Tuesday, February 10, 2009
it's difficult to conduct an effective mortality & morbidity meeting in a culture where neither human life nor truth are terribly valued. today we reviewed the case of a preeclamptic woman who died on the maternity ward two weeks ago. no one took any responsibility, no mistakes were identified, no lessons were learned. i was somewhere between frustrated and furious. but is it at all reasonable to insist on my way of viewing patient care, when most of my colleagues have experienced and understood life in such a fundamentally different way? where do i compromise? where do i even start?
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So, M&M's don't work in Kabul.
ReplyDeletewhat else might work? In the US, M&M's allow people to examine their care and see where the system broke down, where we might work better together or learn from the situation. Is there a different way to present the woman's life that might make sense in Kabul? Or some type of professionalism to appeal to?
I would think it is terribly hard to always feel the deaths deeply, when death is happening so often.
Nancy Hazle
when you figure out the answer to this one, I'd really like to know it. and then i'd like you to be in charge of the world.
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