To Medically Err Is Human; Pointing A Futile Finger
Give me a month. Any given month, just one month without a horror story, give me a month in which no one makes a medical error, one month in which we don’t hear about some person’s horror story at the hands of evil doctors and the henchmen in nurse’s outfits.
Chances are you can’t, because there aren’t any. Medical errors are seemingly inevitable, they have to happen, just like car accidents and farting in public, mistakes happen. They are part and parcel of having healthcare. After all; unlike the airline industry and the people who make the iphone we don’t really have a blueprint or a service manual.
This is why I’m using the bible of all medical error literature to date – and the keystone of America’s healthcare revolution – to prove my point. The U.S. Institute of Medicine white paper entitled “To Err is Human ….” estimates that between 44,000 and 98,000 people die from medical errors in the US annually. That’s more than the people heart attacks and strokes combined kill in Kuwait and is more than those who are killed by breast cancer in the US.
Having said that the study was written in 1999 and the number would probably be three times as high this year if it weren’t for the boffins who wrote the document and forced people to follow it.
There’s another reason why I chose this study, it’s because we have the same problem as the US. We have lots of doctors, lots of hospitals/practices and not enough oversight (three exams make you registered to practice, 2 more make you a specialist in the US and you can do all five without looking at a patient) so I figured their answer would be ours. After all, we’ve imported everything from ketchup to coffee chains and managed to make them work, might as well do the same for policy; besides we know it works because they’ve managed to reduce medical errors to about 10% of the original number over ten years.
The study looked into every major medical error, every big lawsuit and settlement and every single post mortem they could find and came up with the following:
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They found that medical errors occur in three stages: failure to diagnose (wrong tests, wrong timing of tests, old and redundant tests), failure in treatment(delay in treatment, lack of drugs, technical error during a procedure) and failure in prevention (lack of patient follow-up, lack of foresight given patients current condition)
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Creating a nationwide program for leadership, research, tools, and protocols to enhance the knowledge base about safety and patient awareness. In other words, integrating administration into day to day healthcare and making it part and parcel of the practice of medicine.
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Developing a nationwide public mandatory reporting system and by encouraging health care organizations and practitioners to develop and participate in voluntary reporting systems meaning that you need to report any problems you face without being blamed for them directly and providing the manpower required to piece together the sequence of the events that lead to the problem.
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Providing standards to adhere to and aspire to within each branch of healthcare. As it stands we don’t provide doctors with job descriptions when they are hired, only a set of arbitrary rules.
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Putting in place safety systems in health care organizations to ensure safe practices at the delivery level.
The point I’m trying to make with this whole post is the fact that in all of the above not a single doctor/nurse/security guard was beaten, sued or had his license stripped. If anything the strategy outlined tell you to go back and hold yourself accountable for what you’ve done and find out where you went wrong and how to fix it then share what you’ve learnt with the people you work with so that the same mistake doesn’t happen again.
I am quick to point out however that the study doesn’t condone negligence in which someone has made a deliberate error that they should not have (i.e. cutting a nerve because it simplifies the surgery or giving a patient an overdose so that they sleep and leave you alone for the night only to find them not breathing in the morning).
So perhaps the newspaper stories, TV interviews and patient export program may not be quiet as effective (or affective ….still can’t tell the difference) as teaching medical students and doctors in training to review medications they’ve given and procedures they’ve performed and sharing their experiences with their colleagues………
Oh well …I’m not holding my breath…
The Study mentioned can be found on Google books but be for-warned it’s about 300 pages long …….
On Kuwait Politicians and Windex
I’d like to thank Hilaliya for letting me post in his website and promise and do solemnly swear not to use words like ‘slut’, ‘prick’, ‘shit’, ‘bastard’, ‘tits’, or ‘whore’, ‘hooker’, ‘slut’ (twice ….. apologies ……), ‘bitch’, ‘hoo hoo’, ‘pee pee’ or ‘prick.’
It’s very hard for us as Kuwaitis and as humans in fact to live without politics and politicians. For one thing we wouldn’t have anything to complain about or anyone to blame and lets face it our parents would have very little to do at family gatherings if it weren’t for these close-minded, hypocritical, lying, cheating, corrupt and lurid men (and recently women) who we have chosen to represent us and our stake in the country we live in.
Sadly, however as with most things involving money, power and the public eye, politics has become a foray for those of us who are smart – for the most part, some can’t write their names yet but it’s still early and I doubt that the people who voted for him know the significance of literacy in the modern world – have scrupulous and rather mercurial morals.
So how do we fix our politicians? (And no I do not mean neuter them – although the idea may appeal to some; it is simply not a solution in the civilized world).
How do we make them represent us the way they should and promised? Unlike the cure for cancer, the flying car or cloning, not even Hollywood could come up with an answer…politicians can’t be fixed because they didn’t get into politics to change things, they got into politics to become famous and gain respect.
And they can’t be held accountable because no one can…lets face it, I’ve never been held accountable for a single unpaid bill or parking ticket and neither have you. We even have people who have been convicted of manslaughter in the US and are living happy k-town-esque lives and we enjoy our freedom to bypass rules, get things done quickly and forget about that speeding ticket.
So what solution could we possible come up with? (Before you ask, truth serum doesn’t work)
The answer apparently lies in cleanliness and lemon scented Windex…According to Professor Liljenquist of some University I’ve never heard of morals are largely dictated by how fresh the place smells….ugh…She compared how likely people were to be charitable in a Windex scented room and in a standard one and found that people were about twice as likely to be charitable and morally bound if you provided them with a clean environment.
But the trouble with that – apart from the fact that it sounds like hogwash – is that knowing the people within our current “Majless,” they’ll probably end up killing each other for the government tender to provide lemon scented, morally assured freshness in their meeting hall.
Kuwait’s ‘Islamic’ Dictatorship
Kuwait has been an official state since it’s independence from Great Britain in 1961, further back it was an official political entity since the 1922 Treaty of Uqair. Even further back during the 18th Century, it was a thriving sea port for the busy spice trade between East and West, and even before that, during the 17th Century, it started as a settlement for Bedouin tribes seeking refuge from massive seasonal drought around the Arabian Peninsula. Indeed, the earliest recorded history of the State of Kuwait goes back to the year 1613.
Throughout Kuwait’s history, no religious animosity was demonstrated, no sectarian bigotry was recorded, and indeed, no religious affiliations were bragged about, until Oil created wealth, which in turn created education, which was (at the time) heavily influenced with Arabism and Pan-Arab ideals and values.
Kuwaitis thrived on their own self-disciplined tolerance and peaceful co-existence, not just with themselves, but with other people as well. When the Saudi Monarch Abdulaziz Ibn Saud and his family were overthrown by the Al Rasheed, they sought refuge in Kuwait. When Sa’adun Pasha, leader of the Muntafiq Tribe fled the Ottoman Wali in Basrah, he sought refuge in Kuwait. When the Israelis attacked Palestinian villages and kicked them out of their own homes, Kuwait offered them a temporary home, all 400’000 of them, until some of them turned rogue and bought into Saddam’s lies. The same goes for the Lebanese, the same goes for many others.
This short and brief history describes Kuwait as a haven for freedoms and liberties, and if one goes into more detail in this regard, one can clearly outline the massive tolerance of the Kuwaitis, people and government, throughout its history. All this was done without any Islamic Political Movements like HADAS and the Salafists dictating religion to the masses.
Fast-forward to the present day, and here’s what we get:
1-Women must wear the Hijab when in Parliament.
2-Women must have the authorization of their guardians in order to get a Passport (Edit: This was annulled by the Constitutional Court last week)
3-Voting for women is “Haram.”
4-Women and Men must wear admissible swimwear.
5-All Shisha (hubbly-bubbly) joints, cafes and restaurants are to close by midnight.
6-Females saluting Males is “Haram.”
7-Standing up to the National Anthem is “Haram.”
(…and much more trivial stuff I can’t recall at the moment!)
What is being enforced on us as a people is not religion, nor is it a return to religious piousness, Kuwaitis were always pious, and observed religion (all religions) in ample fairness and respect to all the inhabitants, including Kuwaiti Jews and Christians, not including the many other denominations that came as expatriate workers, who helped build Kuwait up from a mud village into a city of skyscrapers and advanced financial institutions. All lived side by side in peace and respect, for both themselves and to others, ever since the 18th Century. They never needed people like some of today’s MP’s dictating religion and claiming their God-given destiny to bring back the populace to its religious piousness. Those people do not represent me, and as far as I’m concerned, they don’t represent what Kuwait stands for. Moreover, had they truly been Kuwaitis, and had they known Kuwait’s true history of tolerance and respect, they wouldn’t have brought these complications up in the first place!
I believe in Democracy. I believe it can work in Kuwait, and I believe in free speech. I condone these values, as someone who ‘at least’ believes in equality for all. What I don’t believe in, and what I can’t condone, is a weak and fearful reactionary government that responds favorably to idle threats made by socially insignificant malcontents and religious zealots who think that, just because they can hold a group prayer in mosques, that automatically makes them leaders and protectors of the people’s religious values.
Drawing from my own ‘limited’ experience, it’s very hard to be a leader. You need charisma, intellect, objectivity, tolerance, a belief in oneself and one’s plight. Most of all, however, you need a consensus of opinion. This can only be brought about through open, frank and fair dialogue between the opposite sides.
Evoking a Fatwa that restricts personal freedoms, and then forcing the Government to implement this Fatwa, in direct conflict with the country’s constitution, is not a consensus, it’s a dictatorship! At the very least, it’s the beginnings of a state where the power of the few overrules the rights of the many, where the law of the land is the rule of men, not of the Law, where there is no protection for civil liberties, where there is no tolerance for any form of political opposition when men in power invoke religion, and where allegiances are made and created through socialization and blind allegiance.
This type of state is an Authoritarian state, it is the middle ground between Democratization and Dictatorship, and right now, we’re witnessing Kuwait moving through this middle ground towards a Dictatorship. This is a dangerous time for Kuwait’s Democracy, and I fear that MPs such as Mohamed Hayef’s (and other like-minded individuals) recent collective uproars are precursors of even more sinister things to come.
“What is past is prologue”
– William Shakespeare
The New Kuwait
An electrical generator depot burning in Faiha following an explosion.
If what I am about to convey to you seems grim, it’s because it’s the truth, and the truth usually is that way.
In my opinion, Kuwait is not what it used to be. I don’t mean the advancement in economic and educational levels, I mean on a social, ethical level. For example, it used to be the case, back when I was growing up, that when a policeman passed by, people would actually respect the authority he represented. Nowadays, police officers get scolded whenever they try to do their job of regulating the speed laws, thanks to glorified MP’s who come-a-running whenever the guilty parties cry “wolf’!
It’s a shame to see Kuwait in the state it’s in right now; Economic uncertainty, Environmental time-bombs, Political instability, Geo-political threats, Social discord (despite what the naysayers say!), and through it all, a shadowy, semi-dominant authority rules over all, pitilessly exercising it’s power of coercion and manipulation in between the cracks of jurisprudence and double-meanings in order to either quietly privatize or blatantly rip off the entire state, leaving nothing but polluted crumbs for the rest of the populace to fight over.
Think I’m exaggerating? Consider this:
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It’s been almost a month since the Mishref Sewage Plant disaster and the investigation is still ongoing as to exactly who was to blame between the Ministry of Public Works and the Contractor! Ironically, though, this issue was flagged as a potential problem by the Green Line Environmental Group back in 2007, and was issued in a report to the Ministry back then. At the same time, local newspapers report on Kuwait’s Oil investments in Vietnam and China, in light of the global economic downturn and potential reduction of Oil supplies in the region. One has to ask where all this money came from, and where will it go.
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Government schools have just opened up their gates for the beginning of the school year and the MP’s are still shouting over the decision to ‘endanger the children with the Swine Flu epidemic’, as well as the usual drivel regarding the lack of preparedness in confronting Swine Flu and addressing educational needs! Also, Funnily enough, the recent decision by Kuwait University to raise the minimum acceptance requirements for new students because they are pushing the notion that a 3.0 GPA is better than a 2.8 GPA simply because the University “doesn’t have enough seats!” -If you don’t believe that one, just look at today’s Al Qabas newspaper!
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The Government pushes Parliament to issue a new law that penalizes whoever ‘endangers the national unity, whether in deeds or in words’, while simultaneously allowing a football match to take place between the Kuwaiti and Iraqi teams – despite local sensitivities on such issues – and begins to internationally endorse the notion that it’s contemplating Iraq’s suggestion to restructure Iraqi debt owed to Kuwait! On this particular note, and to put it clearly, this Kuwaiti (me) is definitely not in favor of these decisions; I believe Iraq should remain indebted to Kuwait until all dues are paid, in complete accordance with UN Security Council Resolutions. Such is the way of ‘civilized’ and ‘educated ‘societies, and not tribal ones.
While all this is happening, some MP’s are calling onto the Government to curb ‘illegal Disco Clubs’ in Kuwait as it is in conflict with social morals and standards!
Never mind the MP whose son is the chairman of a company that extorts salaries from poor expat workers, never mind the MP whose KD5 Million check bounced and has been ‘out of sight’ for the past 4 months, and is nowhere to be found, never mind the MPs who paid, bartered & coerced their constituents for votes just to get elected to parliament.
Instead of focusing on pressuring the Government to clamp down on the rising problems of housing, health and education – like we voted them to do -these characters are asking the government to instead clamp down on illegal acts of immorality in Kuwait and its Islands, as if Kuwait was one big Playboy Mansion!
Unfortunately, this is the New Kuwait, a country with laws but no responsible lawmen, a country with a government that is not governing as it should, a country with rights that are not given. In short, a country with no foreseeable future except the inevitable collapse.
In one of my older posts, I mentioned that “What we need to do is dare to think outside the confines of our traditionalist ways, and encourage other to do so as well. ” How many of us are actually prepared to do that, I wonder.
People need to change the way the State’s Authority is practiced and implemented in a manner that commensurate with their own credibility and reputation. I say “people” because this is still a Democracy, governed by the People for the People, and not a state that is governed by a handful of royals, loudmouth MP’s and Fundamentalists who are out for their own gains. We are still living on this land, and we deserve better. Keeping in mind the feebleness of the individual needy constituent when it comes to his own personal gains, the corrupt MP will eventually find it extremely difficult to succeed if he is constantly confronted with people who aren’t afraid to lose some personal privileges for the sake of the ‘Greater Good’ that is Kuwait’s future prosperity. This will inevitably turn the Parliament into a more effective tool in the face of the Government, who will come to respect (not fear) it’s wishes and demands, and eventually do some good for a change.
To make a long story short: If you want to change something, change yourself first, only then will other changes eventually follow. This is what happens to prosperous societies such as those of Singapore, Post-WWII Europe, Japan, China, and yes, even the United States!
Ironically, what has clearly been prescribed in the Holy Quran is being shunned, very few of us actually attempt to better ourselves as people – we tend to negate life’s priorities. Yet we can easily call ourselves “Muslims” just because we speak casually in classical Arabic with heavy religious undertones, grow our beards, perform the five basic tenets of Shahada, Prayers, Paying Zakat, Hajj and Fast during Ramadan while we threaten the Government with feeble, idiotic threats if nothing’s been done to curb social deviance? That’s the double standard Mr. Islamic MP according to any dictionary you pick up.
Islam – the religion as a whole – is not simply a set of rules or regulations, it’s a covenant with the Creator to be the best you can be while ensuring that the lives of other people all around you are equally improved, whether you’re a leader or a follower. Personally, I feel sorry for the candidates, who buy into the lies and deception; I sincerely hope that change is for the better, socially before officially, and we can finally rid ourselves from all those loudmouths who thrive on social misconduct and use it as fodder for their political gains. One can only hope, especially one in despair.
If, however, some of you think that it’s not all that bad and things are actually better than the apocalyptic scene I just presented, I hope you’ll excuse me if I present you with these words of wisdom!
IREX and Kuwait Bloggers Sponsor Kuwait’s 1st Blogging Workshop
The International Research and Exchanges Board (IREX)*, in association with a group of active and experienced bloggers, is sponsoring a workshop on September 28 in Kuwait . The event will be held at Marina
at 7:15pm.
The workshop will provide local bloggers and members of the public interested in on-line media and citizen journalism with the opportunity to learn more about issues affecting freedom of expression and the internet in Kuwait.
Panelists and participants will discuss:
- The Growth of Blogging in Kuwait.
- The Effect of Blogging on Public Debate and the Traditional media.
- How to Create and Maintain a Successful Blog.
- Legal Concerns and Restrictions on Bloggers.
The panelists:
Bader Al-Furaih (founder of Kuwait blogs and Safat)
http://kuwaitblogs.com
Reem Al-Shammari
http://chilloutkuwait.blogspot.com
Abdullatif Al-Omar
http://GlobalVoicesonline.org
Hasan Ramadan
http://fernas.blog.com
Zayed Al-Zaid
http://alaan.cc
Mohammed AbdulQader Al-Jasem
http://aljasem.org
The panel will be moderated by veteran blogger and occasional Hilaliya Guest Writer Mohamed Al-Yousifi (http://www.ma6goog.com/).
To register for the event please go to:
http://www.irex-mena.org/blog/
This event is open to the public.
For more information please contact us on 66189918
August 2nd
As the state wrangles over Iraqi UN compensation payments, rising corruption, unemployment, visa trafficking, electricity and water dilemmas, and a myriad of other usual problems, let us look back at August 2nd, the Iraqi occupation of Kuwait (that’s right Mr. Kuwait Government, the Iraqi invasion and occupation, not the ‘Baathist‘ invasion, not the ‘Saddamist’ occupation – you can’t rewrite history).
There is nothing to say really. It’s all been said elsewhere and it’s all been said in the following article ‘A Soldier’s Diary: A Kuwaiti Volunteer Looks Back at ‘Liberation’ – you’ll know what we went through and how we feel about Kuwait in its current incarnation.
بين سيمبا و موفازا
في البداية أود التوجه بالشكر الجزيل للأخ العزيز عامر الهلال على دعوته الكريمة للكتابة في مدونته التي يُطلق عليها اسم ديوانية المدونين , و في الحقيقة كنت مترددا للكتابة في مدونة هلالية كون أغلب قراءها اعتادوا على قراءة المواضيع المكتوبة باللغة الانجيليزية , و لكني قلت لنفسي اكتب يا ولد واللي فيها فيها , شكرا مرة أخرى
Where Is The ‘Green’ In Kuwait?
Kuwait, large, empty patches and plots of desert land around homes, bridges, buildings – many in central Kuwait and inside neighborhoods – why can’t they beautify or ‘green’ the areas: palm trees, grass, parks – anything?
Kuwait should plant millions of palm trees like the UAE at least – if any city needs additional oxygen it’s hot, dusty Kuwait.
I am sure they can arrange a grossly overinflated tender for that…
Kuwait Should Be A Secular State
A Mosque In Downtown Kuwait
As radical as it may sound, the above title is absolutely true of all Democracies!
It is by no means contradictory to Islamic Sharia, far from it – It actually protects Islam and Sharia and all religions from misuse and misinterpretation, if only the opponents read wisely.
With all the factions coming up in Kuwaiti Politics these days – with each considering the other blasphemous – the political waters become murky to the electorate with regards to the choices they make.
If one considers that voting for HADAS or the Salafists, for example, would initiate the reshaping of the government into an Islamic one, the same would be true for the Shiite groups, the Liberals, the Tribalists, and so on.
To counter this fear – while providing equality to the entire population – the Kuwaiti Government needs to be reshaped Kuwait into a Secular State. Within this state, Religion is protected, in all its various forms and definitions, while the Rule of Law keeps it in check, so that no one religion or belief can demolish or defame the other. At the same time, the Government held accountable by each religious group so that no particular favoritism is given to any one group with regards to rights and obligations to the State and its Head.
This, in essence, is the very definition of a true Democracy. Anything else is a workaround. By that I mean, a twisting of the facts in order to address the development of a particular agenda that may or may not be productive to the society at large.
An ‘Islamic Democracy’ means the implementation of Sharia Law onto everyone, referenced by the power monger’s own interpretation of this Law, be it Wahaabist, Taliban, Hadas or Hezbolla.
A ‘Tribalist Democracy’ means the ‘Bani-Somethings’ exert their will and influence onto all those that are not of their tribe.
A ‘Liberal Democracy ‘means the right to throw wild Animal House style parties at college (to some, at least!) without concern for the more moderate of our society, and so on…
But the biggest threat of all, the one we are surely to face if these latest elections results don’t provide the needed results, is an Authoritarian Government, where the individual’s rights and obligations are subject to the whims of the ‘Ruling Elite’, unabated, unobstructed and unchallenged.
Here is where the line was drawn back in 1961/62, when Kuwaiti society decided to implement a constitution that would protect them and their generations from this type of rule. Here we are, 47 years later, deciding on what type of government to represent the people.
In my blog, I posted many entries about how to select and decide upon the right candidate for the job, and I’m reinforcing this point again here: By choosing wisely, all these political groups and their agenda’s will be limited it, but if they come into power, they will modify the government’s ‘modus operandi’ so that it becomes more ‘user friendly’ to their agenda, therefore, we the people will be at their ideological mercy.
In short, Kuwait should be a Secular State in order for all ideologies be absorbed and protected for their individual followers. Everyone has a right to think and say what he or she likes, as long as these actions to not infringe upon the rights and freedoms of others. Everyone should also have a right to be protected from corruption, as long as this protection is not extorted into a new form of corruption.