Archive for June, 2009|Monthly archive page

The Transparent Hospital

In Hospital Management, New/Converging Technologies on June 17, 2009 at 00:08

I cannot believe the contrast between the advancement and convergence in medical technology on one side, and the ever so apparent overall lack of (medical) process management in most hospitals on the other side. I remember to have read (I believe it was Professor Ken Hillman from the Liverpool Hospital in Sydney, Australia) a remark about the structure of the medical force in a hospital being exactly the same as two to three hundred years ago. I can tell you, if many major companies are transparent (at least for their management), hospitals are as black as the night in most cases. Doctors simply like to just do their thing, and use the fact that just about EVERYONE needs a doctor every now and then, ads leverage for them to fight change, and much more so, to fight transparency.
Nobody wants doctors to spill their guts about everything they know about patient or even about what happens in a hospital. But is that a reason not to try to find efficiency and search for a shorter way to results in the way a hospital works? Apparently it is. And while doctors are keen to counter change, most of the time, they also like to maintain the power in a hospital. Because transparency, they think, exposes the leverage. And the loss of the leverage, means loss of control.

And doctors love to be in control. Granted, they do take responsibility for it, and control is essential, even if it needs to happen through back doors.
You have to understand that most of the time this does not affect patients to much. But it certainly affects how much people, space and money is needed to get something done, and get it done in time. And the more of these assets are under control, the more the process is under control. Simplifying the process, would neccessitate less assets, and mean a loss of control. And that, my friends, is something a not to small number of doctors do not want to risk loosing. But the nursing world is beginning to awaken, and so are the patients. So I am very keen to see how the white caped heroes of the castle will respond to the every day people acquiring more say in the matter bit by bit. People are opening their eyes, thinking over things they didn’t use to, and through “Social Networking, Collaboration, Participation, Apomediation, and Openness” to quote Gunther Eysenbach, are acquiring a different position in the process, aspiring for a role in this very process, in stead of only being the object of it.
God gave us Twitter with a Purpose. Let’s use it wisely.
This is bound to become interesting. Very interesting …


Ravings of a very very mad man – Day 1

In Uncategorized on June 3, 2009 at 08:26

I’m just the other guy. The line “cogito, ergo blogo” is a “faux”-latin line. and a spoof of “cogito, ergo sum”, (I think, therefore I am) that was uttered by René Descartes, though he did it in French really (je pense, donc je suis). But in stead of blogging, at that time, you wrote in French to reach the French. And later only, he translated the phrase into latin, so that he could reach the rest of the (probably English speaking) world.

I’m a doctor, in everyday life, and I work in the Emergency Room of teaching hospital in Belgium. I think, not as hobby, but rather compulsively. (For instance, it is now 4.19 a.m.). I, as many others, cannot stop my mind from thinking away from the here and now. Partially because it’s fun. But mostly because I’m the extremely curious type, and I have always been captivated by the “what if ” aspect of things. I think for that reason, this blog could be a lot of fun for me. And it could be a forensic look into my mind for you. Imagine that …

Hello world!

In Uncategorized on June 3, 2009 at 02:31

Welcome to This is your first post. Edit or delete it and start blogging!