tag:blogger.com,1999:blog-32053362.post56470728198417061..comments2024-03-26T00:25:34.026-04:00Comments on Not Running a Hospital: Science is the topography of ignorancePaul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-32053362.post-42969014041781042612010-08-27T11:32:53.571-04:002010-08-27T11:32:53.571-04:00As a regular reader of this blog, I recall taking ...As a regular reader of this blog, I recall taking the IHI Open School courses and at first being startled, but then totally unsurprised, to see BIDMC's wrong site surgery dissected in detail as a case study.<br /><br />Granted, Paul quotes from other thought leaders, many of them physicians, in this post; but I wonder if anyone else in our profession shares my embarrassment - yes, embarrassment - that someone with zero background in medicine or health care can hold up such a mirror to us and shatter our complacency. To me, it not only calls into question our practices as individual physicians, but challenges physician CEO's of other hospitals as to why they have not had these insights or implemented their logical consequences. Particularly in the medical mecca of Boston.<br /><br />nonlocal MDAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-61255290907705688002010-08-27T08:28:25.850-04:002010-08-27T08:28:25.850-04:00We encourage transparency, we create data dens, da...We encourage transparency, we create data dens, data repositories, data warehouses, where anyone can review our practice. There is so much data to review and look at, how do you decide when enough data is enough data, and more importantly how do you translate that data into information so that the staff can truly understand. Could it be that if the staff understood the information and its importance, then they would truly feel like they could participate fuller, provide information, data, insights and not be made the example..Joe Hesshttps://www.blogger.com/profile/08203959969223250556noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-79517070345158348162010-08-26T22:37:21.169-04:002010-08-26T22:37:21.169-04:00Thank you for your insight!Thank you for your insight!Alexhttps://www.blogger.com/profile/08745825888293025742noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-72870602560138236032010-08-26T14:28:08.506-04:002010-08-26T14:28:08.506-04:00Paul, thank you for pointing out this critical dis...Paul, thank you for pointing out this critical distinction between the tools of science, and those of clinical medicine. Academic clinicians, especially, often ruffle at the suggestion that they are not - de facto - scientists. While they may be researchers in specific areas, care delivery is another enterprise altogether. I would underscore that the scientific approach demands not just individual exposure of error, but an institutional building of capacity to identify and respond to error. Clinicians need a system that directs and demands a cooperative aggregation of testable information, rather than an artisanal approach. Sherlock Holmes is a hero, but real improvement demands a Brent James and widespread participation in an epidemiology of care delivery.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-71691592349525968262010-08-26T14:11:30.539-04:002010-08-26T14:11:30.539-04:00As a struggling med student I do find inspiration ...As a struggling med student I do find inspiration in those words. Especially Jules Verne. The truth factor seems so elusive in the current setting.Joe from Madison Carpet Cleaninghttp://cleangreenwi.com/noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-84350905900501172422010-08-26T00:43:32.887-04:002010-08-26T00:43:32.887-04:00It takes a lot of courage to do what your hospital...It takes a lot of courage to do what your hospital did. <br />IrfanAnonymoushttps://www.blogger.com/profile/05949093500053138276noreply@blogger.com