Results tagged “Kuwait”

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 .......

It was a fine, sunny Sunday morning, my brother and I wanted to buy something online for our nephew. I quickly pulled out my Internet Card and inputted the details and, to our surprise, the transaction got rejected.

So we dialed the call center number of a major bank in Kuwait, and the customer service agent informed us that my card is blocked since I delayed the payment. I authorized the payment after 15th, (which happens to be the due date), and the transaction shows up on my Internet Card statement; I have sufficient credit to make a purchase.

The agent calmly responded that I needed to visit my branch to unblock my card.

I simply asked him, "Isn't it not logical to a banking system, to just unblock a card when the transaction is done, qualifying it to be valid again for use?"

The agent cordially repeats again, "Please visit your branch Sir"?

I made a quick visit to my branch (Yes, you have to visit THE branch where you opened your account! Sadly my office is in The City and my branch quite far away).

After explaining the issue to the Customer Care Representative at the branch, she replies, "we have to send an email to the head quarters to get your card unblocked and it may take 24 - 48 hours for that."

Now, this is a minor instance where the banking software itself can check to ascertain whether the card is blocked - when a valid transaction is done, and unblock it if the transaction succeeds. This only shows how inconvenient the customer experience can become due to a minor issue of information technology. At the very least, the major banks in Kuwait need to review their IT and software benchmarks based on surveys and general feedback by customers. The idea here is that a very minor feature, when under-estimated, can cause a much inconvenience to a large customer base, not just the incident mentioned above, but other issues related to banking transactions, that ultimately taint customer service satisfaction.

I have been tweeting more than I have been blogging. I apologize, but tweeting on Twitter is so much easier especially from a mobile device, both in reading other peoples tweets and writing your own. I write random things that I see, thoughts that I have, respond to my tweet friends and update them on where I am in this world - all in 140 letters or less.

Recently celebrities have had the media focus on twitter, first Ashton Kutcher was on a head to head race with CNN by being the first to amass the millionth follower. Ashton won if you did not know. A few days later, Oprah joined twitter and tweeted her first tweet from her show, she quickly got told off by Shaquille O'Neal telling her that her caps where on, which is considered similar to shouting and bad Internet etiquette.

A lot of people joined and tweeted on twitter after that.

Today, I got informed by twitter that Aseel09 is following me on twitter.

Knowing that it is the Candidate Aseel Al Awadhi, I followed her back. Unfortunately, Aseel's tweets were more like announcements of her media and campaigning activities. They don't even look like she is the one posting her tweets. I have some advice for Aseel or any celeb whether, local or international, big or small, on how to behave on twitter:

1) If you join Twitter, first be sure that your mobile device supports it and tweet constantly from there. It is more convenient in real time for all your followers.

2) Tweet yourself, don't let anyone tweet for you. The whole beauty of twitter is that it's personalized, and not a tedious announcement of some event.

3) Be human, tell us your activities, spur of the momen thoughts and comments - don't misuse it as a Public Relations form of spin.

4) Be funny, show us your humor.

5) Be interesting, tell us the story about what is happening to you, with one tweet after other.

6) Comment and reply to your followers or anyone else you may have an opinion about.

7) Using Twitter as a platform for announcements is the wrong way to tweet.

If you want to see an interesting and captivating twitterer you can check out my own tweets. (Apologies for the self promotion).

I hope Aseel listens to my advice, and if she does, she will win my vote and others.

It saddens me to repeatedly hear people comment that they "won't be voting" in the upcoming elections on May 16. What saddens me most of all is that these people represent the young demographic, people who are just about-or have begun to create a family of their own, and need every help they can get to ensure their family's security when oil runs out.

It's not just about improving government services; it's ensuring that these services continue to survive after the economy shrinks from complete oil dependence in sixty or seventy years time; according to recent estimates (some reports claim a maximum of forty years).

I have a 2 year old daughter, by the time she's a mother, her children will face Kuwait's hardest economic situation ever-a country without oil to fuel the state's expenditures and services. In other words, what I as a parent decide today will affect my grandchildren's future wellbeing.

By selecting the right MP, we as voters set the standards for a better future, it's not about voting for someone who would be able to help me grab a government-built house quicker than the rest, or someone who would be able to process my papers with his influence or some other short-term personal gain.

Younger voters may not feel it now, but think about this: A University education with gender-segregated classes is no education to rely upon, and this segregation came about recently because the people voted for the wrong MP's. On the same subject, an educational system where course work is dictated by politically and religiously motivated advisers is doomed to produce fanatics and extremists no matter how the situation is justified.

Last year I posted a blog about the difference between the Kuwait of the 1960's and today, and in it, I outlined the features of the ideal candidate for my family and myself. Today, however, there are many options that fit the description I set for myself, and ironically enough, they were not all tribalists nor Islamists or 'service MP's'; They were all right-minded people, with an actual progressive agenda and clean-shaven faces who don't shout their throats off in front of cameras, spurting out brain-farts for local consumption while flexing their tribal or Islamist muscles!

I'm not endorsing anyone in particular here, but I am asking everyone to vote, and vote well. Vote with your minds, not your hearts, not your ears, and certainly not for your expected monetary gains - despite what you may watch in political plays and songs, you shouldn't be voting for Kuwait for the sake of Kuwait; It's simply a plot of land with oil underneath it! You should be voting for your family's well-being in the not-too-distant future, you should be voting for Kuwait's children, since they'll be inheriting the problems and solutions that you will be creating today....and if that's not enough to make someone vote right, think about people in my latest post, and what they'd done for you and your country lately!

President Obama won mostly through his strong presence on the Internet - will it work for Aseel Al-Awadhi?

Links:

الدكتورة أسيل العوضي

يوتيوب" ترشح د. أسيل يظهر في نشرة أخبار قناة الراي

Official Webpage

Kuwait's Solar Power

The current discussion about Kuwait's recent interest in French Nuclear Technology was the reason behind my latest blog post, and it made me think about another topic altogether; something I also blogged about a couple of years back.

Kuwait is awash in Solar Energy which is as yet untapped, so it would make sense that someone should consider utilizing this renewable source of energy to complement Kuwait's energy needs in the short term. The problem is that it's costly to acquire, but in the long run, it's cheaper to maintain and sell, if properly deployed.

Imagine, if you will, all Kuwaiti households converting to sun-powered water heaters, as opposed to the existing electrical heaters. How much would that save?

Expand and include solar-powered traffic signals, street lights, even households, for that matter. The technology is already available and affordable (by comparison), and it would have been great if the Kuwaiti Government subsidized Solar energy deployment for residential use, as an example of complementing the existing Oil-powered generators. But for now, in Kuwait at least, that's just a pipe dream.

Another source is wind power, where a single wind generator is installed onto a home, powering it when wind is present, and charging the household batteries when it's not. At least we can look forward to windy/dusty conditions like today's!

One more resource is the Earth itself, Geothermal Energy: tapping the earth's heat to create steam which turns a turbine and thus generates electricity is something that's been discussed in some detail in some scientific journals, (and mostly in games!); its major constraints are seismic stability and the cost of drilling deep enough in order to tap the right levels of heat, and then manufacturing the right material to pipe water into the ground, and carry the resulting steam back up onto the surface. With financial might available in Kuwait and other GCC states, that wont be a major problem.

In closing, while Nuclear power sounds a viable solution - if done right - it's still an old technology, with serious long-term concerns, no matter how safe it's designed to be. Mother Nature, on the other hand, is a kinder, gentler, "Maternal" resource, and we'd be like newborn babies getting sustenance from our mother's milk...poetic, possible, proven, so who'se going to implement it for our kids?

Fingers crossed...as always.