Segregating regulated medical waste from solid and recyclable waste reduces costs and environmental footprint. As Linda D. Lee, DrPH, REM, Director of Operations for Healthcare Solutions at Waste Management, explains, a hospital is like a small city.
THE FACTS Does an influx of medical trainees mean a spike in medical mistakes? Every July, a new class of medical school graduates begins residency programs at teaching hospitals, giving rise to a popular belief that this month is a bad time to go in for treatment. Researchers call it the “July effect,” referring to the idea that mishaps and mortality rates rise when a fresh group of residents arrives at a hospital.
Rafael Andrade, MD As the largest cost center and revenue driver in a hospital, the operating room has one of the largest environmental footprints. According to Cecilia DeLoach Lynn, Director of Sustainability Programs & Metrics at Practice Greenhealth, it’s estimated that an average OR generates 20 to 30 percent of total hospital waste.
I didn’t know her name until it was over, much too late. What I knew was she was thirteen and that on this winter day someone in her family had been pulling her behind their car, on a sled. No doubt laughing and looking in the rear-view mirror, the person driving had whipsawed around a corner, and the young girl — probably screaming (fear? delight?) — held onto the sled as it careened off the road and into the side of a concrete culvert.
Public doctors, nurses and medical students protest to demand higher wages for public doctors and nurses in Caracas, Venezuela, Thursday June 16, 2011.
What should surgeons consider when choosing products for single port surgery? July 1, 2011 When choosing single port surgery products, surgeons should consider: Product efficacy, ease of use and cost effectiveness. Many can still remember the early laparoscopic cholecystectomy procedures of the late '80s which took an inordinate amount of time to perform compared to today’s procedure time values along.
SCHÖLLY FIBEROPTIC GMBH introduces its 3D Laparoscopy System Einstein Vision, a robotic visualization system that offers 3D-HD image quality with optical, electronic and mechanical technologies. The system was demonstrated for the fist time at the European Association for Endoscopic Surgery Congress in Turin, Italy.
Harvard Medical School recently held a symposium on learning. The topic of the meeting was “Resiliency and Learning: Implicationsfor Teaching Medical Students and Residents.” Chronic stress, as experienced by physicians, affects the endocrine and other systems causing immune suppression and metabolic disorders leading to depression, cognitive dysfunction and a lot of other bad things.
When you think of surgeons, you likely picture heroes deftly using scalpels to pull patients back from the brink. But sometimes, as much as surgeons want to save someone, they simply can’t. A new survey finds that some of the men and women doing amazing feats of medicine in the OR don’t think quite so highly of themselves.
I’m starting to understand why graphic pictures on cigarette packs are so effective. We are studying pathology, which is the human body gone wrong. The photos–taken from autopsies–are gross, meaning their structures can be seen with the naked eye. Cirrhotic livers are littered with bumps and scars, the heart dies and leaves a band of black tissue behind, the lungs are stretched so far that they can’t pull in the air they need.
I was a general surgery residency program director for 24 years. I’ve seen them come and go. Here is some advice for those of you who are beginning residency training.
Every now and then a tonsillectomy patient bleeds after arriving back on the ward after surgery. On this occasion, there was nothing remarkable in the event itself.
A colleague who practices pediatrics recently bemoaned the fact that several insurers in his state no longer reimburse him for each medical service he performs. Instead, the insurers give his practice a budget for each patient, and he can earn more by meeting certain quality goals. “I’m all for quality,” he said, sighing.
When a single incision approach is elected over a standard laparoscopic approach, many technical challenges present for the surgeon. Far too often, access devices are coupled with specialized instruments to overcome hurdles such as limited triangulation, restricted visualization, fixed port placement and limited procedural applications.
We are surrounded by technology. No matter where you go, you will find technology rearing its face, whether ugly and ungodly or tempting and beautiful. These advances have brought both good and evil to many professions, especially healthcare. Twenty years ago, you would not have found signs instructing people to turn off their cell phones in physician offices.