Renewing a Health Card in Ontario: Why the online process is broken
Why Your Hospital Is Broken
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Transcript of Why Your Hospital Is Broken
YOUR HOSPITAL IS @psirides
Thu June 16th
Florence Nightingale
from ‘Notes on Hospitals’
1863
#FloNi
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WATERBOARDING THE CRITICALLY ILL
When all you have is a hammer
Everything you see is a nail.
HOSPITAL SYSTEMS
“Hospitals are horrible places, like prisons. When you go to prison you’re given a
number. Your clothes are taken away & you’re made to wear a uniform. Then
you’re put in a confined space, not allowed to leave & have to obey orders. Finally
you’re subjected to a rectal exam.
What’s the difference?”Henry Marsh
Hospitals systems developed in the 17th century are completely
inappropriate for 21st century clinical practice
SOD VS MOD
ORTHOPOD
Hammer
Jesus Thor
Bob The
Builder
God Complex
Desire To Help People
ED
ICU
Operating Theatres
In-Patient Wards
SILO FAILURE
Healthcare is grouped by silos •Professional silos •Geographic silos •The solar-powered silo
SILOS ARE NOT BUILT AROUND PATIENTS
“There’s no such thing as the ‘surgical’ patient; there is only a medical
patient with a scar”Rinaldo Bellomo
Why do hospital systems only make staff call for help when the patient is
already dead?
MET
You can’t die without passing
through MET-
World Mortality
% Dead
*data extrapolated from current trends
How People Die
Murray et al, BMJ 2008
MET
DEC
ISIO
N T
REE
1 in 3 will have treatment limited by the MET1 in 4 will die during this hospital admission1 in 5 will be admitted to a critical care area
The treatment for dying is
probably not CPR
Be a patient in your own hospital
Q: WHY DO DOCTORS & NURSES IGNORE WARNING SIGNS BUT PILOTS DON’T?
A: THE PILOT IS ALSO ON THE
PLANE
@psirides wellingtonicu.com
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