We’ve heard it a thousand times before — how to improve government efficiency, streamline processes and manage costs. In fact, in Washington, D.C. — a city best known for its partisan battles of epic proportions — improving how government operates seems to be a rare moment of agreement, rather than disagreement. But what’s not really discussed is the downstream affect and impact of such inefficiencies, and the consequences in some cases can be fatal.

One of the most important issues in healthcare is patient safety. However, last year, the D.C. Superior Court found a former Washington nurse guilty of sexually assaulting three patients in the emergency room of three hospitals between 2013 and 2014. It was also previously reported by the Washington Post that the nurse continued to work in Washington and Maryland despite these allegations of sexual abuse.