[OT] How to solve a problem

USA hasn't had an airline crash with fatalities for 11+ years.
Why?

https://uk.advfn.com/stock-market/NY...ution/84848306


I mentioned US hospital-acquired infection deaths recently
which are a huge and growing number. Doctors,
administrators, nurses, regulators and insurance carriers
all agree this is serious and needs to be rectified.

Smart, educated, skilled (and professionally licensed)
people with high motivation form committees, hire
consultants, invent color codes and checkoff systems, engage
in myriad big training classes and seminars and so on.
Despite large numbers of capable dedicated people, every
program fails. Why?

Even at their worst, years ago, air crash deaths were
miniscule by comparison. But they persevered to zero and
have held it there.
--
Andrew Muzi
www.yellowjersey.org/
Open every day since 1 April, 1971

On Sunday, April 18, 2021 at 6:33:17 PM UTC-7, AMuzi wrote:
USA hasn't had an airline crash with fatalities for 11+ years.
Why?

https://uk.advfn.com/stock-market/NY...ution/84848306


I mentioned US hospital-acquired infection deaths recently
which are a huge and growing number. Doctors,
administrators, nurses, regulators and insurance carriers
all agree this is serious and needs to be rectified.

Smart, educated, skilled (and professionally licensed)
people with high motivation form committees, hire
consultants, invent color codes and checkoff systems, engage
in myriad big training classes and seminars and so on.
Despite large numbers of capable dedicated people, every
program fails. Why?

Because our hospitals are filled with sick people, and the wide-spread and sometimes indiscriminate use of antibiotics has created super-bugs. Add to that the visitor and employee vectors. Imagine what the infection rate would be without all the PPE and protocols. The way to beat it would be to put people in bubbles with no visitors and feed them through glove boxes. http://blog.nuclearsecrecy.com/2012/...hristmas-tree/ Maybe hit them with some ultraviolet lights and give the Chlorox.

-- Jay Beattie.

On Sun, 18 Apr 2021 18:53:31 -0700, jbeattie scribed:


Because our hospitals are filled with sick people, and the wide-spread
and sometimes indiscriminate use of antibiotics has created super-bugs.
That use by 'people' pales into insignificance beside the 'misuse' in
agriculture. it has been that way for decades.

On Sun, 18 Apr 2021 20:33:04 -0500, AMuzi wrote:

USA hasn't had an airline crash with fatalities for 11+ years.
Why?

https://uk.advfn.com/stock-market/NY...ution/84848306


I mentioned US hospital-acquired infection deaths recently
which are a huge and growing number. Doctors,
administrators, nurses, regulators and insurance carriers
all agree this is serious and needs to be rectified.

Smart, educated, skilled (and professionally licensed)
people with high motivation form committees, hire
consultants, invent color codes and checkoff systems, engage
in myriad big training classes and seminars and so on.
Despite large numbers of capable dedicated people, every
program fails. Why?

Even at their worst, years ago, air crash deaths were
miniscule by comparison. But they persevered to zero and
have held it there.

I think that, re the aircraft safety record, a very large part of
final decision on whether an airplane is safe is made by the guys that
drive it. At least it was that way in the Air Force. The "preflight
Inspection" was a pretty serious look-see by the flight crew and I'm
fairly sure that they were primarily interested in their own skin :-)

Re medical care I recently came across reference to a study of the VA
medical system, which is essentially socialized medicine, and private
hospitals. The study was of some 11,000 kidney patients and found that
the VA hospitals actually gave their patient better quality medical
care then the private hospitals.

I also fount a number of ratings of medical care in various countries
and for whatever reason none of them seemed to rate countries same .
countries that were highly rated on one list were not necessarily high
on other lists.
--
Cheers,

John B.

On Sun, 18 Apr 2021 20:33:04 -0500, AMuzi scribed:

USA hasn't had an airline crash with fatalities for 11+ years.
Why?

11 years is SFA in the lifetime of an aircraft.
The USA has managed to export the final testing (Boeing 737-Max) to other
countries.

On Sunday, April 18, 2021 at 6:53:34 PM UTC-7, jbeattie wrote:
On Sunday, April 18, 2021 at 6:33:17 PM UTC-7, AMuzi wrote:
USA hasn't had an airline crash with fatalities for 11+ years.
Why?

https://uk.advfn.com/stock-market/NY...ution/84848306


I mentioned US hospital-acquired infection deaths recently
which are a huge and growing number. Doctors,
administrators, nurses, regulators and insurance carriers
all agree this is serious and needs to be rectified.

Smart, educated, skilled (and professionally licensed)
people with high motivation form committees, hire
consultants, invent color codes and checkoff systems, engage
in myriad big training classes and seminars and so on.
Despite large numbers of capable dedicated people, every
program fails. Why?
Because our hospitals are filled with sick people, and the wide-spread and sometimes indiscriminate use of antibiotics has created super-bugs. Add to that the visitor and employee vectors. Imagine what the infection rate would be without all the PPE and protocols. The way to beat it would be to put people in bubbles with no visitors and feed them through glove boxes. http://blog.nuclearsecrecy.com/2012/...hristmas-tree/ Maybe hit them with some ultraviolet lights and give the Chlorox.

Jay Beattie. - will you please stick to things you actually know about instead of things you can convince a jury are true? I'm that jury member that is your worse nightmare - I've been there and done that.

The REASON that there are training classes and seminars and checklists is because these are all designed by specialists who have actually studied the problems and are attempting to get people to follow intelligent procedures. All over the internet we have supposed "medical" authorities passing on the same foolish bull**** that Fauci has been handing out. Repeating non-experts doesn't make you and expert. Most doctors are NOT specialists have have the same stupid mythologies as other people. Overuse of antibiotics does cause superbugs but rather bugs that do not respond to those antibiotics. This is called survival of the fittest. These bugs are no more deadly, they are simply harder to control.

A great deal of medicine is like carpentry - cut and try the fit. When we are lucky to have the financing in the proper spots, we get knowledgeable people that can decode what is going on. But most government funding goes to favorites of the government and not to people who actually do work. You are not helping the world as you may have thought as a teenager by using your position of "authority" to repeat myths like people repeating that moron Fauci's bull****.

On 4/18/2021 9:53 PM, jbeattie wrote:
On Sunday, April 18, 2021 at 6:33:17 PM UTC-7, AMuzi wrote:
USA hasn't had an airline crash with fatalities for 11+ years.
Why?

https://uk.advfn.com/stock-market/NY...ution/84848306


I mentioned US hospital-acquired infection deaths recently
which are a huge and growing number. Doctors,
administrators, nurses, regulators and insurance carriers
all agree this is serious and needs to be rectified.

Smart, educated, skilled (and professionally licensed)
people with high motivation form committees, hire
consultants, invent color codes and checkoff systems, engage
in myriad big training classes and seminars and so on.
Despite large numbers of capable dedicated people, every
program fails. Why?

Because our hospitals are filled with sick people, and the wide-spread and sometimes indiscriminate use of antibiotics has created super-bugs. Add to that the visitor and employee vectors. Imagine what the infection rate would be without all the PPE and protocols. The way to beat it would be to put people in bubbles with no visitors and feed them through glove boxes. http://blog.nuclearsecrecy.com/2012/...hristmas-tree/ Maybe hit them with some ultraviolet lights and give the Chlorox.

If we're talking specifically about hospital-acquired infections, I'm
with Jay. The aircraft safety problem is actually far simpler. The
environment of the problem is much more regulated, and the problem is
far less influenced by those not directly involved.

However, there are factors that are similar. One book I read maybe 15
years ago noted that some doctors fail to maintain proper sanitation or
sterilization protocols. Hospitals that allowed even a lowly orderly to
anonymously report such behavior saw great improvements in hospital
acquired infections. I have no doubt that many doctors would howl
mightily if such programs were imposed on them.

Q: "What's the difference between God and a cardiac surgeon?"
A: "God doesn't think he's a cardiac surgeon."


--
- Frank Krygowski

Frank Krygowski wrote:
On 4/18/2021 9:53 PM, jbeattie wrote:
On Sunday, April 18, 2021 at 6:33:17 PM UTC-7, AMuzi wrote:
USA hasn't had an airline crash with fatalities for 11+ years.
Why?

https://uk.advfn.com/stock-market/NY...ution/84848306


I mentioned US hospital-acquired infection deaths recently
which are a huge and growing number. Doctors,
administrators, nurses, regulators and insurance carriers
all agree this is serious and needs to be rectified.

Smart, educated, skilled (and professionally licensed)
people with high motivation form committees, hire
consultants, invent color codes and checkoff systems, engage
in myriad big training classes and seminars and so on.
Despite large numbers of capable dedicated people, every
program fails. Why?

Because our hospitals are filled with sick people, and the wide-spread
and sometimes indiscriminate use of antibiotics has created super-bugs.
Add to that the visitor and employee vectors. Imagine what the
infection rate would be without all the PPE and protocols. The way to
beat it would be to put people in bubbles with no visitors and feed them
through glove boxes.
http://blog.nuclearsecrecy.com/2012/...hristmas-tree/ Maybe hit them with
some ultraviolet lights and give the Chlorox.

If we're talking specifically about hospital-acquired infections, I'm
with Jay. The aircraft safety problem is actually far simpler. The
environment of the problem is much more regulated, and the problem is
far less influenced by those not directly involved.

However, there are factors that are similar. One book I read maybe 15
years ago noted that some doctors fail to maintain proper sanitation or
sterilization protocols. Hospitals that allowed even a lowly orderly to
anonymously report such behavior saw great improvements in hospital
acquired infections. I have no doubt that many doctors would howl
mightily if such programs were imposed on them.

Q: "What's the difference between God and a cardiac surgeon?"
A: "God doesn't think he's a cardiac surgeon."



Figure out the best way to do something, then force people to actually do
it that way.
http://atulgawande.com/book/the-checklist-manifesto/

On Monday, April 19, 2021 at 10:56:51 AM UTC-7, Frank Krygowski wrote:
On 4/18/2021 9:53 PM, jbeattie wrote:
On Sunday, April 18, 2021 at 6:33:17 PM UTC-7, AMuzi wrote:
USA hasn't had an airline crash with fatalities for 11+ years.
Why?

https://uk.advfn.com/stock-market/NY...ution/84848306


I mentioned US hospital-acquired infection deaths recently
which are a huge and growing number. Doctors,
administrators, nurses, regulators and insurance carriers
all agree this is serious and needs to be rectified.

Smart, educated, skilled (and professionally licensed)
people with high motivation form committees, hire
consultants, invent color codes and checkoff systems, engage
in myriad big training classes and seminars and so on.
Despite large numbers of capable dedicated people, every
program fails. Why?

Because our hospitals are filled with sick people, and the wide-spread and sometimes indiscriminate use of antibiotics has created super-bugs. Add to that the visitor and employee vectors. Imagine what the infection rate would be without all the PPE and protocols. The way to beat it would be to put people in bubbles with no visitors and feed them through glove boxes. http://blog.nuclearsecrecy.com/2012/...hristmas-tree/ Maybe hit them with some ultraviolet lights and give the Chlorox.
If we're talking specifically about hospital-acquired infections, I'm
with Jay. The aircraft safety problem is actually far simpler. The
environment of the problem is much more regulated, and the problem is
far less influenced by those not directly involved.

However, there are factors that are similar. One book I read maybe 15
years ago noted that some doctors fail to maintain proper sanitation or
sterilization protocols. Hospitals that allowed even a lowly orderly to
anonymously report such behavior saw great improvements in hospital
acquired infections. I have no doubt that many doctors would howl
mightily if such programs were imposed on them.

Q: "What's the difference between God and a cardiac surgeon?"
A: "God doesn't think he's a cardiac surgeon."

Probably 80% of the work done by my firm is medical malpractice defense. I've seen very few if any malpractice cases based on hospital-caused infections. I do, however, have over a dozen COVID death cases involving the claimed failure to use PPE.

I've seen lots of cases involving the treatment of infection that was claimed as malpractice -- everything from MRSA to flesh-eating bacteria to various odd-ball tropical diseases. Some of the therapies are equivalent to injecting Kingsford lighter fluid.

-- Jay Beattie.

On 4/19/2021 3:12 PM, Ralph Barone wrote:
Frank Krygowski wrote:
One book I read maybe 15
years ago noted that some doctors fail to maintain proper sanitation or
sterilization protocols. Hospitals that allowed even a lowly orderly to
anonymously report such behavior saw great improvements in hospital
acquired infections. I have no doubt that many doctors would howl
mightily if such programs were imposed on them.

Q: "What's the difference between God and a cardiac surgeon?"
A: "God doesn't think he's a cardiac surgeon."



Figure out the best way to do something, then force people to actually do
it that way.
http://atulgawande.com/book/the-checklist-manifesto/

I heartily agree! In my teaching career I had to help students run lots
of complicated devices. It was obvious the best way was to give them
explicit step by step instructions. I did that for everything up to and
including industrial robots. In fact, I did it for myself as well. There
was a lot of equipment I might use only once per year, which was plenty
of time to forget some detail.

Bike related: When I was first asked to run our club century, the
previous guy was supposed to help. I had to nag him to get him to come
to my house maybe in April to give me a list of necessary tasks. (The
century was in mid September.)

He showed up with one yellow legal pad on which he had scribbled about a
dozen tasks. I asked "Is this all??" and he assured me it was easy. So I
tackled task #1, reserve the starting location we'd always used.

Well! They told me "Oh, sorry! That's been reserved by someone else! If
you want our location, you need to reserve it at least a year in
advance!" So I began in panic mode.

By the end of that year, I'd generated a month-by-month checklist of
what to do, whom to call, where to get things, how to do things, etc.
etc. with at least a hundred items. When I stopped running the century
about eight years later that checklist had expanded even further.

I know that's not everyone's style, but it worked for me; and it helped
us get a LAB award one year as one of the top three centuries.

--
- Frank Krygowski