Hospital inpatients taken care of by older doctors have a higher mortality rate, a recent article in the American Journal of Medicine concluded. The authors investigated 6572 admissions cared for by 59 different physicians at Montefiore Medical Center in New York. They suggested that older MDs might benefit from remediation to improve their skills.
What are the top considerations surgical professionals should make to ensure instruments are well-organized, maintained and secured during all phases of storage, cleaning and use? Jerry Brown, CEO, Automated Medical Products, www.IronIntern.com August 15, 2011 Ensuring proper management of surgical instruments starts with instrument selection.
Doctor D has been blogging about the doctor-patient relationship for a while now. It’s sort of the thing I’m known for. I’ve usually been on the doctor side of this equation. Most of my blogging, however, is to help patients figure out the weird world of medicine. Doctor D recently found himself on the patient side of a nasty injury.
What should surgical professionals consider during the sterilization/cleaning process to ensure instruments are well maintained? Samuel Hickson, Healthcare Network Director, www.midbrookmedical.com August 12, 2011 It seems that many issues (that have most likely existed for quite some time) in the world of sterile processing are beginning to rear their ugly heads more frequently.
Soon after I finished my surgical training, I worked with a young doctor who was impressive not only for his clinical skills but also for his devotion to patients. He was large and powerfully built but never seemed to loom over his patients, miraculously shrinking down to their eye level whenever he spoke with them.
Undated photos provided Thursday, Aug. 11, 2011 by the Nash family and Brigham and Women’s Hospital show chimpanzee attack victim Charla Nash before she was attacked by a chimpanzee and a recent photo release by the hospital Thursday Aug. 11, 2011 showing Nash after face transplant surgery, right.
Jeffrey P. Sites Cardiovascular and Extracorporeal Technologies CVTS Consultant, Pemco, Inc. August 10, 2011 The management of durable surgical instrumentation has evolved into a complex series of steps and criteria to safely and effectively care for the oldest and most consistently used “life support” technologies.
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).