Comments on: Joint Commission – Anti-Safety in Action

By: Steve

Steve — Thu, 27 Jan 2011 10:57:22 +0000

So this issue was covered recently in ACEP news and we were discussing it in the ED when it was slow on a night shift…and something dawned on me…what about the whopping 86 percent of in-hospital suicides that occur on behavioral health units…wouldn’t that be a much better target for interventions statistically?

But even then- if behavioral suicides are 6 times more likely that an ED suicide (86/14 = 6) then that is still a problem that happens in 1 in every 4 million patients!…(yes, I know that the math is screwy on that and I just compounded error but I’m an EM resident, not a statistician)

But I guess I forgot that this is all about nitpicking wherever nitpicking can be done no matter what the cost or lack or reason attached to it…

By: Grand Rounds: Bettor’s Guide to the Key Bowl Games in Health Care | Pizaazz

Tue, 04 Jan 2011 13:02:17 +0000

[...] and Safety In a post titled, Joint Commission: Anti-Safety in Action, WhiteCoat lambasts the agency for designating suicides in the emergency department as Sentinel [...]

By: EDScribbler

EDScribbler — Tue, 04 Jan 2011 07:21:06 +0000

take it a step further…multiply the estimated amount of time spent surveying prospective suicide cases by the average pay of the person who may be tasked to complete the survey.

Ex: 20 million hours x Minimum wage of $7.75 = more than most would care to spend.

By: Joanne Peterson

Joanne Peterson — Mon, 03 Jan 2011 06:00:05 +0000

I can not speak to the value of the screening. I don’t know enough about it at this point.
I do know that the sentinel event advisory group is not in the business of wasting time on inconsequential issues. Drs Bagian and Cohen (Veterans Affairs and Institute for Safe Medication Practices respectively), carry out their work by going to gemba, the place where the work is done. That is the bedside practitioner.

By: rlbates

rlbates — Sat, 01 Jan 2011 15:11:03 +0000

WhiteCoat, I’ve thought for a long time now that the Joint Commission was more an organization making money and justifying it’s own existence than actually improving patient safety. This is a great example ….

By: GruntDoc » Blog Archive » Joint Commission – Anti-Safety in Action | WhiteCoat’s Call Room

Sat, 01 Jan 2011 06:27:36 +0000

[...] via Joint Commission – Anti-Safety in Action | WhiteCoat’s Call Room. [...]

By: WhiteCoat

WhiteCoat — Fri, 31 Dec 2010 22:02:34 +0000

That’s why we call ourselves emergency physicians and emergency nurses. Like the “Emergency Nurses Association” and “American College of Emergency Physicians”.
No Viagra needed.

By: WhiteCoat

WhiteCoat — Fri, 31 Dec 2010 21:59:47 +0000

The TV show was canceled

By: Nurse K

Nurse K — Fri, 31 Dec 2010 19:55:29 +0000

If you tell people you are an ‘ED nurse’ or an ‘ED doctor’, you’re just going to have poor, unsuspecting people picturing you try to give erections to your patients, whether you want to keep that image out of everyone’s heads or not.

Call me a lust for colloquial English, but I would rather be associated with the show ER, not floppy penises.

By: paul

paul — Fri, 31 Dec 2010 14:07:27 +0000

hey wc, you practice in NY right? what is your shop doing about the mandate to screen everyone for hiv?