re: My next door neighbor is paralyzed from the hips down thanks to Ascension/St Thomas

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My radiology oncologist is Chinese - he is a brilliant brain guy which is what I need.

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chinhoyang

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Checks out.

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Honest question: how fricked is that phamscy technician?

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Plenty fricked, but the problem is more systemic. This tech should have never been able to do that. Risk management and safety is a cultural issue that starts at the top. It is up to an organization’s leadership to ensure state of the art safety practices are in place and that everyone down the line understands their importance.

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Overriding alone is scary, but having people with professional-graduate degrees, training, residencies, etc. be able to override them in certain scenarios makes sense

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I'd even take it a step further and if it requires an override, the person that scanned it (regardless of their own qualifications) must find another party to come in and perform the override. And that person must have the proper professional-graduate degrees, training, residencies, etc. be able to override.

The airline industry was one of the first to adopt the “Just Culture” standard of accountability. This has since been adopted by many healthcare systems. It is system where peers hold each other accountable and the “system” (administration) must ensure they supervise and correct weak links when the system is at fault and not the individual.

Why this means is???
Would a different individual with similar experience, competency, qualification and motivation act in the same manner, in a similar situation and environment as the person being evaluated? (Pharmacy tech)

If the answer is “Yes” the person who made the error is probably blameless; the problem is not the individual, but more likely the environment that would lead most individuals to that action. (A system failure because they overrode the block on a regular basis.)

If the answer is “No”, then system-induced reasons such as insufficient training, personnel selection and experience shall be evaluated. (Review of these processes for this specific individual compared to what normally happens in training versus what should be done in training.)

If trained properly and no one else overrides the system when faced with the same situation, then, it is more likely that the individual being evaluated is more culpable and accountable - a negligent behavior should be considered.

I worked in the Just Culture system at work. When used properly and supported by administration it is a great process.
Just culture is a significant contributing factor to the safety of the airline industry and why we don’t have planes falling out the sky or crashing more frequently.

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Honest question: how fricked is that phamscy technician?

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Surely a pharmacist has to sign off on anesthesia, right?

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I'd even take it a step further and if it requires an override, the person that scanned it (regardless of their own qualifications) must find another party to come in and perform the override. And that person must have the proper professional-graduate degrees, training, residencies, etc. be able to override.

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Now you're thinking

Didnt someone on here's wife die from knee surgery?

I’m a medical sales rep here in Nashville.

I only go to Vanderbilt the last few years. Sister was born St Thomas, but man-all time blunder.

Ascension hack a year ago and now this.

The unfortunate thing is they will be retired one day and we are stuck with foreigners and incompetents. Been to Ochsner?

Fun fact: if this happened in Louisiana, the most your neighbor could get for his pain and suffering is $500,000.