Making Mistakes Impossible: the Ideal Health Care Design

“[People] cannot eliminate the errors simply by telling themselves to do better and deciding not to commit them.”  Perhaps not a surprising statement, but one whose implications can be pretty far-reaching.  The statement comes from a document entitled “Mistake-Proofing the Design of Health Care Processes.”  The logical argument is that if you’re in an environment Read More



Richard Gaughan January 27th, 2012

Transfusion Standards Guide Blood Bank Refrigerator Operations

You just don’t want your blood transfusion messed up.  You want the blood or blood product you get to be the one you need.  It would also be great if it was still viable and uncontaminated.  Of course you can be confident that your blood transfusion will meet the highest standards; but that doesn’t happen Read More



Richard Gaughan January 26th, 2012

CDC Safety Guidelines: Clean Your Blood Bank Refrigerator

If you’re involved in medical diagnostic work, you should study the CDC’s Guidelines for Safe Work Practices, which summarizes the recommendations of a blue ribbon biosafety committee.  The document presents sample handling procedures, personal protective equipment recommendations, and cleaning protocols.  It contains both general recommendations and guidelines for specific facilities.  For example, if you’ve got Read More



Richard Gaughan January 26th, 2012

Testing to Extend the Shelf-Life of Blood Products

Blood is needed for treating patients who have suffered trauma or are undergoing surgery.  But, even when stored in a blood bank refrigerator, units of donated blood have a limited shelf life.  The longer that shelf life, the better the chances are that blood will be available when it’s needed.  But the shelf life is Read More



Richard Gaughan January 25th, 2012

Volunteers Help Establish Blood Bank Infrastructure in Nigeria

Blood bank refrigerators and equipment to keep them running are critical elements to establishing a safe emergency blood supply.  That’s why volunteers with the BloodSource project in Northern California and the Carmel Valley Rotary Club brought that equipment to Nigeria—a country that currently only meets 2 percent of its blood needs.  After bringing the supplies, Read More



Richard Gaughan January 24th, 2012

Hospital Emergency Power Needs: Blood Bank Refrigerators and More

There are lots of ideas for improving technology, but it takes a lot of money to convert an idea to a development.  Even the ideas that do get developed face an uncertain future.  To make sure technology investment pays off, a market analysis is a good idea. That’s the motivation behind Batelle’s report on markets Read More



Richard Gaughan January 23rd, 2012

The Key to Fixing Public Health Problems: Find Them First!

It’s difficult for us to imagine the barriers to effective healthcare in some of the poorer regions of poor nations.  For example, Northern Nigeria has some of the highest maternal mortality rates in the world.  To address the underlying problems, there has to be some mechanism that can track and classify individual deaths.  Correction can Read More



Richard Gaughan January 12th, 2012

Mistake-Proof Design Improves Healthcare

Nobody likes making mistakes, even trivial ones.  In a healthcare setting very few mistakes are “trivial.”  The ideal solution is “mistake-proof design.”  The Agency for Healthcare Research and Quality of the U.S. Department of Health and Human Services has produced a chapter on mistake-proof design in healthcare settings, containing 67 examples.  A Sampling : light-proof Read More



Richard Gaughan January 11th, 2012

Planning to Reduce the Spread of HIV

The National Rural Health Mission initiative of the Indian government is designed to improve public health in India’s rural areas.  One of the goals is to reverse the spread of HIV infection in India.  An example of the kind of effort involved is the AIDS Action Plan of the Banda district in the state of Read More



Richard Gaughan January 9th, 2012

How to Run a Hospital

Hospitals and related institutions have a strong moral responsibility for providing optimum patient care and treatment for the populations they serve.” Hard to disagree with that statement, opening the “Rules and Regulations for Critical Access Hospitals in Arkansas.”  If you ever wanted to know what it takes to run a hospital, start here.  It covers Read More



Richard Gaughan January 2nd, 2012



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