Some Thoughts
The ridiculousness of IRB was brought up today, and this article was referenced. Wow. Basically, a checklist was implemented to remind doctors to wash their hands before surgery, reducing the amount of BSIs (blood stream infections) by 2/3rds in THREE MONTHS. This is a BIG DEAL. The program was shut down since there wasn't IRB approval because each patient didn't sign a form giving consent for the doctors to try the check list. Over 18 months the program saved 1500 lives and was shut down because they didn't have IRB approval. I can't deal with how... absurd this is. Hand hygiene is a MAJOR issue in healthcare (I could go into all the reasons that its pretty much impossible for providers to be 100% compliant with hand hygiene) but this is an issue that all hospitals face, and it is SCARY.
So then I realized the author of the article's name was familiar. Atul Gawande. We'd read some of his work in my Human Factors issues in Healthcare class. I really like some of his opinions written for the New Yorker.
And this has some pretty crazy facts about unwanted pregnancies and birthcontrol.
And, because I need a lighter note to end this on: I think about hitchhiking to class every MWF at about.. 8:45 am. And I think about blogging about it, every day. And until now, I haven't (hitchhiked, or blogged it). So there it is.
Labels: Social
2 Comments:
It'd actually be interesting to hear a bit about why basic hand sanitation in the OR is such a problem. That's far more surprising to me than the government coming in and mucking everything up with paperwork and lawsuits. They're pretty good at that.
Sorry, that should be the ICU, not the OR.
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