Ignorance = Death
Last year, I wrote about a lack of KM in the medical industry.https://cohenovate.com/2013/12/30/knowledge-management-and-healthcare/ It was a sad commentary then and it is even more frightening now. Some of you may be aware that errors in healthcare account for a significant number of deaths in America.
In 2010, the Office of Inspector General for Health and Human Services said that bad hospital care contributed to the deaths of 180,000 patients in Medicare alone in a given year.
Now comes a study in the current issue of the Journal of Patient Safety that says the numbers may be much higher — between210,000 and 440,000 patients each year who go to the hospital for care suffer some type of preventable harm that contributes to their death, the study says.
That would make medical errors the third-leading cause of death in America, behind heart disease, which is the first, and cancer, which is second. (http://www.propublica.org/article/how-many-die-from-medical-mistakes-in-us-hospitals)
Lack of Awareness
Texas nurses said that there were no protocols. (http://www.cnn.com/2014/10/15/health/texas-ebola-nurses-union-claims/index.html?hpt=hp_t1) Maybe they had the guidelines on their Sharepoint instance? Maybe they had their process on Jive? Maybe they had their instructions on Yammer or Podio or…
What they don’t have is effective Knowledge Management. This is the truth.
Let me state this for the record, as I have mentioned this in past postings. Knowledge Management is about getting, presenting, raising awareness, sharing, identifying, bringing to light.. the RIGHT INFORMATION AT THE RIGHT TIME.
If you think for a moment that I am using this tragic situation to get the message out on Knowledge Management, I will tell you in fact that I am. We can go through the history of knowledge management failures and find the critical element that is missing and that is the human element. These failures result in death.
Doctors and nurses need access to real time information that INFORMS them of what they need to do and what precautions they have to take. In fact, think about this folks.. WE CARE MORE ABOUT CYBER SECURITY THAN PEOPLE.
Everything when it comes to medicine seems to be approached from an academic perspective. If you look at the agencies that do care about healthcare they are not considered or looked at in the same way as cyber communities. For example, are hospitals going to the WHO or USAID for daily updates and coordination? I highly doubt it and I think the results of the situation from a global perspective is telling. The CDC doesn’t want us to worry because they don’t want a panicdemic. (yep, I made that up). We are facing an enemy that doesn’t care about boundaries or what side you are on. We are facing an enemy that doesn’t look at right or wrong. It just has intent of killing the system. That is it. We can’t afford to be ignorant. We can’t afford to make mistakes that are easily correctable.
What is needed?
- A quick turn incidence response and disaster response operational check up for every medical organization in the US.
- A safety and contagion knowledge plan that addresses known and new issues and concerns through every turnover, handoff, meeting or organization interaction.
- A strategic outreach and communication plan for healthcare providers, practitioners and patients.
- A KM plan that seeks to elevate and prioritize content for communication in the organization.
- An “as you learn.. share” plan. (If you know information that will save a life, share it)
- Researchers that have worked on attacking ebola need to share their failures and their success. (YES FAIL) We need to pick up where others left off and share information, not hold information so that we can be the trophy winner.
- We need leaders in the KM space to step up and share best practices, lessons learned and how to’s for knowledge transfer and elicitation.
Ebola virus can be used for terrorism.. Think about that for a moment.
Links to Ebola sites
Links to Ebola sites
DG SANCO: http://ec.europa.eu/health/ebola/index_en.htm
DG ECHO: http://ec.europa.eu/echo/en/news/ebola-outbreak-west-africa-additional-funding-brings-eu-aid-%E2%82%AC39-million
European External Action Services (EEAS)
Ministry of Health
Ministry of Foreign Affairs
Ministry of Health http://www.mzcr.cz/dokumenty/upozorneni-pro-zahranicni-studenty-po-prijezdu-z-oblasti-vyskytu-horecky-zpusobe_9579_1.html http://www.mzcr.cz/Verejne/dokumenty/ebola-v-africe-aktualizace-ministerstva-zdravotnictvi-ke-dni-19zari-2014_9602_5.html
Ministry of Industry and Trade http://www.mpo.cz/dokument153462.html
Ministry of Foreign Affairs http://www.mzv.cz/jnp/cz/cestujeme/ebola/obecne_informace.html
Ministry of Social Affairs and Health
All information and guidance for health professionals http://www.sante.gouv.fr/maladie-a-virus-ebola-informations-a-destination-des-professionnels-de-sante.html
National Surveillance Case Definitions for Ebola http://www.sante.gouv.fr/maladie-a-virus-ebola-informations-a-destination-des-professionnels-de-sante.html
Public Health Management of Cases and Contacts of Human Illness Associated with Ebola Virus Disease http://www.hcsp.fr/explore.cgi/avisrapportsdomaine?clefr=414 http://www.sante.gouv.fr/maladie-a-virus-ebola-informations-a-destination-des-professionnels-de-sante.html
List of hospitals allowed to take care of Ebola patients http://www.sante.gouv.fr/IMG/pdf/2014_08_25_ListingESR_MAJ_modifIDFertA_DEF.pdf
Guidance on transportation of Ebola patient from abroad to France http://www.sante.gouv.fr/fichiers/bo/2012/12-06/ste_20120006_0100_0052.pdf
KEEL: Webpage on Ebola outbreak
Bulletin for travelers
Ministry of Health
Ministry of Foreign Affairs
Robert Koch Institute
Bernhard-Nocht-Institute – Hamburg
Ministry of Human Capacities http://www.kormany.hu/en/ministry-of-human-resources (English)
http://www.kormany.hu/hu/emberi-eroforrasok-miniszteriuma/egeszsegugyert-felelos-allamtitkarsag (Hungarian) National Public Health and Chief Medical Office
https://www.antsz.hu/ Guide for leadership of higher education
https://www.antsz.hu/portal/hir1/20140826-ebola-felsooktatasi-hallgatok.html?transactionid=-6254197871553193403 Guide for travellers
Ministry of Health of Lithuania (web banner on the top of the page) http://www.sam.lt
Centre of Communicable Disease and AIDS under the Ministry of Health http://www.ulac.lt/lt/ebola-hemoragine-karstlige–
Ministry of Foreign Affairs of Lithuania http://urm.lt/default/lt/naujienos/del-ebolos-viruso-protrukio-urm-grieztina-kelioniu-rekomendacijas-i-vakaru-afrikos-valstybes-1
Ministry of Health
National Institute for Public Health and the Environment – in Dutch
National Institute for Public Health and the Environment – in English
National Institute of Public Health
Public Health Authority
Information about Ebola for travellers (translated ECDC leaflet) – in Slovak http://www.uvzsr.sk/index.php?option=com_content&view=article&id=2378:virusove-ochorenie-ebola-informacie-pre-cestovateov&catid=68:epidemiolog
Information about the measurements taken by the Public Health Authority of SR – in Slovak http://www.uvzsr.sk/index.php?option=com_content&view=article&id=2368:opatrenia-uradu-verejneho-zdravotnictva-sr-tykajuce-sa-virusoveho-ochoreni
Leaflet on Ebola for citizens – in Slovak http://www.uvzsr.sk/index.php?option=com_content&view=article&id=2383:hemoragicka-horuka-ebola&catid=68:epidemiologia&Itemid=76
Ministry of Foreign and European Affairs
Travel advice for Slovak citizens – in Slovak http://www.foreign.gov.sk/servlet/content?MT=/App/WCM/main.nsf/vw_ByID/ID_DD6F67735A1B6F80C12576350033486B_SK&OpenDocument=Y&LANG
Information on financial humanitarian aid of the Slovak Republic – in English http://www.foreign.gov.sk/servlet/content?MT=/App/WCM/main.nsf/vw_ByID/ministry&NCH=Y&OpenDocument=Y&LANG=EN&TG=BlankMaster&URL=/
National institute of public health
Ministry of Health
Ministry of health http://www.msssi.gob.es/profesionales/saludPublica/ccayes/alertasActual/ebola/home.htm
Swedish National Board of Health and Welfare (“Socialstyrelsen”): http://www.socialstyrelsen.se/nyheter/2014september/ebolakraverokadvaksamhetivarden
Fact sheet/leaflet: http://www.socialstyrelsen.se/SiteCollectionDocuments/infoblad-ebola-2014-08-28.pdf
Public Health Agency of Sweden (“Folkhälsomyndigheten”): http://www.folkhalsomyndigheten.se/amnesomraden/beredskap/utbrott/ebola-vastafrika-2014/
Foreign Ministry of Sweden: http://www.regeringen.se/sb/d/18334/a/245352
Federal Office of Public Health
- Global Ebola Response Coalition The UN family’s and partners’ response to Ebola
- World Health Organisation (WHO) Ebola information
- European Centre for Disease Prevention and Control Ebola information
- United States Centers for Disease Control and Prevention Ebola Website
- Public Health Agency of Canada Ebola Virus Pathogen Safety Data Sheet
- Public Health England’s Travel Health Network and Centre News Updates
- EbolaAlert – created by volunteers in Nigeria
- Public Library of Science collection of resources on Ebola
Articles in which International SOS has been quoted or referenced
- “Ebola Sends Employers Wake-Up Call” – Human Resource Executive– 7 October
- “These countries are tightening their borders over Ebola fears — against expert advice” – Washington Post– 2 October
- “Companies Step Up Pressure on Ebola: We Need Action Now” – NBC News– 11 September
- “Amid Ebola crisis, is something worse around corner?” – CNBC– 4 September
- “First Briton With Ebola Virus Begins Treatment” – Sky News– 25 August
- “WA miners in West Africa prepare workforce for escalation of Ebola virus” – ABC News– 23 August
- “Ebola, war or disaster: how and when global service groups decide to flee” – National Catholic Reporter– 21 August
- “World confronting the largest Ebola outbreak since 1976” – China Daily– 18 August
- “Multinationals in Africa keep a wary eye on Ebola” – Wall Street Journal, 6 August
- “Ebola strains fragile W African economies” – Reuters, 6 August
- “Ebola threatens West African economies” – Yahoo UK/AFP, 6 August
- “Ebola virus: now the threat is real” – Punch Nigeria, 5 August
- “International SOS has seen another rise in the number of requests for advice on Ebola in recent weeks” –Business Wire India, 4 August
- “Evaluating risk: Do travellers need medical evacuation insurance” – NBC News, 2 August
- “Ebola patient arrives in the US” – Today NBC, 2 August
- “Americans mostly safe from Ebola, despite rapid spread” – Risk & Insurance, 1 August
- “Employers should be prepared as Ebola outbreak grows” – Society for Human Resource Management, 1 August
- “US$100m Ebola emergency response plan unveiled by WHO’s Margaret Chan” – South China Morning Post, 1 August
- “WA miners issue ebola alerts” – The West Australian, 1 August
- “Ebola: A Disease out of control?” – Al Jazeera, 31 July
- “WHO, CDC see $100 million surge for Africa Ebola battle” – Bloomberg, 31 July
- “Health experts say Ebola virus poses little risk to UAE” – The National UAE, 31 July
- “Can West Africa’s deadliest Ebola outbreak be contained?” – Al Jazeera America, 29 July
- “Ebola: Is the western world at risk?” – ReLocate Magazine, 28 July
- “Ebola outbreak poses threat to African economies” – Financial Times, 25 July (subscription required)
- International SOS’ Dr Robert Quigley discusses Ebola – Al Jazeera English TV channel, 23 July
- “West Africa Ebola Outbreaks Spur Rising International SOS Inquiries” – Voice of America, 16 July
- International SOS Medical Director Doug Quarry discusses Ebola in the Al Jazeera report, 28 March 2014
- “Ebola Outbreak is West Africa” – Relocate Magazine, 26 March
- “Guinea says has contained Ebola outbreak, death toll rises” – Reuters, 26 March