Archive for the ‘culture’ Category

A leading cause of death in the US…

In Checklists, culture, Force function on February 9, 2012 at 7:28 am

from Kaiser HEalth news

“In 2010, the federal government estimated that faulty medical care contributed to the death of about 15,000 Medicare patients per month. By these meas­ures, faulty hospital care is one of the leading causes of death, behind heart disease and cancer.

Why haven’t hospitals made more progress on patient safety? The reasons are multiple and complex, but they boil down to the fact that hospitals are hierarchical organizations resistant to change, they haven’t done enough to create environments in which patient safety is a priority, and they’ve been reluctant to share patient-safety data with the public.

Even getting full compliance on basic safety standards, such as washing hands, has proved elusive because hospitals are busy, high-stress places full of distractions.

“We are humans and are destined to make mistakes,” says Nancy Foster, vice president of quality and patient-safety policy at the 5,000-member American Hospital Association. “The question in health care is: Can we design processes and have them in place so when an individual makes a natural mistake, that mistake doesn’t result in harm to patients?”

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Culture Pathogens

In culture, safety on December 23, 2011 at 9:23 am

It is ironic that in healthcare cultures refer to the test that helps us identify pathogens that allow us to save lives and also to the environment in which we practice which can also help us save lives.

In a previous post, I presented the link to AHRQs latest Hospital SOPS (Survey of Patient Safety culture). Of particular concern were the safety culture perceptions of nurses in the northeast USA.
This latest article involves nurses in the Northeast UK.
“MORE than one in four nurses in the North-east have been discouraged from raising concerns about patient safety, according to a survey.
Nurses from across the North-east and Cumbria voiced their fears about reporting concerns over the quality of patient care as some of the 3,000 members of the Royal College of Nursing (RCN) nationwide who were surveyed. The research, involving private healthcare and NHS workers, highlighted a worrying number who said they had been told by their managers not to report their concerns. A significant number also said that when they reported their concerns over patient safety and quality of care issues, no action was taken by management.
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How powerful is hospital culture? So powerful it overrides racial and national culture as nurses in the UK and the USA are having the same perceptions around the existing culture of safety.

Human Error? Nice try Rolling Hills…

In Behavior change, culture, human error on December 23, 2011 at 9:08 am

Article by J. St Amand: Rolling Hills Hospital in Franklin, Tenn., recently refused a lesbian woman the right to visit her partner, reported the Tennessean in a Dec. 21 article. Franklin is located about 20 miles south of downtown Nashville.

The psychiatric hospital went against new federal anti-discrimination laws when Val Burke was not allowed to visit her partner who was in facility’s residential unit. The U.S. Department of Health and Human Services created the rules, which include equal visitation and representation rights, in September.

It was human error,” said Richard Bangert, chief executive officer of Rolling Hills. “They made a mistake. When I learned of it, I immediately met with my staff on Monday. We immediately made the change in terms of making sure that our policy was very clear.”

Bangert plans to apologize to Burke

While it is nice to see the hospital endeavoring to comply with Federal regulations, this was not a case of HUMAN ERROR. Does labeling this as human error contribute to our understanding of it? This is another incident of blame and train. “we met with the staff and made sure our policy was clear.” Is the spirit of the policy “DON’T discriminate against federally protected groups?” Read the rest of this entry »

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