times the first response they experience.
Again, a matter of perception? "We try to make it a teachable
moment but staff still view it as punitive," says one nurse. "I think no
matter what, they feel like there is blame," says another.
Staff members tend to be defensive, says an infection control nurse
manager from New York, "as if they're being targeted." Instead of
embracing the opportunity to learn, "they become more involved in
proving they weren't at fault," she says.
Born leaders?
"For a lot of doctors, quality and safety are someone else's job," says
patient safety expert Kenneth Rothfield, MD MBA, CPE, CPPS, chief
medical & quality officer at Saint Vincent's Healthcare in Jacksonville,
Florida. "It all comes
down to communica-
tion. We know it's the
underlying thread in
the overwhelming
majority of patient
safety events. Until we
get that piece right,
we're not going to fix
the problem.
"To turn the tide
with patient safety, we
need physicians to get
more training, and to
become effective as
leaders," he adds. "But
the reality is that lead-
J U N E 2 0 1 6 • O U T PA T I E N T S U R G E R Y. N E T • 4 9
www.opmarks.com
info@opmarks.comr
medical
Finally, a truly prep resistant ink
ChloraPrep® is a registered trademark of CareFusion
OPM Prep Resistant
Skin Markers
Wrong site surgery is costly -
preventing it shouldn't be
tHighly visible after
prepping with
ChloraPrep®
tvisit bit.ly/OPM-MPR
for trial o!er
