you and your hospital didn’t make it in time to incorporate all the Actionable Patient Safety Solutions (APSS) in January, there is no better month to start than April. We just announced our partnership with The International Society for Quality in Health Care in Dublin, Ireland. We hope to see more partnerships, more commitments and more pledges from around the world.  It’s time to stop everything we are all doing and implement all of the APSS and save 4 orders of magnitude more lives than what the airline industry has done by stopping all flights with Max planes.

We want to hear your success stories and challenges – please email our team [email protected]. If you haven’t done so already, please take a moment and reserve your spot for our Midyear Planning Meeting on September 17, 2019 held at the Beckman Center of the National Academies of Sciences & Engineering, Irvine, California.

Joe Kiani
Founder and Chairman
Patient Safety Movement Foundation