Just Say No to Hospitals! By Phil Baumann In Healthcare Reform With 3 Comments Tagged with Hospitals Iatrogenesis On 20 Oct | '2012 Hospitals are examples and metaphors for the iatrogenesis of our entire provision of health care. [Link] Share: Participatory Medicine Is About Discipline of Choice, Not Freedom of Choice Next post The Memory Is Worse Than The Violation Previous post Gregg Masters Go Phil! Ain’t iatrogenic medicine fun!! This death rate from nosocomial infections equals a 9/11 every eleven days. An estimated two million cases of nosocomial infections occur each year in the US. Each case extends the patient’s stay by an average of five days. That’s ten million patient days per year. To crunch the numbers even further, the American Hospital Association (AHA) states there are about 5,800 registered hospitals in the US, with about 951,000 beds. On average, for each 100 beds that a hospital has: it will see 210 cases of nosocomial infections a year. This will create 1,050 additional patient days per year, which will fill 2.89 patient beds year around and will see 10.5 patients die each year. Some will be infants. Health Is Social The rates are out of control. I think we also need to extend the concept of iatrogenesis to the problems *at large*. It’s as if the entire ‘system’ (I use that word loosely) is iatrogenic. – Phil Angela Espejo Agree with you there, Phil. I’m spending this semester in an internship working on IM/IT infrastructure in general and change management/implementation strategy for an EHR in particular. Many workflow and sociocultural challenges we come across can be conceptualized as rooted in the health system’s historical functioning and current state of work.