By October 16, 2014 1 Comments Read More →

LinkedIn Post on Ebola and Everyday Healthcare Failures; A Brave Whistle-Blowing Nurse

I wrote about Ebola earlier this week and have been following the news closely. It’s a fascinating story on many levels, including many leadership failures.

I wrote a piece for LinkedIn, written for a general public audience:

A Lack of Planning and Protocol Failures in Healthcare Are Not Limited to Ebola

mark graban ebola problems article linkedin

I also recommend you watch this shocking NBC interview with a nurse, Briana Aguirre, from THR Presbyterian. Actually, nothing she says is really that surprising about the training failures, communication failures, and leadership failures:

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Protocols haven’t been shared well. Staff haven’t been trained on protocols effectively. Protocols keep changing.

Briana, an emergency department nurse, bravely volunteered to treat her Ebola-stricken colleague, Nina Pham, although none of the nurses had received proper Ebola training (she talks about that in the video). That’s makes her a hero.

Briana asked for help, she asked questions… the infection control department didn’t have answers for her. WHAT? A VP promised to get her some answers… and didn’t call her as he promised. So many failures. Watch the video.  Briana speaking out makes her a hero a second time. She says she fears for her job, but I suspect she has a great career ahead of her in nursing leadership… somewhere.

We have a large number of systemic failures. But these failures and their root causes happen all the time and lead to a lot of patient harm and many deaths.

It’s very sad. It’s very fixable.


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Mark Graban's passion is creating a better, safer, more cost effective healthcare system for patients and better workplaces for all. Mark is a consultant, author, and speaker in the "Lean healthcare" methodology. He is author of the Shingo Award-winning books Lean Hospitals and Healthcare Kaizen, as well as The Executive Guide to Healthcare Kaizen. His most recent project is an eBook titled Practicing Lean that benefits the Louise H. Batz Patient Safety Foundation, where Mark is a board member. Mark is also the VP of Improvement & Innovation Services for the technology company KaiNexus.

1 Comment on "LinkedIn Post on Ebola and Everyday Healthcare Failures; A Brave Whistle-Blowing Nurse"

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  1. Mark Graban
    Twitter:
    says:

    A comment from LinkedIn:

    Peter Sampogna 1st
    President at BMC Instrument Service
    As I sat in the ER with my daughter last night I counted 5 infection control issues from nurses and attending physicians. There needs to be greater education to ensure uniformity in protocols

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