Right way or Highway

Health care at the cross roads

FAIZ FAZILI

To identify opportunities for improvement and identification of risks  is important but early identification is our goal, as early intervention can be considered before actually they  inflicts harm. All care providers  in the Health care organization facility management services included has to serve as a responsible safety advocates. It doesn’t reduce the personal accountability and discipline rather it emphasizes the learning from the errors and near misses to reduce errors in future. The greatest errors is not to report a mistake timely and keeping it obscured not only allows harms to happen but also thereby prevent future learning. No matter what obstacles a healthcare organization faces - from disasters to competitive and economic pressures - having rigorous operational processes in place can help leaders maintain stability, improve performance, and achieve strategic objectives of continuous improvement in Healthcare so  always  welcome  a change for better. Establishing and aligning culture of team work, motivation or filling gaps in safety and accountability  is a  “notion” of shared values (what is important) and behavioral norms (the way things are done ) is the best defense against  potential harm in health care.
GB pant hospital tragedy was a perfect storm and perfect compulsive school for introspection and future learning. In quality language it is termed as FMEA - “Failure mode deserving a through effective analysis. There are two sides to managing any crisis---: preparation and response. Organizations that anticipate the possibility of disaster and plan ahead will be far better equipped to manage potentially catastrophic situations or avoid them altogether. To improve a process, the most common is to remove the obstacles that keep it from working as well as it should in its current form. Doing it differently is more dramatic but often more costly and almost always more difficult to implement because it requires more changes and there is a natural human tendency to resist. To figure out how to do it differently. The other way is - How I perceived  the  change  should be  - A   State wide Hospital policy and procedures --A  team-based prospective quality improvement tool- a systematic mechanism to identify and prevent product and process failures before they occur. Murphy’s law says,“-If something can go wrong ,it will: it implies the need for anticipation. No machinery or equipment comes with the guarantee that it can’t go wrong. Important is; How to anticipate or what will you  do to Prevent Things from Going Wrong again; and the most pivotal has to be ;What is our standing plan if equipment  goes wrong while being operational? We need to assign responsibility for risk management planning by establishing a risk management committee. Identify our organization’s risks-- Evaluate and prioritize them as per our local conditions. Determine how your organization will manage its risks. Implement your risk management plan. Review and revise the plan periodically as needed. Indulging  in Arrogance, Abuse, Fraud, and Medical Malpractice -- How Some Physicians Beg for Lawsuits—to save nobility in this profession to be dealt in an  exemplary way. Medical practice carries lot of misperception and mistrust, we need to resist the siren call of, “Blame Someone “or nothing will ever get better. Taking the time to develop a comprehensive crisis management plan can make the difference between going under and getting back on track. While many of the steps towards preparedness included in a crisis management plan are useful for coping with disaster, others are good practices even under normal circumstances for promoting the overall health of your organization. our response process should not end once normal operations have resumed. It is very important that, once the dust has settled, an effort is made to review the crisis event and see what can be learned from it. Taking time for this will help ensure that your organization is even more prepared for the next crisis, if one should occur. It is the reason we insist on qualified practioners and support staff, validating  education expertise, and other credentials ;providing appropriate orientation and continuing education; and performing periodic appraisal of performances of Hospital and its staff. Careful preparation will help cushion the blow of a crisis.; What could we have done differently? How can we better prepare for a similar situation in the future. To be wiser for next time - “if we cannot change the human condition, we can change the condition under which human works.” (Reaon2000).

Feedback at fiazmfazili@yahoo.com

Lastupdate on : Tue, 18 Dec 2012 21:30:00 Makkah time
Lastupdate on : Tue, 18 Dec 2012 18:30:00 GMT
Lastupdate on : Wed, 19 Dec 2012 00:00:00 IST




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