HOSPITALS
Sunday 24 June 2007

    How can they be improved?
    There are no simple solutions.
    There is a need for balance in that everything works in harmony.
    So that one area does not suffer because of the needs of another area.
    Quality control and production control are extremely important.
    And flow charts that provide insights as to what is happening.
    Vested interests can over ride the needs of others.
   And then there are constantly shifting priorities as new patients are admitted, patients are transferred within the hospital or out of the hospital, record keeping, equipment, personnel, and so on.

    There is a wide range of competence between doctors and that is why there are specialists. And the same applies to nurses and other employees and workers at the hospital. And there are the new personnel just out of medical school "knowing everything". They can share, and if wise will learn from more experienced personnel as well.
    What are the priorities? Who decides?
    The communication of information is constant and so essential it be current.
    The rapid and reliable flow of information as regards tests and diagnosis to experienced personnel for decision making is essential.
    And then there is the problem of opinions. The same facts can result in different opinions from different professionals.
    And having been a patient, and still am in a sense of the word, I have my opinions too. That is to accept the opinions of the professionals that will effect me, or not accept. And at times my judgment was to accept, and at other times NOT to accept. I have benefited from correct decisions of doctors and nurses, and I have also been harmed by incorrect decisions of doctors and nurses.
    The dogmatic attitude of some personnel about their belief systems being right, and the beliefs of patients, when contrary, are wrong... is interesting. It makes me wonder how false beliefs from "education" can be costly to hospitals and to patients, etc.
    Wrong decisions can be costly. And when such items are noted, best to learn in positive ways to prevent such from happening again.
    Of course there is competition between the personnel... and that is normal. Seems to me better to work for the common good, sometimes at our own sacrifice? But how many people think this way?
    Positive attitudes can help the healing of patients, and can help the personnel in their daily duties as well.
    How often are the biorhythms of a patient checked before an operation? Some doctors choose only to operate with the physical biothythms is going up, and not down. When the physical is going down there is too much of a risk. Did you know that?
    Also prayer is an important factor in hospitals. Sometimes the only reason a person survives is because of the positive influence of prayer. There are many doctors and nurses that pray for the patient and others present during an operation.
    And did you know that there are nurses, and likely doctors too, that are angels in disguise. That is they have angel powers in their relation to patients. Those angels in disguise make a significant difference in patient care and recovery.
    Lets not forget the motivation of money. How many operations take place that are not needed because of the motivation for money? Too many.
    And how many delay and drag and stonewall as a way and means to get what they want like more money or other benefits, regardless of the well being of others?
    Perspective is so necessary for hospital administration to be effective in the operation of a hospital. But do they have the time? Do they have the resources? Do they have the energy? Do they have the means? Is their intelligence far above the average? Is their wisdom far above the average? Is their competence far above the average? The positive influence of such administrators upon a hospital is very important.
    Potential insights, suggestions, for improvements at all levels do manifest in the minds of all people that come into contact with hospitals. All the people can not be satisfied at all times... but good judgment and wisdom is needed to implement changes.
    Proper current record keeping is so very important. It is one thing to file such information, and another to retrieve such information at the time needed. Late information can be costly in terms of various qualities of life, etc.
    Anticipation of eventualities is so very important too. When there are deviations from the norms... there needs to be alternative help available quickly to solve the problem.
    Hospitals have been accused of being the place where many malpractice medical law suits start. And lots of people die in hospitals... and why? Sometimes it just is, and at other times it could have been prevented, and at other times the result of poor opinion on the part of the decision makers?
    Labour strikes that hold up the operation of a hospital can cost lives. Would it be fair tit for tat to delay hospital treatment to any person in any labour strike that delays? That would not be right, but maybe the idea would bring more fair reason to labour disputes?
    Sometimes because of crowding for various reasons, a patient might be on a bed in a hallway waiting for tests to be processed. And there are others with greater priorities that will come first. And the time for testing might be faster than the time lost in getting information to the decision makers... usually the doctor in charge at the time.
    
    There is a need for statistical analysis of all sorts of data that is manifested in hospitals. Statistics can be used to isolate problems, and even identify incompetence. It is better to know sooner rather than later that a "nut" is costing lives in a hospital. Eh?
    There are many variations of healing disciplines. As one doctor said wisely: What works, works.
    In conclusion, hospitals can be constantly evolving to greater effectiveness. Step by step, minutes by minutes, hour by hour, day by day, year by year...
    Hospitals need intelligent and highly skilled personnel to succeed.
     What say you to all of this?
- Pastor William