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How to Fix the Health-Care ‘Wedge’
Message
De
12/08/2009 16:48:34
John Ryan
Captain-Cooker Appreciation Society
Taumata Whakatangi ..., Nouvelle Zélande
 
 
À
12/08/2009 16:40:15
Information générale
Forum:
Politics
Catégorie:
Autre
Divers
Thread ID:
01416389
Message ID:
01417704
Vues:
37
I never cut off the wrong leg (thankfully!) but I know somebody who replaced the wrong hip. It was a system failure- he raced into the OR and the patient was positioned under drapes and ready to go, but on the wrong side. Boy did he beat himself up and the patient ended up getting both hips done for free. I'm sure this particular surgeon would agree with me that if this happens then "somebody" was negligent. The correct response is a system where "everybody knows" the surgeon will not lift the scalpel unless his/her arrow is visible. That way there is no risk of (for example) offending the scrub nurse by suggesting she has screwed up and got the wrong side, it's just the "system."

As for huge numbers of patients killed: my approach to sensational announcements in healthcare is to ask "why would they say that." If it comes from an organization that is trying to promote a new quality/investigations/whatever system or standard, with a prominent role for themselves of course, then I'd take it with as grain of salt. ;-)
"... They ne'er cared for us
yet: suffer us to famish, and their store-houses
crammed with grain; make edicts for usury, to
support usurers; repeal daily any wholesome act
established against the rich, and provide more
piercing statutes daily, to chain up and restrain
the poor. If the wars eat us not up, they will; and
there's all the love they bear us.
"
-- Shakespeare: Coriolanus, Act 1, scene 1
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