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My spouse is an RN on a surgery floor. She routinely comes home with frustration about one or two docs in particular who's patients have many more complications than their partners. Sometimes patients would seem too old or sick for surgery and shouldn't have gone in the first place - others just appear to have been screwed up on.

However, unfortunately(?) these docs also have fantastic bedside manner -- and even patients with terrible complications (and even death soon after) leave feeling happy and convinced that their issues are normal, that the doc didn't do anything wrong.

My spouse and her coworkers all agree on this - and talk about how they would never let these docs cut on them - ever.

At the same time, my spouse feels powerless to advocate for change. She can't just tell patients that she thinks they can't walk because the doc is reckless -- and that she sees this every week. Docs are prized commodities in the hospital, she fears for her job if she spoke up too loudly or too the wrong person.

It would seem medical professionals like RNs would be great resources for this kind of safety information - because of what they see on the floor. But isn't that information going to waste without safe ways for them to report and share it?