tag:blogger.com,1999:blog-4504498131306323856.post2435213791125709079..comments2023-10-30T07:18:13.349-07:00Comments on A Window for Your Home: From Silence to Voice*marachnehttp://www.blogger.com/profile/00904958045658341357noreply@blogger.comBlogger4125tag:blogger.com,1999:blog-4504498131306323856.post-6752729738745941042009-12-11T10:46:56.944-08:002009-12-11T10:46:56.944-08:00As a retired Pulmonary/Critical Care doc and an et...As a retired Pulmonary/Critical Care doc and an ethics committee member, I applaud your "silence to voice". The ICU nurses bailed me out on many occasions with a quick warning call about electrolytes, blood gases, etc. To me it was always a team approach.<br /><br />I'm also on a non-profit board which oversees a machine shop for disabled workers. We have several manufacturing board members with lots of experience in zero tolerance for errors with their QA and six sigma training.<br /><br />We still tiptoe around errors in medicine by "calling it to their attention" or "reporting up the chain" or simply going on with the next pressing case. We don't have the expectations of a Toyota or Boeing. We often try but the systems for improvement aren't yet in our DNA.<br /><br />Keep up the voice!<br /><br />Jim deMaine, MD<br />www.endoflifeblog.comJim deMaine, MDhttps://www.blogger.com/profile/15305598245850297381noreply@blogger.comtag:blogger.com,1999:blog-4504498131306323856.post-29478604159370441012009-07-25T17:43:24.246-07:002009-07-25T17:43:24.246-07:00Susan, follow-up with the resident was what was di...Susan, follow-up with the resident was what was discussed in reference to the protocol violation. My point was that it was a teachable moment for a gathering of mostly physicians that this is under the scope of practice of the nursing staff, and that if a hospital nurse is not dealing with such a basic issue correctly, there is a potential systemic problem in the hospital. While not the focus of the IRB, we do regularly provide feedback to the institution as a whole when something that happens during a research trial reflects on general hospital practice.marachnehttps://www.blogger.com/profile/00904958045658341357noreply@blogger.comtag:blogger.com,1999:blog-4504498131306323856.post-49947691846987119882009-07-25T12:35:26.268-07:002009-07-25T12:35:26.268-07:00Not for nuthin', but what about educating the ...Not for nuthin', but what about educating the frackin' resident? Where's her responsibility in checking labs?SuesquatchRNhttps://www.blogger.com/profile/08430405540498968731noreply@blogger.comtag:blogger.com,1999:blog-4504498131306323856.post-5143175225522894442009-04-01T19:25:00.000-07:002009-04-01T19:25:00.000-07:00I participate in a lot of RCAs and the last person...I participate in a lot of RCAs and the last person in the chain (often a nurse) usually winds up looking deficient. (I think this is why, earlier in my career, I spent a disproportionate amount of time educating/remediating individuals instead of moving upstream, looking for underlying, and often more correctable factors.) You give a great example of system thinking within an IRB. Keep up the good work!Barbara Olson, MS, RN, FISMPhttps://www.blogger.com/profile/17580039684980409341noreply@blogger.com