Abstract
Walk down the hallway of any healthcare organization and listen. What do you hear? Perhaps some chat about weekend activities or family life. If you listen a little longer, you may discover casual hallway conversations giving way to workplace grumblings. Consider these moments in health care:
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Long after the physicians have made rounds on an inpatient unit, the charge nurse pulls out a paper-based chart and says, “This order is 2 hours old, how did we miss this? It will take us at least two more hours to get this medication on the unit.”
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Twenty minutes before the patient enters surgery, the surgeon says “What do you mean you cannot find the history and physical? I completed that at Mrs. Jones’ preoperative appointment 2 weeks ago!”
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In the Emergency Department, “Doctor, I am unable to locate this patient’s outpatient record or any of his past ECGs reports. I do not know whether this is a change or consistent with prior ECGs.”
Rome did not create a great empire by having meetings; they did it by killing all those who opposed them.1
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Hunt, E.C., Sproat, S.B., Kitzmiller, R.R. (2004). Risk. In: The Nursing Informatics Implementation Guide. Health Informatics Series. Springer, New York, NY. https://doi.org/10.1007/978-1-4757-4343-2_7
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DOI: https://doi.org/10.1007/978-1-4757-4343-2_7
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