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Re: Hospitals learning safety lessons from aviation (with their L&D staff)From: ainsron (ainsron@sbcglobal.net)Wed Jan 10 19:08:05 2007
That is stepping across the line from nursing to practicing medicine. My wife is an RN and she certainly advocates for her patient's needs, but she doesn't make decisions she is not qualified to make. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of Richard Kaplan Sent: Wednesday, January 10, 2007 5:10 PM To: Multiple recipients of list OB-GYN-L Subject: Re: Hospitals learning safety lessons from aviation (with their L&D staff) I totally agree. Sometimes, however, the nurses have a problem differentiating between speaking up and taking over. The other day a respected member of our staff attempted to deliver a 35 week, frank breech, EFW 4.5lbs, vaginally. The labor floor nurses voted that this was below the standard of care, informed the Ob that this was their consensus, and convinced the patient to demand a C/S. I'm sure that the nurse felt she had done her part for patient safety by speaking up. I'm not so sure. Richard Kaplan, MD Greensboro, NC
>----- Original Message ----- From: ainsron <mailto:ainsron@sbcglobal.net> To: Multiple <mailto:ob-gyn-l@dns.obgyn.net> recipients of list OB-GYN-L Sent: Wednesday, January 10, 2007 9:50 AM Subject: Re: Hospitals learning safety lessons from aviation (with their L&D staff) I would not want a scrub who would not speak up, nor should the hospital want a physician who didn't listen to their staff. Both are a liability, not an asset. Ronald E. Ainsworth, MD, FACOG -----Original Message----- From: ob-gyn-l@obgyn.net [mailto:ob-gyn-l@obgyn.net] On Behalf Of GIN11153@aol.com Sent: Tuesday, January 09, 2007 11:28 PM To: Multiple recipients of list OB-GYN-L Subject: Hospitals learning safety lessons from aviation (with their L&D staff) A surgical team is about to wrap up a procedure. A scrub nurse notices that a sponge is missing. She hesitates, wondering whether to say anything. The surgeon is well known and highly regarded. Does she speak up and avoid a medical mishap? Aviation safety training may hold the answer. Evanston Northwestern Healthcare is one of several hospitals taking a cue from the airline industry, training its OB/GYN staff in safety techniques used by cockpit crews. The step is intended to reduce hospital errors by eliminating the hierarchy in health care and improving staff communication. When investigators listened to black-box recordings after aviation accidents in the late 1970s, they realized that part of the problem was people not speaking up in the cockpit. Human error is the culprit in many airline accidents, the same as with medical errors. And the resulting toll is heavy, with a 1999 report by the Institute of Medicine estimating that as many as 98,000 patients die annually from preventable medical errors. Some estimates are even higher. http://www.chicagotribune.com/features/lifestyle/health/chi-0701090256jan09, 1,6416774.story?coll=chi-health-hed <http://www.chicagotribune.com/features/lifestyle/health/chi-0701090256jan09 ,1,6416774.story?coll=chi-health-hed&ctrack=1&cset=true> &ctrack=1&cset=true Gail Neuman RNC CPHW SNP LNC student nurse practitioner and student midwife certified high risk OB/legal nurse consultant Perinatal Nurse Associates Notary Public/Certified Loan Signing Agent PrePaid Legal Sales Associate Santa Ana, CA
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