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Press
Report May 30, 2002
Which
Healthcare Institutions Should Receive the $520 Million for National Preparedness?
During a press interview, a question
was presented to Yinka Vidal, the author of 101 Ways to Prevent Medical Errors
and one of the leading pioneers of the war on medical errors.
Question:
Since you have been working on
medical errors for years even before the IOM report, how would you advise Congress about
allocating funding to various health care institutions for national preparedness? Mildred
Gaddis, Radio Talk-show Host, Detroit, Michigan.
Response:
Over the years, I have been a very
strong advocate for hospitals and various health care institutions and clinics including
research institutions, which Im a product of, to receive adequate funding for
services they provide to the communities across the country. I have also seen some of them
struggling to make both ends meet while working hard to balance cost containment and
quality improvement as the cost of providing care continues to go up. Post September 11,
2001 should create an opportunity to reevaluate funding for health care services across
the nation, and to be sure these services are the best America can provide.
Having said that, in making
such a decision of allocating $520 million for enhancing hospital preparedness for
nuclear, biological or chemical attack, to various health care institutions, many critical
issues should be considered. Two of these key issues include; strategic location of the
health care institution regarding population,
and a measure of systemic problems within the institution and the strategy of solution
implementation.
First, the strategic location
of the hospital needs to be considered. Since the objective in a mass attack is to keep as
many people alive. The larger the population, the more important is the location of the
hospital to treat mass casualties. This does not mean those hospitals in low populated
areas should be ignored.
Second, a question
should be asked whether a hospital system is designed to handle mass casualties based on
corrective actions to fix systemic problems. For three years, I have been working and
studying the implementation of solutions to correct medical errors. I have observed many
positive responses from institutions that have waged a war against medical errors, and I
have also observed less than adequate responses from some of them. Before we start
allocating money to various institutions for national preparedness, we better be sure such
institutions have identified their systemic problems, designed and implemented solutions
and are able to show positive results over a period of time. Since many health care
institutions have endemic systemic problems leading to medical errors based on the
Institute of Medicine report, ignoring such issues may lead to tragic consequences. As a
result, a lot of good money may inadvertently be pumped into an ill-equipped system with
negative results. The allocation of money should be as an incentive to hospitals working
to reduce medical errors.
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