Posted 11/13/11 on Not Running a Hospital
A quality-driven physician colleague writes with frustration about two problems in his academic medical center. I often hear similar comments from nurses and doctors, and so I present the examples for your consideration.
This hospital has a poor record with regard to hand hygiene (in the 30% range), and my colleague suggested at an infection control meeting suggested that the rates be publicly posted in the hospital to provide an impetus for improvement. “I suggested that instead of being embarrassed, maybe we should OWN the data.” This, of course, is a standard and accepted approach in quality improvement. S/he was told that the “the lawyers will not let us do this.” S/he wonders, “Who, exactly, is our primary concern?”
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