They come up with an asinine medical dispensing rule. Shadowfax and Kim at Emergiblog vent. Once again, those that make the rules don’t live in the real world.
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They live in A real world, just not in the part where sick people with unpredictable conditions are presenting at unpredictable volumes and intervals. They live in the world of the regulatory beurocrat. They are not idiots, rather it is that with the pressures and incentives on them, it serves their interest to make such rules irresspective of the adverse impact on others. Their own institutional interest is, as with all institutions, to increase their power. Other factions, such as professions hungry for more control (and the money that can then be extracted from the industry) will also use regulatory agencies to effect that where the free market will no serve. The rule made sense for somebody. It is just like the government. Every “stupid” thing that they ever did was smart for someone.
If I were to make rules on how firemen should fight fires to keep everyone safe, those rules would make no sense and might harm people.
There is a certain amonut of expertise that is required before you are qualfied to create the new world order.
JCAHO once was a positive force to improve the quality of hospitals. Now it’s a byzantine set of rules with too much power and no concept of what actually happens inside hospitals.
As we see more and more doctors and nurses leave the trenches of pt care for adminstrative positions, this trend will only get worse.
I encourage everyone who works in the “real world” to take advantage of Joint Commission field reviews. The Joint actually does make changes based on feedback they receive in field reviews. (Field review surveys on new or changing standards are posted on the jointcommission.org web site.)
Not a perfect system for sure – but I’ve been in a position to see some of the positive aspects of a regulatory “big brother”.
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