Health­care would ben­e­fit greatly from its own ver­sion of the NTSB

Modern Healthcare - - COMMENT -

Re­gard­ing the re­cent Guest Com­men­tary “Dr. Gary Kaplan on a ‘sys­tems ap­proach’ to fix health­care” (ModernHealth­, April 15), I couldn’t agree more that fix­ing health­care re­quires a sys­tems ori­en­ta­tion, but the fix must be­gin with a med­i­cal equiv­a­lent of the Na­tional Trans­porta­tion Safety Board.

The Joint Com­mis­sion works to im­prove care, but it doesn’t de­ploy rapidly enough to a hos­pi­tal where an un­ex­pected death oc­curred to build the case for where the process or hu­man er­ror oc­curred. We need an en­tity to pub­licly share the de­tails of mis­takes and build upon lessons learned, fo­cus­ing on the ex­act­ness of pro­cesses. It also should re­quire physi­cians and nurses to spend time in sim­u­la­tors for the OR, in­pa­tient unit and other de­part­ments in the same way pi­lots are trained.

Keith W. Gallagher CEO, Wake Spine & Pain Spe­cial­ists Raleigh, N.C.

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