Oct
26

Individual Rights or Public Safety?

It was bound to happen: After a few US Ebola cases, there would be calls for quarantine, something we warned of in our Aug. 19 post. A nurse returning from treating Ebola patients in West Africa has been been quarantined on return to the US this Friday, although she appears to be asymptomatic and reportedly feels fine…
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Oct
21

Collective Failure of Healthcare Oversight

As we look at the obvious lack of preparedness for this recent outbreak of Ebola and subsequent spread to healthcare workers in the US, we looked back at our coverage on this issue from April this year, and July, and the inevitable spread to the US and wondered why we were so unready to treat the…
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Oct
17

A good time to visit or re-visit Ethical Considerations for Decisions

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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Aug
22

Ferguson Lessons: Five Questions for Every Hospital Board Member, CXO and Emergency Manager

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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