Oct
17

A good time to visit or re-visit Ethical Considerations …

On July 1, 2011 the Advisory Committee to the Director, CDC published the “Ethical Considerations for Decision Making Regarding Allocation of Mechanical Ventilators during a Severe Influenza Pandemic or Other Public Health Emergency” an earlier document dealt with vaccines and other priorities. Let’s hope that Ebola does not come to this level of decision making,…
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Oct
10

To Treat and Cure Them, You Must First Keep Them Safe

This is the second in a three part series on how Accreditation in Healthcare has failed to keep us safe from the threats of  more frequent and robust natural disasters, more virulent and drug-resistant biological agents, and increasing levels of man-made violence in healthcare, including active shooters, terrorist threats and workplace violence. The first post…
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Oct
08

Has Accreditation Failed to Keep HealthCare Safe?

This is the first of a three post series on the failure of external accreditation mechanisms to make the US Health Care Industry safer. The first post will serve as background and discuss the current state of Clinical Safety, while the next two will discuss All Hazards Natural Disasters and Biological Agents, while the third…
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Oct
01

Dallas Ebola Response Very Confused

Swing and a Miss: A man traveling from Liberia came into Dallas on the 20th of September, apparently healthy. Five days later he presented at the Texas Health Presbyterian Hospital Dallas with flu-like symptoms and after informing the hospital of his recent West Africa travel, he was sent home – symptomatic and capable of spreading…
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Sep
18

US Steps into Leadership Role on Containing Ebola

The United States will take the lead in the international response to the West African Ebola Epidemic with a large-scale operation led by the military to provide logistical, construction, materiel, command and control and operational coordinating functions.  According to a September 16, 2014 White House Press Release the president said: ”So today, I’m announcing a major…
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Sep
12

Ignore the Ebola Pandemic at Your Own Risk

We have written several posts about the 2014 outbreak and have been alarmed at the lack of response by the International community to rally and intercept this growing threat. The current outbreak of Ebola in West Africa is growing at an exponential rate, i.e., on a track that continues to double the total caseload within…
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Sep
08

Public Health Update: Human Enterovirus 68 (HEV68), …

Over 1,000 Children infected with suspected Human Enterovirus 68 (HEV68) Over one thousand children in the Midwest have presented with symptoms of suspected Enterovirus 68, a rare, highly infectious virus that affects children more severely than adults, especially those under five years old and those with asthma. The infection starts with cold-like symptoms and then…
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Sep
04

EBOLA INFECTIONS GAINING MOMENTUM AS DEATH TOLL EXCEEDS …

The World Health Organization’s chief, Margaret Chan, told reporters today that the death toll from the current West Africa Ebola outbreak exceeds 1,900, with over 3,500 cases identified. Other alarming statements included that the outbreak is fast outpacing efforts to contain it, and it would probably take between six and nine months to get ahead…
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Aug
24

Major Quake Tests Hospital Triage in Napa California

According to the USGS, at 3:20AM, an earthquake measuring 6.1 on the Richter scale shook the South Napa city area in Northern California, causing major damage and dozens of injuries. There were approximately 89 injuries reported, including three severely injured from falling debris, the most serious of those was reportedly a child in critical condition,…
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Aug
22

Ferguson Lessons: Five Questions for Every Hospital …

In the Ferguson, Missouri case of an unarmed black teenager killed by a white police officer, we have seen how quickly tensions can boil over; escalating from a small group of protesters to a full blown riot in the space of a few hours, and even minutes. Politics aside, the first lesson here is that…
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