Lead And Teach For How Hospitals Really Work — Prof Dr Long Chiau Ming
Leaders should watch real work before redesigning it, cut safety clutter, and tackle bullying, while clinicians who teach need training, protected time, and a culture of mentoring.
Leaders should observe real hospital work before redesigning it, as interruptions and fatigue increase errors. Malaysia's health system is moving to digital records by 2028.
Hospital leaders should observe real work before making changes to avoid errors and inefficiencies.
Malaysia's health system aims for full digital records by 2028, but many facilities still use paper.
Interruptions and lack of sleep significantly increase medical errors, as shown by Australian research.
Summarised automatically by AI from the original article by CodeBlue. AI can make mistakes, so check the original for details.
I have just returned from Harvard Medical School’s Leadership in Medicine: Asia Pacific (LIM AP) programme, which ran two tracks: clinical leadership and faculty development.
Much of what I heard in both applies directly to Malaysian hospitals and clinics, which are under strain and struggling to keep the young doctors they train.
Hospital policies describe “work as imagined”. The faculty showed us research on “work as done”. In one Australian observational study, emergency physicians were interrupted 7.9 times an hour, rising to 9.4 an hour while prescribing.
An interruption mid-prescription almost tripled the error rate, and below-average sleep was linked to a far larger rise.
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