Fail Often To Succeed Sooner: Adventures in Innovation

Fail Often To Succeed Sooner: Adventures in Innovation


Christi Dining Zuber, RN, MHA; Victor Alterescu, RN, MBA, MPH; Marilyn P Chow, RN

Fall 2005 - Volume 9 Number 4

https://doi.org/10.7812/TPP/05-098

A new mom lies in bed in the Postpartum unit as a Kaiser Permanente (KP) Certified Nursing Assistant (CNA) wheels in a TV/video cart so mom can watch an educational video about circumcision before her baby's procedure. Just when the CNA plugs in the video, another staff member enters to complete the baby's hearing screening. The CNA abruptly turns off the video and wheels the cart out of the room. The screener asks, "Has your baby been fed in the past hour? We want him restful and quiet for the hearing screen." "No," the mother replies, "I didn't know that you were coming." "I'm sorry," the screener says, "that means I can't perform the test now. I'll have to come back." She then leaves the room. The new mom missed the educational video and the baby missed his hearing screening; two clinicians wasted their time; and care and teaching for both mother and baby were delayed. Both caregivers will have to return unsure if the situation will repeat itself.

TPJ20Years

 

The Permanente Journal is celebrating it's 20th anniversary year. We look forward to continuing to bring you more high-quality content during the next 20 years.

Subscriptions

The Permanente Journal (ISSN 1552-5767) is published quarterly by The Permanente Press. Journal subscriptions are entered for the calendar year. Advance payment in US dollars is required.

Circulation

25,000 print readers per quarter, 7,628 eTOC readers, and in 2016, 1.4 million page views on TPJ articles in PubMed from a broad international readership.

Letters

Articles, editorials, letters to the editor, and other material represent the opinion of the authors. Send your comments to permanente.journal@kp.org.


Copyright 2017 The Permanente Journal - Kaiser Permanente. All Rights Reserved.