Sunday, April 13, 2008

Isn't it Ironic... Don't-cha Think?

I hate that song.

So I'm cruising down the main page of the blog when I discovered this Google Ad. WTF google?

Now I have no personal beef with Doctor Dr. Robert M. Tobin... for all I know he may be a prince of a guy (he sure looks like one), but really, when companies can spring up and thrive merely to help physicians, nurses, and hospitals keep up with ever-changing mandates from JCAHO and federal agencies like CMS then... well, what happens next is something like you see in the video below.

For hastening the apocalypse and making me live "1984" you guys (and girls) at JCAHO (and all it's clones and minions) deserve to work for yourselves for eternity.


  1. The best part is that Zynx is owned by the Hearst corporation, leader in antitrust violations and yellow journalism. It should build your confidence, though, that they also own Cosmopolitan magazine.

  2. Ok, so one Zynx sponsored publication- "Engaging physicians to change practice"- caught my eye. A few select quotes from the abstract:

    "Objective: To review the literature relating to strategies commonly used to influence physician behavior."

    "Conclusion: Active interventions should be adopted as part of a multifaceted strategy to engage physicians to change behavior. Strategies that can be automated at the point of care and made scalable over a large number of patients (eg, computerized reminders and other forms of clinical decision support) should receive special consideration."

    "The effectiveness of economic incentives for improving clinical practice has not been well studied."

    True, I didn't read the whole article, but I feel like I get the gist, & I'm not paying to subscribe. Are they actually saying that you docs need babysitting? What's a little behavior modification between friends?

    Also, I'd like to balance out that commie bastardization of Skynyrd,

  3. I'll ignore commenting that Dr. Tobin looks like a pedophile and stick to the facts. Hes a PhD electrical engineer and anesthesiologist, not that theres anything wrong with that, but its not like hes really an expert in other areas of medicine. I know when he was a resident there was a morning he dropped an ET tube on the floor and still used it, happens to everyone. Now hes trying to attone by making us not use unapproved abreviations and fill out forms.

  4. I have the solution. In California the State Board of Equalization distinguishes between "food animals" and "non-food animals" for taxation purposes. Let's get the JCAHO members reclassified as food animals, send them to sunny CA and sell hunting licenses to docs like OldFart. Everybody wins. I want to argue it myself, though. It would be so much fun.

  5. Jeez, Frank, how did you use Fentanyl patches on a regular basis. I took one Valium last night (left over from a back injury) because I couldn't sleep, and I am ALL fucked up this morning, as you can see by my previous comment.

  6. Dude looks like an "H.R. Pufnstuf" character.

  7. Never used patches devorrah baby, anesthesia people prefer to avoid the middle man. 911's disturbing video is giving me flashbacks to 1978. I had no idea who this "Leonard Skinnerd" was that people kept asking if I liked when I moved to lower Alabama.

  8. 911, this video is just plain wrong. I now have to wash my eyes out with Lysol...

  9. from a reader... thanks!

    JCAHO financial statement for 2005 and 2006:

    Joint Commissions Resource Store:

    And now they are doing it internationally too. I wonder what their 2007 and 2008 financial statement will look like.

    CMS will do what JCAHO does for free. Check out this link:

    The arguement that I've read against CMS is that they can't change the standards as quickly as JCAHO can (since they are a government agency), but the same standards of quality patient care that I learned in nursing school still stand today. Why do they need to be changed with every survey? It generates revenue for the reviewer to do it this way, but does it really improve patient care?

  10. It was a bright cold day in April, and the clocks were striking thirteen. —George Orwell, 1984 (1949)

  11. Its like meeting the man of my dreams....then his beautiful wife.

  12. "It generates revenue for the reviewer to do it this way, but does it really improve patient care?"

    Never refer to JCAHO and patient care in the same breath. They have absolutely nothing to do with each other.

  13. ""Engaging physicians to change practice"- caught my eye. A few select quotes from the abstract:"

    That is easy. For Obs at least. Interrup their sleep enough and they will change practice. Maybe I should work for "the commision."

  14. Wilson Tibbles III11:20 PM, April 17, 2008

    There's nothing wrong with using a dropped ET tube. The current JCAHO standards is a 4 second rule, down from the 8 second rule of dropped sterile objects.

    To improve patient survey scores, it's recommend that when you drop a normally sterile item, like a foley cath for instance, you blow the dirt off it and explain to the patient, "I'm blowing the dirt off this for your protection. 4 second rule!"

    It's recommended that your institution post signs saying, "If we drop an object and don't blow the dirt off it, please remind us! Safety is in your hands."