Commentary on the King Edward Inquiry: every defect a treasure.
نویسنده
چکیده
Jenny McLean and Michael Walsh have distilled well the key lessons of the events at King Edward Memorial Hospital (KEMH). To some extent KEMH is unique: the only tertiary provider of obstetric services in Perth, the world’s most isolated city. It is thus easy to think of the KEMH experience as an isolated one and engage in our own form of shaming and blaming by finger pointing at that hospital and tut-tutting about the failures in governance, failures of individual doctors, failures of Ministers etc. But just as shaming and blaming inside a hospital fails to create the right culture to learn from an adverse event, so too will finger pointing at KEMH distract us from thinking about the lessons for our own organisations and for the system as a whole. KEMH is probably not unique and the weaknesses identified there parallel both the events at the Royal Bristol Infirmary and closer to home, the Royal Melbourne Hospital. All three hospitals exhibited failures of clinical governance to a greater or lesser degree. In all three, a focus on “efficiency” and/or revenue was associated with a de-emphasis on quality of care issues.
منابع مشابه
Commentary on the King Edward Inquiry: perspectives from the Chair, Australian Council for Safety and Quality in Health Care.
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عنوان ژورنال:
- Australian health review : a publication of the Australian Hospital Association
دوره 26 1 شماره
صفحات -
تاریخ انتشار 2003