Better (2007), by Atul Gawande begins with the story of Dr.Gawande as a surgeon in his final year in medical school. The first struck me because of the patient’s story. It was an elderly patient who nearly died from septic shock had it not been for a senior resident who checked on the patient twice each time making a life altering intervention to prevent the patient with pneumonia from going septic shock from resistant, fulminant pneumonia.

Dr.Gawande discusses the importance of handwashing. In my own practice, this is something that I can incorporate in my own practice. Another point Gawande made was that nurses who often did not tell physicians in the past who hadn’t washed their hands began to speak up once they heard other nurses doing