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herding cats

(20,051 posts)
10. Just days before the hospital had a drill for possible Ebola cases.
Fri Oct 3, 2014, 01:21 PM
Oct 2014

How was this not noticed then? This hospital was supposed to be trained to handle Ebola cases. This is not a facility which claimed to not be prepared before the man walked in the door.

Also, the claim his "overall clinical presentation" of fever and abdominal pain in a person who had just traveled here from West Africa wasn't an implication he had Ebola by the vice president for the hospital system Dr. Mark Lester, begs the question of what is an implication? Since this patient had Ebola, and his symptoms and travel history weren't enough to have him put into isolation upon their being know by the first level of screening staff, what is the requirements?

Lastly, the fact that they're saying if he'd told them he'd been in contact with a person who had Ebola they'd have dealt with it differently is eyebrow raising. Well, what about hypothetical person who travels here from West Africa who was in contact with a symptomatic Ebola person, but never realized it and contracted the disease? How are they going to know to isolate that patient?

This is a learning moment. We need to accept that mistakes were made and that they need to be addressed and dealt with in a professional manner. Then we need to make sure these mistakes are not made in the future. To try and lay all the blame on an error in the software system isn't being factual, and it's not all that needs to be corrected there.

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So the person responsible for hospital workflow system fucked up? Who tested this? valerief Oct 2014 #1
the information flow. everybody is fed the information differently, depending on their job magical thyme Oct 2014 #4
The day before, teh hospital had held a drill on Ebola procedures. dixiegrrrrl Oct 2014 #12
They found an appropriate clean-up crew but that crew was turned away because pnwmom Oct 2014 #2
The problem with EHR's GusBob Oct 2014 #3
It's more than a process issue. Daemonaquila Oct 2014 #5
So it wasn't a nurse or doctor, but admin and programmers alcibiades_mystery Oct 2014 #6
I think the minute he told her that he had been in Afrca, she should have him put in quarantine. Beaverhausen Oct 2014 #7
The hospital in Dallas is now part of an historic case, and their story is of mistakes HereSince1628 Oct 2014 #24
well I certainly hope so Beaverhausen Oct 2014 #25
Regardless of how the omission occurred... Whiskeytide Oct 2014 #8
So the IT staff failed to adequately unit test the software before going live. MohRokTah Oct 2014 #9
This was a design flaw... ljm2002 Oct 2014 #14
I Work RobinA Oct 2014 #22
Just days before the hospital had a drill for possible Ebola cases. herding cats Oct 2014 #10
Somehow, physicians and nurses were able to treat patients before "workflows"... Barack_America Oct 2014 #11
Well, there's this thing call "cost cutting" that's been going on. MH1 Oct 2014 #17
Plus all the busy work involved in satisfying the requirements of tblue37 Oct 2014 #28
Yeah, funny how no one ever noticed this "flaw" before Mariana Oct 2014 #18
Excellent point Mariana suffragette Oct 2014 #29
It's enough to make me wonder if this story is even true. Mariana Oct 2014 #33
Don't nurses and doctors talk to each other? mainer Oct 2014 #13
Not anymore. Texasgal Oct 2014 #20
But but but computers make everything more efficient ! eppur_se_muova Oct 2014 #15
If the nurse took down that information, s/he had an obligation to verbally warn the staff. ecstatic Oct 2014 #16
The infamous FormerOstrich Oct 2014 #19
The kid went to school "despite doctors' recommendations." And quit calling them idiots, seriously. uppityperson Oct 2014 #21
Yeah, I agree. cwydro Oct 2014 #23
It's easier for misunderstandings to happen Mariana Oct 2014 #34
It was the EPIC Software riverwalker Oct 2014 #26
here is where it says they used EPIC in Dallas riverwalker Oct 2014 #27
Well, then, fuck that. I know for a fact EPIC's standard H&P for physicians... Barack_America Oct 2014 #35
What an apt name for it. As in: EPIC FAIL. kestrel91316 Oct 2014 #31
I'm more than a bit peeved that the physicians just didn't happen to notice for HOW MANY kestrel91316 Oct 2014 #30
And they just had a drill on how to handle Ebola. LisaL Oct 2014 #32
Pretty sure it would be fraud for questions a nurse asked... Barack_America Oct 2014 #36
Hmmmm....the doc still had a responsibility to directly ask rainbow4321 Oct 2014 #37
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