tag:blogger.com,1999:blog-32053362.post6160312226313718191..comments2024-03-26T00:25:34.026-04:00Comments on Not Running a Hospital: Amateur hourPaul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger6125tag:blogger.com,1999:blog-32053362.post-16033270080918579302009-10-30T13:10:58.066-04:002009-10-30T13:10:58.066-04:00Being a former Back Office Medical Assistant I kno...Being a former Back Office Medical Assistant I know all to well about what should and should not be done. In school we were taught the importance of hygiene. It seems some or most when they left the school did not practice what they learned. I'm not even close to being a Doctor or R.N. but it's not rocket science to have good hygiene in a medical surrounding, professionalism and a sterile environment are key to returning patients. Thanks for this post I hope it makes people in the medical world aware if the importance of flawless hygiene.OFFTHETOPOFhttps://www.blogger.com/profile/02079369845784045451noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-69863373496083161342009-10-29T01:00:23.169-04:002009-10-29T01:00:23.169-04:00Again, very interesting stuff. On one level, this ...Again, very interesting stuff. On one level, this stuff is SO simple, on another SO hard to change. One problem with giving the phebotomist a cart, for example, is that it spreads infection room to room, especially if rooms are on precautions (MRSA, VRE, etc). <br />Consider training tertiary (and contracted) staff, including, for example, EMTs from ambulance companies picking up patients. Think about everything they are involved in while picking up or dropping off a patient.emt.dannoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-3790358903914949302009-10-28T13:13:34.502-04:002009-10-28T13:13:34.502-04:00Loved this post. I have frequently been frustrate...Loved this post. I have frequently been frustrated by the lack of work space for professionals in the patient room. When I round, I take charts with me in to the roooms, or park the COW (Computer on wheels) outside of the room. Frequently there is no place for the charts. I don't like to use the bedside tray as it is frequently dirty. Love the idea of the fold down tray! Great post!PookieMDhttp://physicianpracticeseminars.comnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-86292694496565120712009-10-26T13:42:31.742-04:002009-10-26T13:42:31.742-04:00Anon 10:26;
See the link below for a prominent qua...Anon 10:26;<br />See the link below for a prominent quality-oriented physician's take on this issue for docs:<br /><br />http://community.the-hospitalist.org/blogs/wachters_world/archive/2009/09/30/physician-accountability-for-violation-of-safety-rules-no-more-excuses.aspx<br /><br />If this long link doesn't work, do a blog search for "Wachter's World" and scroll down about 5 posts. He also has a follow up post on this issue about patients speaking up when they don't see their caregivers wash their hands.<br /><br /><br />nonlocal M.D.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-1319696300621404492009-10-26T10:26:23.198-04:002009-10-26T10:26:23.198-04:00How are hand hygiene best practices taught to phys...How are hand hygiene best practices taught to physicians? I would expect the same high variance in behavior, without the oversight that nurses experience.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-4012233322923298242009-10-26T09:05:38.284-04:002009-10-26T09:05:38.284-04:00Interesting stuff, thanks for reporting that publi...Interesting stuff, thanks for reporting that publicly. What you're reporting here is pretty common stuff, not uniquely BIDMC (lack of standardized processes, workspace not designed to support the work being done).<br /><br />I think another challenge is how to get "inside eyes" also looking at their workspaces and processes this way. While outside eyes can be very effective in terms of seeing things a new way, I would be a bit concerned about the outside eyes making too many recommendations without getting the inside staff involved. Maybe deeper root cause understanding is needed before leaping to recommendations?<br /><br />I'd be curious to hear what the follow up is on those observations.Mark Grabanhttps://www.blogger.com/profile/07953086531083611251noreply@blogger.com