tag:blogger.com,1999:blog-32053362.post271939296586965059..comments2024-03-26T00:25:34.026-04:00Comments on Not Running a Hospital: Where things stand . . . and what comes next.Paul Levyhttp://www.blogger.com/profile/17065446378970179507noreply@blogger.comBlogger5125tag:blogger.com,1999:blog-32053362.post-32626151209741627682013-03-18T16:45:25.966-04:002013-03-18T16:45:25.966-04:00A quick reflection re: the need to include EVERYbo...A quick reflection re: the need to include EVERYbody in changing the entire environment of care delivery. I once cared for a retired Navy Admiral, who became confused at home. I took their call and scurried to the hospital to meet them. He was a fairly fit man of 60 or so with prostate cancer. When I got to the E.R., I learned he was already on the ward. I rode and ran to his side, only to find that he'd been handcuffed to his bed! Two security personnel had pinned him down and cuffed him, lest he fall or hurt an 85 lb nurse. His serum Calcium was 13.8 mEq/l. <br /><br />It took me weeks to convince the family not to sue.Peternoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-83982930558475940752013-03-18T15:22:19.292-04:002013-03-18T15:22:19.292-04:00Clinical staff can lead and set example. If we do ...Clinical staff can lead and set example. If we do not pay attention and honor the remarks of all the non-clinical staff, we are ignoring information which will make our care better and our patients safer. T.A.Ferraranoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-78707496105548644542013-03-18T15:13:10.428-04:002013-03-18T15:13:10.428-04:00From Facebook:
Paul, I very much like your point....From Facebook:<br /><br />Paul, I very much like your point. I would argue that clinicians have a hard time accepting the fact that other members of the hospital staff can/must play a role in process improvement. As I read the summary from the artcle, it seems clear to me that the authors are blind to this point. This mindset of clinicians that is taught to medical students and I have seen in most all of the clinicians I worked with during my career, is the largest impediment to process improvement in US hospitals.Bill Reenstranoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-85403253208090642902013-03-18T14:11:26.479-04:002013-03-18T14:11:26.479-04:00Well put. In my experience the ancillary staff we...Well put. In my experience the ancillary staff were sometimes more helpful with providing valuable information about the patient because they didn't only look at the clinical issues as the caregiving staff did. They saw and recognized very imporant behavioral, psychological and social issues in the treatment experience of a patient. This was because they looked at the "whole" patient, not just the "clinical" patient. This is one of the most important aspects of patient care that we too often dismiss...The observations of all staff levels in the delivery of care is just as important as those of the caregivers. Thank you for mentioning this important factor.Kaimernoreply@blogger.comtag:blogger.com,1999:blog-32053362.post-13335613496506111672013-03-17T23:49:39.267-04:002013-03-17T23:49:39.267-04:00From Facebook:
As a pathologist, I never forgot y...From Facebook:<br /><br />As a pathologist, I never forgot your story of the transporter who stimulated a redesign of specimen transport to pathology in your shop, Paul. In addition, I recently read that it was housekeepers at one hospital who had the best ideas for room cleanliness and hand hygiene, and wound up teaching the clinicians.Beverly H Rogersnoreply@blogger.com