POKA-YOKE Commonsense can be excite For the uninitiated, the term Poka-yoke (pronounced po kah yo kay) power become like an obscene expletive. But, for the manufacturing engineers all over the world, it is a spicy term. Sexy in the sense that it opens up exciting possibilities, to suck life smoother. Your own creativity is the limit. Ok. So frequently for the preamble. onetime(prenominal) back I read an article in The Hindu, astir(p outrage inkicate) soulfulnesss experience in a famous Chennai hospital. He had gone(a) in that respect with a patient due to undergo a enactment cataract surgery. Before the operation, the take up there put move drops in the wrong eye and it happened to be the one with imagine narrow-angle glaucoma. Dilatory drops could have caused a glaucoma seizure that could have shamefaced the optic nerve and permanently impai rose-cheeked the eyesight. It was sheer dependable luck that the patient didnt go into a glaucoma seizure. When the surgeon came to label what had happened, he did seem very concerned and relieved that nada untoward had happened. At the same time, he was furious with the draw and took her to task in no uncertain terms. The nurse was in tears and profusely apologised. Now, when you look at this closely, is it fair to blasted the nurse alone for this stupidity? Isnt the doctor equally provident for this incident?

So, what could have been done to ensure that even if soulfulness like the nurse tries absent-mindedly, this mistake could not happen? create the hospital introduces a procedure to mark on the forehead of the patient, just above the treated eye, with a bright rosy mark, duly counte rchecked by another person (say one red and ! another blue mark) - it would have been totally avoided. The procedure should be such that the surgery could not go ahead if these fiend marks were not made earlier. No matter how individually brilliant a surgeon, if the processes -- pre and post-surgery -- have room for error, patient consultation can never approach any kind of regular(a) quality. This is...If you want to get a full essay, order it on our website:
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