tag:blogger.com,1999:blog-32053362.post7610957483173306663..comments2024-03-18T06:27:51.599-04:00Comments on Not Running a Hospital: Infectious behaviorPaul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger3125tag:blogger.com,1999:blog-32053362.post-19289503858684572952007-01-12T21:11:00.000-05:002007-01-12T21:11:00.000-05:00This is right on:
The idea is to use data to bring...This is right on:<br /><i>The idea is to use data to bring about constructive change and improvement. While some hospital-related infections, injuries, and death are the result of a doctor's mistake, many are the result of systemic problems that take analysis, understanding, and thoughtful problem-solving to fix.</i><br /><br />We see examples in the press and on TV of the emphasis on blaming someone all the time instead of figuring out how to change the system to avoid such problems the next time. Good product producing companies use data about their failures in the fashion to improve their quality.Anonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-7084413916409078622007-01-12T12:40:00.000-05:002007-01-12T12:40:00.000-05:00I also agree that these stats need to be posted fo...I also agree that these stats need to be posted for the public. But your point about it becoming a blame game is true. I'm not sure if the public on a whole is going to be able to refrain from, "Oh, I went to that hospital with the high infection rates/patient injuries/etc and they were awful! Listen to what they did to me..." Which of course some of these individual stories will be in the media. This will lead to a negative spirally effect. It could potentially be the downfall of some hospitals that are trying to put forth strong efforts in improvement. <br /><br />Many nosocomial infections result from a lack of RN care hours per pt. The nurse in me hopes this avenue will be looked at and hospitals will increase their RN staffing.Labor Nurse, CNMhttps://www.blogger.com/profile/15238921141380296441noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-3781792755478583162007-01-12T08:46:00.000-05:002007-01-12T08:46:00.000-05:00Mr. Levy,
Your comments are right on the money. M...Mr. Levy,<br />Your comments are right on the money. Mandatory reporting of infection rates is a partnership among healthcare providers, consumers and politicians.<br />Too many times we try to boil-down issues to 'good/bad, black/white' outcome. As someone involved in infection prevention I see the issue as multifaceted. Reducing infections eventually involves finding the source. Such detective work requires participation of many disciplines within a hospital including epidemiologists, administrators, IC professionals, facility engineers and front line care providers.<br />I've discussed mandatory reporting with clients and others in NY, PA, OH and Massachusetts. The common thread I see is that the early adopters, such as your hospital, are doing well. Those that embrace reporting and participate in shaping the conversation improve their care. Your leadership in this issue will come with risk, but reaps rewards in the long run.<br />Finally, I hope that the politicians and lobbyists look at the lessons learned in PA. They've refined their system and have a high percentage of reporting participation. Perhaps this could lead to a better, fairer system.<br />Joel A. DombrowskiNiagara Guide Guyhttps://www.blogger.com/profile/13646712488751631155noreply@blogger.com