No choice is without risk for the high-risk surgical patient with significant aortic stenosis.
Performance of a group timeout (of which I am actually a strong proponent) has quickly become the standard of care at most American hospitals prior to initial incision. But the bureaucrats have taken a good idea and muddled it up in layers of unnecessary complexity. The simple timeout has been expanded and diversified.
There are patients in almost every hospital emergency room who do not need urgent care. They are there because they don’t have health insurance or a regular physician, or they didn’t know what else to do. Often, they are repeat visitors. It’s a problem that leads to emergency department overuse and contributes to spiraling health care costs.
What constitutes a "good" EMR? Here are the things I think are most important.
Over the years, light boxes have all but disappeared from hospitals. Voice-recognition software and electronic medical records have made radiology reports available almost instantaneously. Information passes from the radiologist to the treating physicians quickly.
A number of unusual and often devastating complications of robotic surgery are surfacing, which has prompted one state, Massachusetts, to issue an advisory to hospitals. Defenders of the robot say it's not the technology itself but rather the surgeons who are at fault.
Fixing the problem of "superbugs" will need both faster approval of last-resort drugs and new ways to guarantee rewards for companies, according to both industry leaders and public health officials who have been sounding the alarm.
A hospital is, by its nature, the scene of constant life-or-death situations. It’s the work we nurses, doctors and other health professionals do; we chose it. The threat of harm can jazz you up or bring you down, but what it should demand, always, is the highest possible level of professionalism. Who’s at risk when that doesn’t occur?
Despite the fact that many papers have identified the problem, inappropriate blood transfusions continue in hospitals across the nation.
The act of incising human flesh is one of moment, never light, never routine no matter how familiar.
Herein lies the challenge and the best hope for doctors’ liability reform going forward: diffusion of their responsibility.
I’ve never been more worried about the safety movement than I am today. My fear is that we will look back on the years between 2000 and 2012 as the Golden Era of Patient Safety, which would be okay if we’d fixed all the problems. But we have not.
Is wireless medicine just a passing fad, or will healthcare professionals be able to find ways to leverage powerful hardware and software tools to better prevent or treat injury and illness? Time will tell. In the meantime, we should monitor its growth and hope it realizes its immense potential.
From my vantage point, the finding that there is no correlation between attitude and survival serves as a gift for our patients and for us. Allowing people to accept their condition and honestly question their fate, no matter how they handle the challenge, might be enormously helpful for some. They don’t need to fear honest discussions.
I know that tremendous effort and resources are directed toward solving the problem of organizing and coordinating patients’ health information, and I don’t doubt that within four or five years, this problem will fade.