Changing stroke rehab and research worldwide now.Time is Brain! trillions and trillions of neurons that DIE each day because there are NO effective hyperacute therapies besides tPA(only 12% effective). I have 523 posts on hyperacute therapy, enough for researchers to spend decades proving them out. These are my personal ideas and blog on stroke rehabilitation and stroke research. Do not attempt any of these without checking with your medical provider. Unless you join me in agitating, when you need these therapies they won't be there.

What this blog is for:

My blog is not to help survivors recover, it is to have the 10 million yearly stroke survivors light fires underneath their doctors, stroke hospitals and stroke researchers to get stroke solved. 100% recovery. The stroke medical world is completely failing at that goal, they don't even have it as a goal. Shortly after getting out of the hospital and getting NO information on the process or protocols of stroke rehabilitation and recovery I started searching on the internet and found that no other survivor received useful information. This is an attempt to cover all stroke rehabilitation information that should be readily available to survivors so they can talk with informed knowledge to their medical staff. It lays out what needs to be done to get stroke survivors closer to 100% recovery. It's quite disgusting that this information is not available from every stroke association and doctors group.

Thursday, August 1, 2013

A Question of Trust

From db's medical rants here is an interesting discussion on this;
Onora O’Neill on the philosophy of accountability

Book here;
http://www.amazon.com/Question-Trust-Reith-Lectures-2002/dp/0521529964
I will take these lines and apply them to the Joint Commission and stroke.
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She explains beautifully that unintelligent measures do not advance either accountability or trust. Rather she cautions against easy performance measures. In these lectures she does not talk about medicine exclusively.

She worries that unintelligent measures lead to a corruption of the concept of professionalism. Too often we see restructuring of our work to achieve higher scores on performance measures. However, unless the performance measure created is clearly linked to the desired quality attribute, we too often have a spurious measure.
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Take the Joint Commision ratings on stroke hospitals. They are all about doing the processes faster and more completely. There is no connection to 100% stroke recovery. This is why I think Joint Commission certification is for all practical purposes worthless.  I don't trust anything they do because they are measuring the wrong thing.
She explains beautifully that unintelligent measures do not advance either accountability or trust. Rather she cautions against easy performance measures. In these lectures she does not talk about medicine exclusively.
She worries that unintelligent measures lead to a corruption of the concept of professionalism. Too often we see restructuring of our work to achieve higher scores on performance measures. However, unless the performance measure created is clearly linked to the desired quality attribute, we too often have a spurious measure.
- See more at: http://www.medrants.com/archives/7426#sthash.NICn9jNy.dpuf
She explains beautifully that unintelligent measures do not advance either accountability or trust. Rather she cautions against easy performance measures. In these lectures she does not talk about medicine exclusively.
She worries that unintelligent measures lead to a corruption of the concept of professionalism. Too often we see restructuring of our work to achieve higher scores on performance measures. However, unless the performance measure created is clearly linked to the desired quality attribute, we too often have a spurious measure.
- See more at: http://www.medrants.com/archives/7426#sthash.NICn9jNy.dpuf

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