To Err Is Human: Building A Safer Health System

On my birthday, my mother-in-law had just been wheeled out of surgery, only to be sent straight back into the ER. In a video newly posted by an intern, he was shown holding a scalpel and cutting my mother-in-law open, while the lead surgeon, who was my wife, was nowhere in sight. “Who says interns aren’t qualified to operate? No worries. My Dr. Lover dotes on me.” Colleagues flooded the comment section, saying the couple was sweet and that they were shipping them. I forwarded the video straight to the hospital director. Not long after, my wife called me. Her breath ragged and voice fragmented. “So I forgot your birthday. Is that reason enough for you to go to the director and accuse me of violating hospital rules? “I’m so done with your unreasonable behavior! Even if my mother sides with you this time, I’m still getting a divorce…” She hung up before I could respond. What she didn’t know was that her mother wouldn’t be taking my side anymore. Because the patient who went into massive postoperative hemorrhage and died during resuscitation, under the lead of an intern, was her mother.

The hospital's latest intern, Lindsey Clark, is very pretty, but she's a total idiot as well. When my mom came to the hospital for a prescription, she swapped the vitamin C for potassium supplements, which were known to be very poisonous if misused. Mom, who was fresh out of surgery, suffered from heavy bleeding right after taking the medication. She died on the same night. Before I could hold Lindsey responsible for Mom's death, the latter quickly piped up with teary eyes, "I'm so sorry, Dr. Monroe! I just thought that potassium supplements can help your mother heal faster…" Even Michael Jones, my husband, who was the hospital director, took her side. "Your mom only had her idiocy to blame! She died because she took the wrong medication! How dare you drag Lindsey into this!" I was so furious that my cardiac arrest was triggered on the spot. Soon, I was sent into the operating room. Lindsey said she wanted to redeem herself by taking on the post as Michael's assistant in the surgery. But her hands kept trembling even when she tried to thread the suture needle. In the end, she took off her mask and picked up the suture with her teeth. Just like that, she used her saliva to wet the suture end. One day later, I died in the ICU due to a case of severe infection. When my spirit was about to fade away, I heard Lindsey crying sadly. "If it wasn't for my idiocy, Dr. Monroe wouldn't have died!" Michael just patted her dotingly on the head in return. "Having medical risks in a surgical operation is completely normal. You're still young, so stop blaming yourself already." Mom and I were cremated instantly, seeing as Michael intended to cover up our deaths. When I open my eyes again, I've returned to the day Lindsey has just gotten recruited by the hospital.

The new intern in our department, Astrid Stokes, had a soft, harmless look people viewed as innocent. She also claimed she could see a countdown over people's heads, ticking down to their deaths. Most of us just laughed it off and told her she had been reading way too many web novels. When an elderly man was rushed into the ER, she told the department head, Melanie Brooks, not to bother. She said the man wouldn't make it through the day. Melanie ignored her and pushed ahead with everything we had. The old man still died. The attending doctor even got slashed by the patient's family during the fallout. After that, people started to waver. During a team outing, Astrid suddenly screamed and told us not to get on a specific bus. She said if we did, we would all die. With no other choice, we switched vehicles. By the time we reached our destination, news came in. The bus we were supposed to take had lost its brakes and gone off a bridge. After that, almost everyone believed her. Everyone except me. The next day, she pointed straight at me. "Ruth shouldn't be a doctor anymore. If she stays, she'll get caught up in a medical dispute, and the whole department will end up dead or injured." Just like that, Melanie reassigned me. I went from doctor to janitor, handling medical waste. One day, I got scratched by a contaminated needle. Yet, no one would treat me. "Astrid already said it. This is her destiny. Anyone who gets involved will die, too." My body rotted from infection, sores breaking open across my skin. I died alone on the street, full of fury. When I opened my eyes again, I was back to the day Astrid first claimed she could see those death countdowns.

The first thing I did after being reborn was add penicillin, a drug the patient was severely allergic to, into his pre-surgery medication administration record. The hospital leadership exploded. “Have you lost your mind?” “Are you trying to kill the patient?” I smiled as I accepted the suspension notice they handed me. In my previous life, I had been the lead cardiac surgeon for this operation. Back then, I refused a request from my wife, Shannon Wright, whose childhood friend, Jonah Hill, wanted to use my patient as ‘practice’ during the surgery. Right there in, Shannon threw a tantrum and demanded a divorce. In the chaos, she ripped out the patient’s blood transfusion line and even knocked over the blood bags, causing the wealthy patient to die on the table. However, they pinned the entire medical malpractice scandal on me. With the security footage wiped clean, I was sentenced to death in the end. My parents sold everything they owned and gathered eight million dollars. They gave the money to Shannon, begging her to hire a lawyer and help overturn my case. Instead, she told them that she and Jonah had been having an affair. From the very beginning, I had only been their scapegoat. The shock shattered my parents. While driving home in a daze, they lost control of the car and plunged off an overpass bridge. Both of them died on the spot. Now, when I opened my eyes again, I had returned to the very day of that wealthy patient’s surgery.

The first time I met him, he was lying in the recovery room after surgery, looking weak and lifeless. But strangely, my heart skipped in a way I hadn't felt in three years. I tried to act professional, but every time I stood beside him to check his vital signs or give his medications, my heart reacted in ways I couldn't explain. I couldn't even look him in the face without feeling shy. One small moment led to another until I finally gathered the courage to ask him for his number. But as his recovery improved and his discharge day approached, I couldn't stop asking myself one question: Would our story end at the hospital, or was this just the beginning?

The new intern in the unit had to be chronically incompetent. He handled my mother's post-surgery medication and somehow mixed up the drug. He gave her a potent blood thinner. That night, she died from a hemorrhage after her operation. Before I could even accuse him, the intern had his puppy-dog eyes ready. "I'm sorry, Dr. Benford, but I thought that was the drug you wanted me to mix. Who was I to question my superior's order?" Then the hospital director, who was also my wife, chimed in, "Your mom is the idiot for taking her meds without checking. She brought this on herself." I was so enraged that I had a heart attack, which meant I had to undergo surgery in the same hospital. The intern insisted on redeeming himself and assisted Victoria during the operation. He could not even thread a needle because his hands kept trembling. In the middle of the procedure, this medical fraud removed his mask and wet the end of the surgical thread to force it through. I died in the ICU the next day. The cause was a bacterial infection. As I neared death, I heard the intern whine through tears, "How could I be so careless? If I weren't so clumsy, Dr. Benford would have lived." Victoria gently ruffled his hair. "Don't take it to heart, pumpkin. Everyone knows how risky medical procedures can be. You're just starting out, so don't be so hard on yourself." Because of my wife's efforts, both my mother and I were cremated without any investigation or disciplinary action. You would think that was the end. It wasn't. The next time I opened my eyes, I was back on the day Hugo Spencer first joined our hospital as an intern.