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952 Why Is Flying Safer Than Health Care? Developing a Safety Culture

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click here if you cannot view audio player: PP-952Safety.mp3

Tune in to our radio show on your local public radio station, or sign up for the podcast and listen at your leisure. Here's what it's about:

Airplane crashes are extremely rare, because the airline industry figured out a few decades ago how to encourage a culture of safety in which anyone on the team is encouraged to speak up if they notice something amiss. Yet, some people are still nervous about getting on a plane.

Health care has never gotten the media attention that accompanies a plane crash. Perhaps because of that, hospitals fly under the radar. Firm figures are hard to come by, but the best estimates place deaths due to health care harm around 500,000 a year in the US--equivalent to 1,000 jets dropping out of the sky. What could health care learn from aviation safety?

Guests: Kathleen Bartholomew, RN, MN, is a national consultant and speaker on patient safety. Her books include Speak Your Truth; Ending Nurse-to-Nurse Hostility: Why Nurses Eat Their Young and Each Other; and Charting the Course: Launching Patient-Centric Healthcare, co-authored with her husband John Nance. Her website is http://www.kathleenbartholomew.com/

John Nance, JD, was a Lieutenant Colonel in the Air Force and a pilot in commercial aviation. He is an internationally recognized broadcast analyst and advocate for both aviation and health care safety. His books include Blind Trust; Why Hospitals Should Fly: The Ultimate Flight Plan to Patient Safety and Quality Care; and Charting the Course: Launching Patient-Centric Healthcare, co-authored with his wife Kathleen Bartholomew.

The podcast of this program will be available the Monday after the broadcast date. The show can be streamed online from this site and podcasts can be downloaded for free for four weeks after the date of broadcast. After that time has passed, digital downloads are available for $2.99. CDs may be purchased at any time after broadcast for $9.99.

 

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Did you enjoy this radio show? Average rating: 4.6/5 (47 votes)
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10 Comments

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just heard your broadcast on NPR news...Thank You. Will be sharing

Joe and Terry,

Thank you for having John and Kathleen on your show this morning. It was refreshing to here both of them speak on the issue of patient safety, and share their personal stories of why patient safety is important and hardly recognized by the American public.

As a pilot and recent graduate student in the field of healthcare, I remember giving presentations on the need for cross culture interactions between healthcare and aviation professionals. These professionals could implement multiple-tools from the other in order to produce greater results in standards, procedures, and patient safety.

The use of a 40 step checklist to start the aircraft I fly is an incredible piece of software utilized to prevent miscommunication, and ensure the multi-million dollar machine I'm in command is being used properly. Healthcare professionals could benefit from checklists like these in order to provide a better service to their patients all around experience.

Once again thank you.


Sincerely,


Joseph Longoria

Excellent show, essential concept of total team approach to "zero defect" management and necessity of applying it to health care.

I have a history of UTI's. Recently, my internist administered an IV saline solution to correct this problem in his office. After a few days, when I was still very weak, he arranged for a hospital visit for further tests. At the hospital, they gave me another IV and a cat-scan of my belly. Then, they determined that I was OK and the intern on call prescribed an anti-biotic to be taken 6 times a day and sent me home.

After I got the RX, I recalled that at some time in the past, I had had a problem with anti-biotics so I called my doctor and he said 6 times a day was an excessive dose and told me to take 2 a day, one morning and evening. A few days later, when I saw my renal specialist, he said that the doctor in the hospital, who was aware of my kidney problem, should have known better. My question is this.... Shouldn't my internist and/or renal specialist have reported this to the hospital?

I have just listened to a show on Health Care. The date is July 5, 2014. I believe the man's name was John Manse. He spoke about an incident in which he was a pilot taking his plane to a higher altitude. He talked so fast that it was impossible to process what he was saying. I felt he was showing off, intentionally talking as fast as was humanly possible, to show off how extremely fast his mind worked, and how agile he was mentally. This is not the first time I have felt this way about the speed of conversation on your broadcasts, though the content is usually excellent.

This morning the whole point was supposed to be about being open to communication, particularly to that from below, but I felt that this man talked so fast, intentionally, that it was almost an assault. Please listen to this broadcast again, and consider it from this point of view.

Just listened to your show #952 on WBFO/88.7/Western New York Public Radio in Buffalo NY; it was extremely interesting, disturbing, engaging and it took my breath away.

My daughter is a Pediatric Emergency physician, her husband (my wonderful son-in-law),is a Pediatric Surgeon, both at the same hospital.

I am going to insist that they listen to a podcast of this show on Monday, or as soon as time allows. If they don't think they will have time within the next four weeks to listen, I will order the CD for them. They are young, caring, pro-active practitioners of their profession, but are also the parents of two children aged five and two. I know for a fact that they are, more often than not, sleep deprived and still doing their utmost best to perform all their required duties in an excellent manner.

So much of what was mentioned during this broadcast has been the topic of many discussions we have had; I was glued to the radio for the entire hour!

Thank you for your continued excellent shows, newspaper column, and choice of timely and very important topics.

My brother, 63, visited a leading cardiologist at NY Presbyterian Hosp., accompanied by our cousin, an exec there. He was told he has severe symptomatic aortic stenosis and calcification and is scheduled for a valve replacement in a month. He's not overweight, and he walks and bikes regularly. He also follows a very healthy diet. We can't imagine what might have caused this condition, but our cousin speculated that this might be the beginning of what happens to DES babies at middle age.

My concern is partly that our father had a valve replacement at 93. Two bypasses were added (at 93!), and he developed an infection in his foot as a result. He died of sepsis 5 months later.

Consumer Reports for Aug lists the "best" hospitals for this procedure. They specifically mention that NYP has reported no data on its safety and success rates. OTOH, Duke Hosp has the highest rating.

Three questions:
1) Is there some way to get the data from NYP - whom do I ask and what do I ask? Do you have any information?
2) Should we consider Duke instead? Does Duke's record include Duke Raleigh?
3) Do you know whether anyone has identified or is studying DES affects in middle age?

If you were listening to this podcast on an I-Pod or another electronic device (even your computer), please check your settings as the podcasts can be played at 1.5 times the recorded speed or even 2.0 times the recorded speed. My husband had the same problem. It is annoying.

Hi Anonymous,

I have a similar problem with the speed of the audio except I find that the speed is too slow, not too fast. The way I handle that is to speed up the playback by 20% using a media player called "VLC media player" which I downloaded and installed on my laptop. I can also decrease the playback speed in 10% increments as well, if I want. My guess is that if you asked, about 30% would say the playback speed was too slow, 30% would say it was too fast, and 40% would say it was just right. I'm not familiar with other media players, but I would bet that if you look, you should be able to adjust the playback speed with the media player you are using. If not, VLC media player can. Hope this helps.
Sincerely, Russ

Hi ms,

I would have asked a different question: can aortic stenosis and calcification be reversed with vitamin K2? If you do a web search for that, I think you will be enlightened by what you find. Hope this helps.

Sincerely, Russ

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