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Hanne Kjöller: Obedient employees more important than skilled at the New Karolinska

the Justification for the 2017 year tarmcancerpris reads: ”For his lifelong surgical work in kolorektalcancerområdet where he also engaged in clinical research of the highest quality, and developed new surgical techniques. He has also trained surgeons in Sweden and abroad in the new surgical methods. All in all, this has led to improved care and better prognosis for patients with bowel cancer not only in Sweden but also internationally. Torbjörn always put the patient first, and fold never away from his patient's side”.

called the Holm surname. A doldis to the public. A celebrity on the international kirurgiarenan. In the Danish newspaper the Jutland-Posten, he is described as a ”stjärnkirurg”. And among colleagues at the Karolinska in Solna, where he has his place of work, told about a doctor who saved lives of people who have previously been sentenced to death.

But the time when the patients with the most difficult tarmcancern ended up at professor Holm's surgical tables are soon to end. In may, he ends up at Karolinska. But this is not a story about a surgeon who no longer perform the duties he through long training, ingenuity and dexterity to become a master of. It is a story about Karolinskas ongoing and systematic braindrain. If the losses are much more difficult to measure and report than miljonkostnader for dörrbyten.

If I for fairness sake add the 507 locations in Huddinge so total that there are almost as many managers (865) patients (993).

We were tricked, says Torbjörn Holm, which earlier had been the poster child for the new organization. It was sold in as a model where the care would gather around the patient. X-rays, surgery, physical therapists, mottagningssköterskor would be governed by the patientflödesansvariga the doctor thus had a mandate to ensure that there was a stop somewhere in the chain. Good thought. But that was not the case.

with chefsled over the horizontal temaindelningarna in cancer, cardiovascular, etc. The old stuprörshierarkin was replaced by the narrow straws – cast as a plockepinn where it is impossible to ask somebody to account for that the children do not get their surgeries (DN 9/3) or adults their x-rays. And where not even the highest temachefen has the power to ensure that a terminally ill patient, the surgery or the hospital bed that she needs.

Vårdplatserna have become fewer. The heads more. Available beds amounted in the last week to 486. When I asked the Karolinska to count the heads in Solna, it was harder because some also in charge of operations in Huddinge, sweden. But the total for the two hospitals expect the registrar to 865 managers. If I for fairness sake add the 507 locations in Huddinge so total that there are almost as many managers (865) patients (993).

received quantity. The news that sterilcentralen send the wrong or dirty instruments to the surgery is a symptoms of the same ill. A former employee there, who left the hospital, explaining what had gone wrong:

it was Formerly the assistant nurses who ”loved the patient contact” who was hired. Was the sixth month hospiterade the of the operation to understand why the wipes must be folded a certain way and what the correct angle on one or the other instrument is of importance.

Now the people ”directly from the street” who neither understand the operations or all stages, for the effective sterilization. As to the cleaning and disinfection is a necessary step in order to avoid for example, the bone remains will be left and burned, stuck in the sterilizer's high temperature.

have tried to resolve the current disastrous condition by hiring more and more. That can less and less. And so it becomes even more errors.

At the New Karolinska counting the skulls. Less emphasis is placed on what is in them. Many managers, like Torbjörn Holm, given up and left the business. Those who remain loyal to the feltänkta the organizational model, rather than with the sick and the rank and file – which is ground down in frustration over not being able to help their patients.

I ask Harald Blegen, temachef for cancer, what he has done to get stjärnkirurgen Torbjörn Holm to stay. He writes that the decision is ”entirely his own” and that Holm ends ”according to their own needs”. Really?

After that Torbjörn Holm pointed out the problems during a meeting with 30 colleagues surnade Blegen. In an e-mail stating his dissatisfaction over the fact that chikaneras public. Holm replied: ”Some are collaborators who will accept anything to keep his job. Others stand up for what you believe correct, criticize and complain about what you think is wrong and suggestions for improvement. When you realize that the negative trend is not going to break as you say.”

Shortly afterwards wrote Blegen: ”Means your e-mail that you say you up?”

So lättkränkt can a manager who does not need to be held accountable for people's lives handle criticism. This is one of several problems with prestigeprojektet the New Karolinska. Forget all the ohemula costs. Worse is how the hospital gives priority to obedient employees, in front of competent, compassionate and conscientious.

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