Carole Hemmelgarn

How often do these kinds of deaths happen? Researchers have a hard time answering that question. In 1999, the Institute of Medicine, known today as the National Academy of Medicine, found that medical error causes between 44,000 and 98,000 deaths per year. A 2013 study in the Journal of Patient Safety estimated the number of preventable deaths at U.S. hospitals at 200,000 a year.

But in 2020, a meta-analysis done by researchers at the Yale School of Medicine re-evaluated those past estimates. They put the number at 22,000 a year. Still, even 22,000 preventable deaths a year is way too many. This issue has gotten a lot of attention within the medical community, but Carol Hemmelgarn says the attention hasn't produced enough change.

But in 2020, a meta-analysis done by researchers at the Yale School of Medicine re-evaluated those past estimates. They put the number at 22,000 a year. Still, even 22,000 preventable deaths a year is way too many. This issue has gotten a lot of attention within the medical community, but Carol Hemmelgarn says the attention hasn't produced enough change.

But in 2020, a meta-analysis done by researchers at the Yale School of Medicine re-evaluated those past estimates. They put the number at 22,000 a year. Still, even 22,000 preventable deaths a year is way too many. This issue has gotten a lot of attention within the medical community, but Carol Hemmelgarn says the attention hasn't produced enough change.

Some organizations felt like they had already achieved the patient safety mission. Others, it wasn't even part of their strategic plan. There's areas where improvement has definitely escalated since the report came out over 20 years ago, but it hasn't been fast enough. What we see is that not everything is implemented in the system, that you can oftentimes have champions that are doing this work.

Some organizations felt like they had already achieved the patient safety mission. Others, it wasn't even part of their strategic plan. There's areas where improvement has definitely escalated since the report came out over 20 years ago, but it hasn't been fast enough. What we see is that not everything is implemented in the system, that you can oftentimes have champions that are doing this work.

Some organizations felt like they had already achieved the patient safety mission. Others, it wasn't even part of their strategic plan. There's areas where improvement has definitely escalated since the report came out over 20 years ago, but it hasn't been fast enough. What we see is that not everything is implemented in the system, that you can oftentimes have champions that are doing this work.

And if they leave, the work isn't embedded and sustainable.

And if they leave, the work isn't embedded and sustainable.

And if they leave, the work isn't embedded and sustainable.

Amy Edmondson at Harvard has been doing research on medical failure for a long time, but she didn't set out to be a failure researcher.

Amy Edmondson at Harvard has been doing research on medical failure for a long time, but she didn't set out to be a failure researcher.

Amy Edmondson at Harvard has been doing research on medical failure for a long time, but she didn't set out to be a failure researcher.

Tell me about the first phase of your professional life, including with Buckminster Fuller.

Tell me about the first phase of your professional life, including with Buckminster Fuller.

Tell me about the first phase of your professional life, including with Buckminster Fuller.

And what was his view on failure generally?

And what was his view on failure generally?

And what was his view on failure generally?

Okay. And what are the steps you take to turn that failure into a useful thing? Learning, I guess, is the noun we use these days.