Chapter 1451: Chapter 580: Full Authority, Raise High, Set Down Lightly?
"No problem, I can confirm the list of judges on the spot!" Dr. Xu appeared more anxious than anyone else.
Since the incident, he has been rooted in the operating room of the Emergency Department.
He has deep feelings for the Emergency Department’s operating room and has indeed put in a lot of effort.
After taking Zhou Can as an apprentice, he watched as the Emergency Department operating room expanded little by little, finally developing to its current state. He absolutely does not want to see any accidents in the operating room.
Back in the day, the Cardiothoracic Surgery department was so strong, yet it collapsed suddenly, leaving a profound impression on him.
That’s why his sense of crisis has always been strong.
Today, after listening to Zhou Can’s report, he was already in a cold sweat.
He is paying extremely close attention to this matter.
"Haha, Old Xu still handles things so efficiently!"
Director Lou was clearly very satisfied with Dr. Xu’s attitude.
"I am really anxious! The Emergency Department’s operating room is like my child. Watching it grow step by step makes me happier than anyone. But now that I’ve suddenly discovered it’s sick, I wish I could solve the problem immediately! For now, we choose three judges: myself, Xiao Zhou, and Cui Min. Xiao Zhou and Cui Min both have strong surgical abilities, are fair-minded, and of good character, I trust them both."
Dr. Xu decided on the three judges on the spot.
This time, selecting the judges is not about seniority, but about professional level and character.
"Shouldn’t we choose one or two senior colleagues? For example, Fu Chachun."
Director Lou asked.
"It’s not that I don’t respect senior colleagues. To change the atmosphere in the Emergency Department’s operating room, we must use capable people like Xiao Zhou who dare to act. Otherwise, choosing people like Fu Chachun as judges to muddle through would defeat the purpose of this scoring mechanism. It would become mere formalism, not only ineffective but potentially fostering deceit."
These years of lying low and amassing strength for Dr. Xu have not been in vain.
He has a very clear foreshadowing of any possible malpractices in management.
If someone like Fu Chachun were chosen as a judge, even if a surgeon performs poorly, as long as gifts are given to him secretly and relationships are maintained, they could still pass, even get high scores.
So Dr. Xu resolutely opposed it.
"Old Xu, I leave this matter to you. Once you’ve developed a comprehensive plan, submit it to me, and I will back you up. Surgical services are the core business that the Emergency Department has developed with great difficulty, and they represent its reputation, the main foundation for its growth. If anyone sacrifices the operating room’s reputation and image for a little personal gain, they’ll be out. Two-legged toads are hard to find, but there’s a whole lot of two-legged surgeons available."
Director Lou made a final statement of support.
As the head of the Emergency Department, what needs to be done is to support those who get things done and provide them with the authority and legitimacy to act.
The hospital is both a unit and a small kingdom.
The Emergency Department is like a state, and the operating room is half of the state, its most crucial foundation.
Destroying the reputation would be like destroying this foundation.
No wonder Director Lou made such a fierce statement about removing anyone who disobeys orders.
...
Leaving Director Lou’s office, Dr. Xu still frowned, estimating he was still thinking about the restructuring of the operating room.
As the overall person in charge, with such a significant issue with surgical quality, Dr. Xu felt enormous pressure.
"Teacher, you confirmed the judge list on the spot. Are you planning to implement the surgery scoring system immediately?"
"Yes! We have you to thank for catching this in time. If we had waited until it turned into a chronic issue, it would have been too late. After looking at the follow-up forms you provided, improving surgical quality has become an urgent matter. Xiao Zhou, from now on, keep a closer eye, and report any problems to me or Director Lou promptly. The operating room of the Emergency Department must not collapse!"
Dr. Xu, now in his fifties, is facing such a major crisis and is conceding age for the first time.
He is beginning to realize the need to gradually shift responsibilities onto Zhou Can’s shoulders.
"Today is the first day of implementing the scoring system, and I will score personally. From now on, you and Dr. Cui will alternate the scoring, and after work, submit the day’s surgical score reports to me."
Three judges were selected, but not to score a single surgery simultaneously.
Instead, Zhou Can and Dr. Cui will take turns scoring each surgery and then submit them to Dr. Xu for review to ensure fairness.
"By the way, did you find out what caused the numbness in the toes of the patient in bed 1?"
"We’ve only done a physical examination so far, and it can basically be concluded that it’s due to a nerve being severed or compressed. About a third of the way from the base of the third toe, the patient’s tactile sensation is significantly reduced, and the flexing function is lost."
Zhou Can’s medical skills have not yet reached the pinnacle.
He can only roughly predict where the problem might be.
Almost all doctors follow this routine of performing tactile, visual, and other most intuitive physical examinations on the patient, followed by making a preliminary judgment, also known as an initial diagnosis.
Experienced doctors have an initial diagnosis accuracy rate of at least 60%.
"We must find a way to determine the root cause of the problem, this matter is your responsibility. Pay special attention to two points, first, prevent the patient and family from insisting that this is a medical accident. Do your best to inform them about the risks of surgery, telling them that some risks are unavoidable. Second, be sure to protect the interests of the involved doctor and our hospital. Even if it is truly Fu Chachun who made a mistake during surgery, we must not undermine him."
