I got into the same conversation this morning that I do every week, with the guy stocking produce at the local Crazy Grocery Store. "How you doin'?" he asked. "Inelegant." I replied. "You look fiiiiine" he said, grinning and showing his two gold teeth. We talked today about the time he spent in the hospital a few months ago.
I walked into Room 28 to examine a woman who had presented to our emergency department with complaints of abdominal pain. She had initially been examined by our chief resident, who was under my supervision for this particular shift. Unfortunately, this patient was a "frequent-flier," presenting to our ER multiple times in the past few years.
via CNN, an Australian study on interruptions in the ED: (CNN) – Interruptions in the emergency room may exact an unhealthy toll on patient care, a group of Australian researchers reported Thursday. The researchers, from the University of Sydney and the University of New South Wales, found that interruptions led emergency department doctors to spend less time on the tasks they were working on and, in nearly a fifth of cases, to give up on the task altogether.
Surgical Products asks manufacturers of equipment booms: What should surgical professionals consider of when purchasing equipment booms to ensure their OR is adaptable for future upgrades and updates? May 17, 2010 Booms play an important role in delivering many critical services to the Operating Room and more importantly supporting the surgical team.
Every nurse fears killing someone. New nurses fear it the most, because they don't understand the safeguards in place to keep it from happening. Older nurses, if you get 'em liquored up and they trust you enough, will certainly have a story about something that seemed...off, that they didn't catch in time, and that led to a patient's death.
Dr. Stephen Lober The surgical TIMEOUT is now a standard component of the Universal Protocol for the prevention of wrong-site surgeries. In theory, it represents the last firewall between the patient and an untoward surgical mishap, acting as a final confirmation amongst the entire surgical team regarding what is about to transpire surgically.
The patient returned to my clinic several years after her original thyroid cancer surgery. “The cancer blood test never went completely back to zero,” she told me. “We knew there was cancer in there somewhere. Finally, the new ultrasound machine found it! I guess it is time for more surgery!” I guess.
Lahey Clinic Medical Center, located in Massachusetts, consists of a 328-bed academic medical center and ambulatory surgery center. Picis CareSuite high-acuity solutions have been used at these locations beginning with OR Manager in 2003, Extelligence and SmarTrack in 2004 and 2007, and Picis Perioperative Dashboard in 2008.
"Hm. Where's all that blood coming from?" You especially don't want that to be your first thought when your patient is intubated and ventilated and Dipped and generally not terribly responsive. Moreover, you don't want that to be your first thought, because your second thought will invariably be, "Gosh.
By: Todd Neale, MedPage Today I recently got back from the annual meeting of the American Society of Hypertension, where I witnessed a prime example of "getting ahead of yourself." In a press conference Monday discussing the next morning's late-breaking clinical trials session to close out the meeting, we heard preliminary results from a pivotal trial of the Rheos Baroreflex Activation Therapy system, which is being developed by CVRx for treating resistant hypertension.
Thoughts of my first job rushed back into me as I pulled open the front door of the veterinary clinic. My son carried his sick cat past me and headed to the receptionist’s desk. I took a breath. “Oh my goodness,” I thought. “This place smells just like the animal hospital back home.
Health care in the United States costs too much, and it doesn’t look like that’s going to change. Recent health care reform legislation doesn’t take any meaningful steps towards reducing or controlling costs. In fact, it explicitly forbids states from trying to curtail the costs of malpractice litigation in any way that would reduce lawyers’ fees.
At a recent social gathering, a doctor friend who has been in private practice for almost 15 years revealed something that caused one physician to nearly choke on her drink, another to gasp in disbelief and the rest of us to stop what we were doing and gawk as if he had committed some grave social faux pas.
Hospital rankings matter. Specifically, those published in the US News & World Report carry additional weight. Hospitals use these numbers in advertising campaigns, and patients often choose hospitals based on these rankings. But does a high place really mean you’re getting better care? Not necessarily.
One afternoon several years ago, I found myself faced with an unexpected challenge while seeing patients in clinic. The hospital had just put in effect an electronic medical records system, or EMR, and along with the dozens of shiny new computer terminals installed in nursing stations on every ward came the promise of fewer missing charts, streamlined information and efficient work-flow patterns for all.