I like to think of myself as an internal champion for improving the quality and safety of medical care that we deliver at Jefferson. A central tenet of our work together at the bedside is that care can never be error free because we're working with people. Our goal should always be to make care harm free.
As a result of my dedication to this notion of harm free care, I would like to review some key milestones in my 30 years as a faculty member and connect the dots between my work and certain events. Here is the punch line upfront burnout among healthcare providers coupled with moral injury, structural racism, misogyny, and lack of transparency, are all known contributors to increasing the number of medical errors and harm to patients. In fact, in 2022, the top four leading causes of death in our great country were heart disease, cancer, COVID, and preventable medical mistakes (NIH, 2022).1
I cannot summarize three decades of work in the space allowed here but let me outline half a dozen milestones in chronological order that reflect the arc of the history of our field and my three decades on the campus.
Nash, MD, MBA, David B.
"A Provocateur for Improvement,"
Collaborative Healthcare: Interprofessional Practice, Education and Evaluation (JCIPE): Vol. 13:
1, Article 4.
Available at: https://jdc.jefferson.edu/jcipe/vol13/iss1/4