A fascinating, beautifully-written article on a death penalty granted to a most likely innocent man, with interesting details on fire dynamics and the history of the judicial system pertaining to the death penalty. Reading about the system in place that should prevent an innocent man from being wrongfully executed reminds me of the supposed system that prevents medical errors from occurring – both are imperfect, with innocent victims falling through the holes in the leaky swiss cheese model to the void of failure on the other side.
A look at the role of the environment in the spread of infection-causing superbugs, and how best practices and new technology to enhance cleaning can help prevent their transmission. August 9, 2011 The 3M™ Clean-Trace™ Hygiene Management System monitors surface cleanliness.
I've blogged about my feelings that surgeons aren't pilots and patients aren't airplanes and I've discussed the crisis in intensive care units regarding the proliferation of confusing alarms . The constant blare of multiple sounds in the ICU leads to "alarm fatigue" and distracted personnel.
From a reprocessing perspective, the most consistent challenge I see to proper cleaning is organic soils, most commonly blood, are allowed to dry on instruments before cleaning begins. Once dry, blood and other proteins become highly insolvent and are orders of magnitude much more difficult to remove.
Not long ago, a few colleagues and I were discussing the challenges of improving health care quality and patient safety. We debated the merits of clinical benchmarks that payers and regulatory groups now require, crude proxies of quality care like giving antibiotics at certain times, ordering specific tests at set intervals or permitting our results to be reported publicly.
He was a senior surgeon many of us in training wanted to emulate — smart, busy and beloved by patients and staff. But we loved him most because he could have been any one of us. He had slogged through the same training program some 15 years earlier, and he had survived. I caught up with him one afternoon during my internship, hoping to glean some wisdom, but all he could talk about was how he was going to be seeing patients less and focusing on his dream of improving hospital quality and efficiency.
Use in humans is still years away, but for the 200 million lung disease sufferers worldwide, the device is a major step toward creating an easily portable and implantable artificial lung, said Joe Potkay, a research assistant professor in electrical engineering and computer science at Case Western Reserve University.
Over the years, I have come to the painful realization that I am not perfect. Ok, all you other surgeons, close your eyes and ears, because to admit to being less than perfect is a sign of weakness (like asking for help). Don’t read this, patients, because you wish even more than I do that I were perfect (especially when I’m operating on you).
In America’s hospitals, an estimated one in 20 patients will contract a hospital-acquired infection (HAI). Last year at Western Massachusetts Cooley Dickinson Hospital (CDH), one in 129 patients caught an HAI. Despite CDH’s better-than-average infection rates, Clostridium difficile (C.
It happened on a bus on my way to work. I got on and sat in the only available seat, which I quickly realized was next to a disheveled looking man who smelled faintly of urine and had a dry hacking cough that could be heard throughout the entire bus. He was leaning against the window and did not seem to notice me.
Jonathan Yunis, MD, FACS, Center for Hernia Repair, Sarasota, FL July 25, 2011 Few surgeons have gone as far as I have to really limit their practice solely to hernia surgery. Today, I perform about 600 hernia operations per year. In focusing solely on hernia repair, there are several creative aspects, or things I’ve changed over the years in my practice.
A hybrid laparoscopic ventral hernia repair technique with closing of the defect. July 22, 2011 When there is a risk for a high incidence of hernia recurrence with primary sutured closure, I fundamentally think that it does not make sense to close the defect under tension.
You hear it all the time from doctors — they would never choose medicine if they had it to do all over again. It’s practically a mantra, with the subtle implication that the current generation of doctors consists of mere technicians.
Surgeons discuss their unique hernia repair techniques. July 20, 2011 Posterior Components Separation Technique Alfredo M. Carbonell, II, DO, FACS, FACOS Associate Professor of Clinical Surgery Chief, Division of Minimal Access and Bariatric Surgery Co-director Hernia Center Greenville Hospital System University Medical Center University of South Carolina School of Medicine - Greenville The traditionally popularized Ramirez components separation technique (CST) is an excellent operation that has enjoyed renewed interest and popularity with the complex issues of infected and complicated abdominal wall hernia scenarios seen today.
How do you implement the iPad in the hospital setting for patient care and properly distribute it to a large group of physicians — all at once? The University of Chicago’s Internal Medicine residency program tried this last year, and came up with a great blueprint for others to see.