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Explore by Interest

Use Explore by Interest to delve more deeply into the content on IHI.org in multiple ways: by Topic, Care Setting, Role or Profession, or IHI Offering. Content is gathered from across the site to present a more comprehensive view of available resources:

  • Knowledge Center: Tools, change ideas, measures, audio and video, and other resources to help you make improvements in a specific area
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What Happened to Josie

In 2001, 18-month-old Josie King died of dehydration and a wrongly-administered narcotic at Johns Hopkins Hospital.  How did this happen?  Her mother, Sorrel King, tells the story and explains how Josie’s death spurred her to work on improving patient safety in hospitals everywhere. 
 
[This is an excerpt from a speech given at IHI’s National Forum in 2002. It is copyrighted material of the Josie King Foundation. IHI received special permission to use this excerpt in this format. For more information on this speech, please visit http://www.josieking.org/.]
 
Discussion Group Questions
 
  1. What factors contributed to Josie King’s death?
  2. Think about a time when you or a loved one felt worried about the quality of care being provided.   Did you feel empowered to express your concerns?  What did your provider do (or what could he/she have done) to make you feel more comfortable speaking up?
  3. In the case of Josie King, how could the hospital and its providers have given Sorrel King more power over how Josie was treated?
  4. If you plan to be a clinician, what are specific things you can do to make patients feel respected and included in decisions about their health care? 
 
What Happened to Josie
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  • Josie's Story
    Eighteen-month-old Josie King died from medical errors incurred at Johns Hopkins Hospital. Her mother, Sorrel King, later worked with hospitals to develop a way for patients and their families to summon a Rapid Response Team to the bedside within minutes.
  • Apologizing Effectively to Patients and Families
    When you make a mistake that affects a patient, what should you say? Should you apologize, or will that put you at greater risk of being sued? Lucian Leape, MD, Adjunct Professor of Health Policy at the Harvard School of Public Health, describes how to talk with patients and families after a mistake has occurred.
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