tag:blogger.com,1999:blog-32053362.post7801729810975764961..comments2024-03-26T00:25:34.026-04:00Comments on Not Running a Hospital: Person or system problem, or both?Paul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-32053362.post-41951940585553280872011-05-31T13:49:25.065-04:002011-05-31T13:49:25.065-04:00Jon, my problem was that they suspended operations...Jon, my problem was that they suspended operations simultaneously (I suppose) with firing the 'culprits'. The true systems evaluation would have been, suspend operations, investigate the issue quickly but thoroughly, determine using 'just culture' principles whether there was a willful violation of policy, and only finally, if merited, fire people. Instead, this smacks of jumping to conclusions and suspending operations merely for show.<br />But we won't know, will we, since they are not being transparent about it? Doesn't that leave a question in your mind if your loved one needed a transplant?<br /><br />nonlocal MDAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-5763140164604019982011-05-31T12:09:07.755-04:002011-05-31T12:09:07.755-04:00Isn't this exactly what we were all saying nee...Isn't this exactly what we were all saying needed to happen, a la Blue Angels? This article was pretty vague, I'll have to dig around more for real info, but this seems to be the right step, identify a problem, suspend operations until the problem is resolved.jonmcrawfordhttp://www.linkedin.com/in/jonmcrawfordnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-45006386300683080022011-05-29T14:26:22.007-04:002011-05-29T14:26:22.007-04:00Mistakes are almost always a systems problem. A sy...Mistakes are almost always a systems problem. A system of written checks, and double-checks, probably would have avoided this very unfortunate error.Michael Guzzohttps://www.blogger.com/profile/11254136338110431422noreply@blogger.comtag:blogger.com,1999:blog-32053362.post-11846942620183738412011-05-27T13:33:55.465-04:002011-05-27T13:33:55.465-04:00By reputation at least, the UPMC transplant progra...By reputation at least, the UPMC transplant program is one of the older and presumably more knowledgable ones. However, this situation produces an interesting dilemma for them in terms of public relations. If somehow the surgeon and nurse willfully violated protocol, such as by deciding to proceed before proper testing was done, for instance, then they deserved to be disciplined - but who wants it to be known there are rogue players in your transplant program, and why suspend your program if it's a clear-cut case of violation? If, otoh, there was no willful violation but some error, then why discipline selected participants while you are suspending your program to review protocols?<br /><br />I am probably oversimplifying the case a bit here, but it's clear that transparency is the best policy in all cases, to prevent just this sort of speculation and mistrust.<br /><br />nonlocal MDAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-36839903348009050252011-05-27T13:17:05.044-04:002011-05-27T13:17:05.044-04:00From Facebook:
The action to remedy the situation...From Facebook:<br /><br />The action to remedy the situation was a bit severe, or to save face they did that knowing their DPH would be heavily investigating the situation.<br /><br />I could be wrong, too.Juliananoreply@blogger.com