Comments on: 2. Time To Pull The Andon Cord

By: Andrew Ottaway

Andrew Ottaway — Mon, 11 Feb 2019 14:49:20 +0000

Good analogy Rob. The resistance to change in healthcare is almost overwhelming, as is the indifference to successful systems from other sectors with a public-safety remit, hence the gnashing and wailing whenever aviation human-factors reporting and analysis programmes are mentioned. I find it odd that a bus-driver in London or Edinburgh has the facility to raise an issue for management and mitigation, as does a maintenance engineer on the railways, as does a recreational yachtsman or pilot, yet we don’t trust health- or social-care workers enough to give them a simple, confidential dialogue platform to improve staff-engagement, and more-importantly, patient safety.

By: John Kauchick, RN, BSN

John Kauchick, RN, BSN — Mon, 18 Dec 2017 04:05:16 +0000

In reply to patientsafe@icloud.com. The facility was the proud owner of ANA's Pathways to Excellence designation and on the Magnet journey. When I was there in 2008, 2009 they were on the Magnet journey. Seven years later it was evident they had gotten lost.

By: patientsafe@icloud.com

patientsafe@icloud.com — Mon, 18 Dec 2017 03:53:54 +0000

In reply to John Kauchick,RN, BSN.

John – thank you for your comment. I am extremely sorry you were treated in this way however I’m well aware this is the most likely course for those trying to drive change and improvement.

My hat goes off to you for trying so hard.

All my best wishes. Rob

By: John Kauchick,RN, BSN

John Kauchick,RN, BSN — Mon, 18 Dec 2017 02:38:50 +0000

IOM points out that asking questions causes you to be labeled as incompetent. It also said healthcare is comparable to Challenger era NASA. I was doing a best practice in my timeout. I added the fire risk assessment. As part of the reasons given for my termination I was told since that had not been instituted, there it made the other staff feel like they didn’t do their job. Made them uncomfortable. In another complicated case I questioned the positioning of the patient by the fellow. The attending adjusted the traction and ask the fellow why he hadn’t rotated the extremity. In both cases staff complained to management about me. Six weeks into this assignment I went to to the locker room to get dressed and found my is badge had been deactivated. I had to call HR the next day to find out I had been terminated. This is how my 37 year nursing career ended.

By: Julie Bailey

Julie Bailey — Wed, 01 Nov 2017 02:36:13 +0000

With the right leadership, NHS staff are listened to & learnt from. They create the right environment where errors are talked about & learnt from. Letting the front line lead could save lives & the NHS a fortune. The clinicians & nurses knew what was needed to help my mother recover but the system wouldn’t allow it.