Tag Archives: kuwait

To Medically Err Is Human; Pointing A Futile Finger

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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:

  • 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)
  • 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.
  • 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.
  • 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.
  • 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.

The New Kuwait

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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:

  • 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.
  • 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!
  • 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!

Pre-Marriage Checkup or ‘No Marriage’

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The new marriage law providing for pre-marriage checkup will be in force on Sunday, August 2, 2009, Assistant Undersecretary of Kuwaiti Ministry of Health for Medical Services, Dr. Yousuf Al-Nesf announced Wednesday.

Why?

“The aim of the legislation is to ensure a healthy and happy family and eradicate the hereditary and communicable diseases in Kuwait”, said Dr. Yousef Al-Nesf during the announcement.

Meanwhile, Abdullah Al-Hamoud, supervisor of family affairs at the Justice Ministry, said if the results of the lab tests proved that the would-be marriage is unsafe due to the illness of one or both of the partners, the marriage contract would be cancelled.

“A marriage officer is authorized to solemnize a marriage only after receiving a certificate that verifies that the couple conducted a checkup and were physically fit,” Al-Hamoud reminded.

The survival of the fittest or is it catalyzing the process of being the fittest ?

Do we need to accelerate the nature’s process by adopting such rules?

Are we morally justified ?

When The ‘Poop’ Hits The Kuwaiti Fan!

Here we go again: retaliation is finally coming!

‘Kuwait Times’, alongside other newspapers, reported today that certain MP´s have received cheques of up to KD 100,000 from the Prime Minister’s office a while ago – one of the reasons supposedly behind some MP´s insistence that the Interpollation (i.e. Audit Bureau Quizzes) issue go to the ‘Constitutional Court’ (in order to seal its fate in legal secrecy).

Oh boy, I´ll enjoy seeing how this plays out in the coming few days. Ironic, however, that this issue comes just a few days short of the mandated Parliamentary session focusing on various critical issues. namely the ‘Economic Package’ this coming Tuesday.

If you embark on a journey of revenge, dig two graves!