View From Above

Some finally thoughts from South Africa.  The moving painting to a higher house from Kruger National Park is simply to larn your attention!

Here's the to a greater extent than serious photograph from the Best Care Always character summit finally week.  Thabiso Bale (right), before long to earn his masters score inward nursing, was chosen to acquaint a poster during the conference.  You encounter him hither with Gary Kantor, BCA co-founder in addition to Discovery Health advisor, going over his findings.

The findings were troubling in addition to an indication of the kinds of issues facing hospitals worldwide equally they essay to infuse medical handling with a higher flat of character in addition to safety.  Thabiso's preliminary topic was to evaluate nurses' agreement of the VAP packet (designed to cut back the incidence of ventilator associated pneumonia for patients inward ICUs.)  Not surprisingly, in that place were differences alongside the nurses that correlated to their years of experience.  The hope, though, would live on that the VAP protocol would live on uniformly understood in addition to applied regardless of tenure.

More seriously, Thabiso documented that the charge per unit of measurement of pneumonia did non correlate to the reported adherence to the VAP packet inward the ICUs.  In other words, the staff's documentation that they had carried out the packet was inaccurate.

In my view, this form of effect is indicative of non exclusively incomplete agreement but also incomplete buy-in past times the clinical staff.  Ultimately this is derivative of a lack of leadership from "on high" inward the organization.  Such a phenonemon does non exclusively hap inward Africa.  I convey seen examples throughout the world, including the US.

In a comment to the post service below, my regular correspondent "nonlocal MD" noted the miserable security tape of to a greater extent than or less hospitals inward Texas:

Interesting concept, in addition to I am non at all surprised virtually Texas. It i time again raises the inquiry that yous in addition to I debate, Paul - volition hospitals produce the correct affair of their ain accord or is it necessary to need accountability from an exterior source? And when yous response with the give-and-take 'leadership', I inquire then, how volition nosotros uncovering those leaders? They seem to live on inward curt supply. 

One response has been given past times my colleague Dave Mayer, caput of character in addition to security at Medstar Health, who jokingly responds: "documented past times Michael Millenson volition continue.

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