Problem Solving › Healthcare
Le infezioni ospedaliere sopra soglia nel reparto migliore · Healthcare · Advanced
You are the medical director. Quarterly surveillance shows a figure you cannot ignore: in the surgery ward, the structure's crown jewel, surgical site infections have been at double the expected threshold for two quarters. The department head, a prestigious surgeon who brings in half the structure's caseload, disputes the data (my patients are more complex, the case mix is not comparable) and treats every inquiry as a personal attack. Meanwhile the data must be sent to regional flows, two reinfected patients have requested their clinical records, and the infection committee that should investigate is chaired, by custom, by the same department head. How do you proceed?
Sei il direttore sanitario. La sorveglianza trimestrale mostra un dato che non puoi ignorare: nel reparto di chirurgia, il fiore all'occhiello della struttura, le infezioni del sito chirurgico sono al doppio della soglia attesa da due trimestri. Il primario, chirurgo di grande prestigio che porta metà della casistica della struttura, contesta i dati (i miei pazienti sono più complessi, il case mix non è confrontabile) e vive ogni approfondimento come un attacco personale. Intanto i dati vanno trasmessi ai flussi regionali, due pazienti reinfettati hanno chiesto la documentazione clinica, e il comitato infezioni che dovrebbe indagare è presieduto, per prassi, dallo stesso primario. Come procedi?
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