Good article and nice transparency from Paul Levy in updating the blog on what has been done to better update the current system at Beth Israel Hospital in Boston and everyone got involved, more so than the “traditional approach’ he quoted below, and yes we have all seen that one in action. The same week another hospital in Massachusetts had a similar event, and there was one story in the news and that seems to be the last heard, unlike what is being done here and perhaps the other hospital took the traditional approach. The secret shoppers added to occasionally take a look and report back is not a bad idea either.
This is good reading for anyone on how a process can be improved when everyone gets involved for a solution and works as a team and things others can benefit from reading about. As a potential patient I certainly would appreciate the efforts by all means. BD
The document above is the check list that went into use today for all surgical procedures in our hospital. Not shown above is a corresponding computer screen version of the checklist that will be filled out in real time by the circulating nurse as the time out proceeds.
This material was presented today in interdisciplinary grand rounds attended by about 300 people -- doctors, nurses, surgical techs. The response was enthusiastic, as everyone realized the vast improvement this would make in patient safety. And yet, even at this last moment, there were suggestions from the floor that made the process even better.
I suggested that this kind of effort and the responsiveness seen by our staff would not have happened if they had adopted the traditional approach to a "never" event -- i.e., a quiet discussion among the leadership with a directive to avoid the problem.
Running a hospital: Transparency works! Better than you can imagine.
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