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Oy vey...another dilettante sounding off.
what, exactly, is your gripe with Quade?
+1I can't find anything Mr. Quaid said that I don't agree with. Medical errors are a huge problem, and his proposals for improvements are in line with what others in the medical field have proposed and done successfully.
didn't see the 'solution' in the posted article, and how do you know how superficial his understanding is? 'the system' isn't exactly rocket science, a dedicated person can educate himself quite readily. your post to me borders on arrogancePersonally, I think he's a very likable guy, and I do sympathize with him and what he has gone through. I am even fine with him raising awareness about the prevalence of medical errors. What rubs me the wrong way is that he suggests a solution despite his, at most, superficial understanding of how "the system" works. Still, I will take a Dennis Quaid over a Jenny McCarthy any day.
+1
didn't see the 'solution' in the posted article, and how do you know how superficial his understanding is? 'the system' isn't exactly rocket science, a dedicated person can educate himself quite readily. your post to me borders on arrogance
i was really +1'ing the first line. transparency almost always leads to improvement because you can then actually see where the problem is. it's not about handling one specific case better, it's about improving the system as a whole. but that's just my opinion, i'm sure there are smarter people who can explain better. i still want to know how you're so certain his understanding is very superficial, and while we're at it, how yours is any better?So you agree with michigator04 in that Dennis's proposals are sound, but then disagree with me and say that Dennis makes no proposals? Right. Let's clarify what his proposals are: One of the points he makes is that making hospitals more transparent will save money and lives. Even in his particular situation, increased transparency would not have changed the way his twins were treated after the mistake was made. Could someone explain to me how transparency might work to do what he says it will do? (Please note that I am the devil's advocate).
i was really +1'ing the first line. transparency almost always leads to improvement because you can then actually see where the problem is. it's not about handling one specific case better, it's about improving the system as a whole. but that's just my opinion, i'm sure there are smarter people who can explain better. i still want to know how you're so certain his understanding is very superficial, and while we're at it, how yours is any better?
i don't mean to offend you, but don't you think it's kind of backwards for a premed who doesn't know a damn thing about it to get really huffy about the supposed qualifications of a 'dilettante' who is genuinely concerned and trying to improve things? what specifically is it that you think is so detrimental about what the man is trying to do?Well that's just the thing. If a pre-med doesn't know a damn thing about it (other than what my FP has told me), how can we expect anyone but a hospital administrator to know anything about it?
Before we go any further, can we please define "transparency"?
i don't mean to offend you, but don't you think it's kind of backwards for a premed who doesn't know a damn thing about it to get really huffy about the supposed qualifications of a 'dilettante' who is genuinely concerned and trying to improve things? what specifically is it that you think is so detrimental about what the man is trying to do?
re: transparency, you brought it up...
no, dilettante implies he's only casually interested or has superficial knowledge, which is why i asked you to show why this is the case. furthermore, considering what you have admitted about yourself, why are you proposing what should happen?Being a dilettante implies that he's not a veteran of the process. What is needed is someone that knows the ins and outs, perhaps a whistleblower, if there's anything to blow a whistle at, that is.
Being a dilettante implies that he's not a veteran of the process. What is needed is someone that knows the ins and outs, perhaps a whistleblower, if there's anything to blow a whistle at, that is.
Being a dilettante implies that he's not a veteran of the process. What is needed is someone that knows the ins and outs, perhaps a whistleblower, if there's anything to blow a whistle at, that is.
i wish i understood his answer to the last question... what exactly has the aviation industry done re: dealing with human error? i mean, i believe that it's good because planes are so safe, but there was some handwaving in his answer and i'm very curious.
Long answer. Aviation has embraced a very strong system of teamwork and communication. After a series of pilot error crashes in the 1960s and 1970s, aviation professionals worked to identify why crew errors occured and how they could be prevented. This led to the implementation of Crew Resource Management, which I believe was developed by United Airlines. That, combined with advanced technology, has led to some very safe skies. Pilot error-caused commercial accidents are VERY rare these days (they still happen, but they are pretty infrequent).
In the last four years, I have flown 1.1 million miles. The worst thing that has happened to me was a spilled soda in my lap.
Here is some information on CRM:
http://en.wikipedia.org/wiki/Crew_resource_management
http://homepage.psy.utexas.edu/HomePage/Group/HelmreichLAB/Publications/pubfiles/Pub235.pdf
And CRM and Medicine.
http://www.ahrq.gov/clinic/ptsafety/chap44.htm
Gawande writes 3 incredible books on it and nobody brings it up... It takes some Film Actors Guild member to make people decide that real healthcare reform starts with preventable errors. Awesome
Oy vey...another dilettante sounding off.
let's not blow things out of proportion... someone posting a dennis quaid interview on SDN is not a sign that suddenly the world is awakening to this cause and everyone is mobilizing.
in gawande's books he talked about several different hospitals doing studies and implementing various systems to work on human error control (my memory is failing me regarding details right now) so clearly some hospitals out there were already considering these issues. maybe quaid will get more places to pay attention to this, but i doubt it.
Many times, in fear of lawsuits, information about an error is held back. Changes that would decrease the likelihood that such an error would happen again don't happen because the error and its cause are kept "in house".
IIRC, the Quaid error happened because two different doses of the same medication were sold in vials that were very similar in appearance. One simple solution is to sell different doses in vials with labels of different colors. If a NICU nurse routinely dispenses drug from a purple labeled vial, the green label is going to catch her attention and she may be more likely to notice that she's got the 10 mg and not the 0.01 mg dose.
Some of the engineering that goes into airplane manufacturer and operation make it impossible to make an error and that kind of engineering is needed in medicine (e.g. couplings of various diameters so that the tubing to an oxygen mask isn't mistakenly plugged into something other than oxygen.)
Ooh, that sounds like a lot of logistics involved. For example, even the colors of the vials should be carefully selected so that colorblind people can distinguish between two vials quickly, or have another identifiable feature in place other than just colors and the label. What kind of job is it usually for someone to come up with design models like these for maximum efficiency?
what, exactly, is your gripe with Quade?
Personally, I think he's a very likable guy, and I do sympathize with him and what he has gone through. I am even fine with him raising awareness about the prevalence of medical errors. What rubs me the wrong way is that he suggests a solution despite his, at most, superficial understanding of how "the system" works. Still, I will take a Dennis Quaid over a Jenny McCarthy any day.
brb disagreeing w/ dennis quaid bc im a know it all premed
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