Wednesday, April 13, 2011

Maureen Dowd Discusses Patient Safety In NY Times Column

Giving Doctors Orders

By Maureen Dowd

When my brother went into the hospital with pneumonia, he quickly contracted four other infections in the intensive care unit.Anguished, I asked a young doctor why this was happening. Wearing a white lab coat and blue tie, he did a show-and-tell. He leaned over Michael and let his tie brush my sedated brother’s hospital gown.“It could be anything,” he said. “It could be my tie spreading germs.”

I was dumbfounded. “Then why do you wear a tie?” I asked. He shrugged and left for rounds.
Michael died in that I.C.U. A couple years later, I read reports about how neckties and lab coats worn by doctors and clinical workers were suspected as carriers of deadly germs. Infections kill 100,000 patients in hospitals and other clinics in the U.S. every year.

A 2004 study of New York City doctors and clinicians discovered that their ties were contagious with at least one type of infectious microbe. Four years ago, the British National health system initiated a “bare below the elbow” dress code barring ties, lab coats, jewelry on the hands and wrists, and long fingernails.

The Centers for Disease Control and Prevention says that health care workers, even doctors and nurses, have a “poor” record of obeying hand-washing rules.
A report in the April issue of Health Affairs indicated that one out of every three people suffer a mistake during a hospital stay.

Please read her full column at http://www.nytimes.com/2011/04/13/opinion/13dowd.html

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