This is a great response and fast too, related to the story from Paul Levy at Beth Israel Medical Center. With as busy as everyone is today with distractions on every corner, in every room, everywhere, reminders and a process with software to me are a warm welcome, as even though I used to write this stuff, my brain gets tired, I get distracted, so having software to help me along is indeed welcome and in this situation, it will help with the work flow and time out process. When you stop and think about it, does software need to tell us to “time out”, well, yes, sometimes it does because we all rush and have those distractions so if I rely on another human, who knows what’s distracting him/her at my moment of need for a reminder.
There was another good article written by a personal injury blog, talking about this incident and horrible tragedy at Kings County. The blogger wrote:
“If more hospitals and doctors acknowledged mistakes and sought to learn from them -- as Beth Israel Deaconess is doing -- it would probably go a long way to putting medical malpractice attorneys out of business.”
This is just good work all the way around to recover and take action as a team to prevent a reoccurrence and shows concerted effort from everyone all the way around to create solutions for the clinicians and the entire OR staff. The healing process of course still has to take place with time as it can’t be undone, but perhaps others can learn from the experience, since as with everything else, good and bad, the hospital continues to honor their commitment to transparency to allow this to occur and progress.
“IS and the clinical departments of BIDMC have a very strong collaborative relationship. Working together, we first enhance processes, then automate them, since even the best technology is generally not the solution to workflow and communications problems. Here's the application enhancement we're making as part of a process change in the Operating Room to prevent future patient harm.”
" We will add a "Time Out" button to the electronic OR journal screen containing the case times. When this button is clicked we will pop up a window with the "time out" fields. The nurse will fill in the time out information and enter her/his password. We will not allow the nurse to enter an incision time for the case unless the "time out" has been completed, with one exception - we will provide a check box on the time out screen to indicate the time out could not be completed prior to incision due to a life-threatening situation.”
0 comments :
Post a Comment