What can I do? May Wong answered the question.

The most common question I get--worldwide--after I give a talk or seminar on creating a learning organization to improve clinical processes in hospitals is:  "I really like what you are saying, but what can I do if those above me in the organization have not adopted the philosophy you espouse."  I respond by saying, "Start small, and just try to get something fixed in your area, working with other like-minded people. Maybe the ideas will spread organically. Maybe they won't, but at least you will have made things better for some."Well, May Wong from Sydney didn't need my advice.  My buddy Sarah Dalton at the New South Wales Clinical Excellence Commission told me the story:Several years ago in her intern year, the thing that most frightened May was having to participate in a resuscitation.  To alleviate part of her anxiety, she checked the resuscitation trolley ("code cart" in our region) in her ward to be intimately familiar with the location of every device or supply she might need if an emergency arose.A few weeks later she was working in another ward, and a code was called, and she found to her dismay that the trolley on that ward was organized differently, and she had difficulty finding the airway equipment.She said to herself, "This is ridiculous.  Shouldn't every cart be organized the same way?" And she decided to get the problem fixed.She started knocking on doors.  Her registrar (senior resident) said, "That's the way things are."  H...
Source: Not running a hospital - Category: Hospital Management Source Type: blogs