Premortem aur Postmortem


Corona ki badti mrityu darr ke kaaran ya, infective fluids ke kaaran, patients mein postmortem nahin kiya ja raha hai. Iska kya koi sarkari nirdesh hai ? ya kaaran bataya gaya hai ?

 Shayad iska karan hai is Bimari ki infectivity ya Marne walon ki sankhya har Jagah Itni jyada hai aur postmortem ki facilities hai nahin? Issse  Aane Wale Samay Mein nuksan Hoga Kyonki hamare pass histopathology ka data Nahin Hoga. Organs mein kya kya changes huen hai? Kis Umar Mein Kis Tarah Ke changes hue? ladies mein bacchon mein, gents Mein ,Budoon mein kya farak hai changes ka? Comorbid conditions (jinko diabetes, cardiac etc hai) valon Logon ke liye kya yah changes alag tarike se huen hai ?

Iske sath hi Mujhe Yad Aaya Premortem ka concept jo kai saal 2017 mein EDGE ke saal ke annual question mein pada tha. Sawal yoon tha 2017 : WHAT SCIENTIFIC TERM OR CONCEPT OUGHT TO BE MORE WIDELY KNOWN? . Yeh answer diya gaya tha inke dwara.

Richard H. Thaler : Father of Behavioral Economics; Recipient, 2017 Nobel Memorial Prize in Economic Science; Director, Center for Decision Research, University of Chicago Graduate School of Business; Author, Misbehaving.


The Premortem : Before a major decision is taken, say to launch a new line of business, write a book, or form a new alliance, those familiar with the details of the proposal are given an assignment. Assume we are at some time in the future when the plan has been implemented, and the outcome was a disaster. Write a brief history of that disaster. 

Mera translation” jab bhi hum koi bade level par major decision lete hai ya kitaab likhte hain ya business shuru karte hein, ya naye partnership banate hain, to jo bhi log is proposal se waqif hain, unse ek sawal kiya jana chahiye. Maan lijiye  hamara yeh project future mein  shuru karte hee kamyab nahi ho, aur uss par bhaari jaan maal ka nuksaan ho, to soch samajh kar visualise karein aur uske bare mein likhein”.

Is concept ka actually medical se Lena Dena Nahin Hai per,par Agar hum aaj uss pandemic mein kharre hain jiskee jaankaari hamein thi.

Infectious disease ko sambhalne ki principles bhi saari duniya ko pata hai. To kya aaj humein Premortem concept ko apnane ki zaroorat hai.

Yeh article aap website par jaakar google translate se padh kar aur jaankari ,prapt kar sakte hain.(Yahan).

Paristhiti utpann hone se pahle hi use paristhiti ke bare mein Soch Lena, jaise ki Samanya Jeevan mein kaha Jata Hai Ki “Soch Samajh Kar kaam karo” is concept ko  mirror karta hai. Shayad usse  scientifically develop karein to issy terminology par pahunch jayenge.

Richard H Thaler ke vichar se do(2) kaaran hai jisse Premortem durghatna (disaster) se bacha sakta hai.

Pehla hai ki bheed (Crowd ) mansikta aur overconfidence project ke khatam hone ke paas charam seema par hoti hai. Aise mein ek akeli awaaz jo kisse aur negative pehlu ki taraf dhyaan de daba di jaati hai, ya khud chup ho jaati hai.Lekin agar sawaal hi yahi kiya jai “Project fail kyon hua ?” to dabi awaaz , inaam ki hakdaar ho jaati hai. Kewal isse se project ke doosre pehlu dikhenge (Devil’s advocate).

Doosra kaaran yeh hai ki aap isse ulte chashme se dekh rahein hain.Optimistic hokar nahin balki pessimistic hokar, Ye Kyon Hua? Kaise Hua ? Richard Thaler ka manana hai ki isme aap aur creative ho jaate hain, aur problem solving ki taraf badte hain.

Unka manana hai ki kai badi badi company jo duniya bhar mein mashoor thi, raton raat gayb ho gayi. Yeh unki baat ka saboot hai.

Par ghar wapis Corona ki taraf. Twitter par pada tha, bookmark naheen kiya par yaad aya abhi. ‘Corona – The disease is political and so is the cure.”

Lockdown mein dimaag, ajeeb baatein jod leta hai. Nahi jodega to Roam research ke Bi directional linkage aur unlinked sources aane wale samay mein jod denge. Dekhen aage aage kya hota hai.

 Humlog, jo lakhon logon ko ghar banakar kumbh karva sakte hain, Kanwar ko jagah jagah tent lagakar khana khila sakte hain, hind sight mein lagta hai, Premortem kiya hota ,to tayiyaari aur bhi behtar hoti.

Published by Prof GS Jheetay MD (Anaesthesiology)

I am a Professor in Anaesthesiology in a Medical College in UP and retired from Indian Air Force. I am involved in active work and reflection during Covid 19 Pandemic has given me a motivation to share and also learn from others. I will share professional knowledge and general life experience on my site, blog and various other modes of learning/entertainment.Why Roman Hindi,What is the common thread that will bind my information etc is available on my site. For your satisfaction and mine,please read it. Regards

9 thoughts on “Premortem aur Postmortem

  1. डॉक्टर साहब उत्तम विचार। एक टिप्पणी है –
    अगर विचार हिंदी में ही व्यक्त करने हैं तो देवनागरी लिपि के प्रयोग का प्रयत्न कीजिए।
    गूगल इस कीबोर्ड की सुविधा आपको देता है

    Like

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