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Surgical Products Daily

When Doctors Disagree: What Should You Tell Patients?

January 15, 2014 10:49 am | by Zackary Berger, M.D. | Comments

Tactfulness is key, and collegial relations with other providers can be maintained in such a circumstance, but identification of systematic missteps in care (such as leaving the patient out of a treatment discussion) is no vice...    


Four Scenarios That Would Dramatically Improve Healthcare

January 15, 2014 9:09 am | by Robert Pearl, M.D. | Comments

Radical change often happens suddenly, the result of a single decision or event. As we begin the New Year, I invite you to indulge in a thought exercise: Imagine what would happen to our healthcare system if the following hypothetical scenarios suddenly became reality...


Intellectual Doping: Stimulant Abuse In Medical Students

January 14, 2014 9:55 am | by Aimee Merino | Comments

No one can deny that medical students today face an increasingly competitive environment with a strong focus on board scores and class grades as strong requirements for entrance into competitive specialties. Mirroring the trends in both primary and secondary school, a standardized test has become the yardstick by which all physicians-in-training are compared...


Fighting ‘Observation’ Status

January 13, 2014 10:09 am | by Susan Jaffe | Comments

Every year, thousands of Medicare patients who spend time in the hospital for observation but are not officially admitted find they are not eligible for nursing home coverage after discharge. The over-classification of observation status is an increasingly pervasive problem: the number of seniors entering the hospital for observation increased 69 percent over five years, to 1.6 million in 2011... 

A Busy Doctor’s Right Hand, Ever Ready To Type

January 13, 2014 8:55 am | by Katie Hafner | Comments

Without much fanfare or planning, scribes have entered the scene in hundreds of clinics and emergency rooms. Physicians who use them say they feel liberated from the constant note-taking that modern electronic health records systems demand. Indeed, many of those doctors say that scribes have helped restore joy in the practice of medicine, which has been transformed — for good and for bad — by digital record-keeping... 


The Friday Four: Surgeon Who Operated On MLK Passes Away

January 10, 2014 11:27 am | by Mike Schmidt, Editor, Surgical Products | Comments

The Friday Four seeks to highlight some of the people behind some of the interesting stories I stumble upon during my daily search for relevant content. You didn’t ask for it, but you got it anyway. You’re welcome...      


The Cost Of Peace Of Mind: A Case Of Unneeded Bilateral Mastectomy

January 10, 2014 10:51 am | by Miranda Fielding, M.D. | Comments

We physicians need to remember that principle of “primum non nocere” — first, do no harm. We don’t remove other paired organs just because one is diseased, and we shouldn’t be doing it with breasts either...       

Informed Consent: Must The Risk Of Death Be Discussed?

January 9, 2014 9:32 am | by Skeptical Scalpel | Comments

The mortality rates for a simple tonsillectomy range from about 1 in 10,000 to 1 in 35,000. For UPPP, the mortality rate for adults is generally quoted at 0.2 percent or 1 in 500. I was unable to find any information about the mortality rate for that operation in the pediatric age group. The issue then is—must a surgeon mention death as a possible outcome after this type of surgery?


How EHR Design Can Affect Patient Safety

January 8, 2014 9:42 am | by Michael Chen, M.D. | Comments

Besides the importance of physician happiness when using an EHR, using design principles that maximize user intuition and presentation of relevant information, there is one aspect of healthcare information systems that should never be overlooked: patient safety...


Are We Successfully Moderating Healthcare Spending?

January 7, 2014 9:26 am | by Janice Boughton, M.D. | Comments

The fact that healthcare spending is already going in the right direction is fascinating and almost entirely neglected in the press, probably because it doesn’t support the more popular story that everything to do with healthcare in America is going rapidly to hell in a handbasket...


Solving The High Rates Of Hospital Readmissions

January 7, 2014 9:16 am | by Suneel Dhand, M.D. | Comments

Healthcare systems everywhere are seeking solutions to keep their patients healthier and away from hospital. Any doctor practicing at the frontlines will be able to tell you what a big issue this is right now. We regularly see the same patients on something of a merry-go-round of frequent hospital admissions, often with the same illness. Why does this happen?


Why Medicaid Patients Use The Emergency Department For Primary Care

January 6, 2014 9:48 am | by Kevin Pho, M.D. | Comments

A study found that those on Medicaid in Oregon made 40 percent more visits to the emergency department. The Oregon Health Insurance Experiment included about 90,000 low-income people and assigned 30,000 of them to Medicaid by lottery. It’s essentially a naturally-occurring randomized controlled trial...


Medicine Should Welcome The Fact That It’s A Business

January 6, 2014 9:02 am | by Rich Bottner | Comments

Harnessing business values means thinking creatively to craft solutions for everyday problems. It is about delivering outstanding service while providing a scientific framework for doing so. It begs for efficiency and waste reduction. Perhaps, above all in our current healthcare climate, a good medical “business” is one that manages its costs — something we have profoundly failed at in healthcare...


Is Arthroscopic Surgery For A Partial Meniscal Tear Unnecessary?

January 3, 2014 9:00 am | by Jennifer Gunter, M.D. | Comments

Arthroscopic knee surgery is big business in the United States. Arthroscopic partial meniscectomies alone cost $4 billion per year. Yes, billion. But do they work? Given the poor performance of these other arthroscopic surgeries, answering the question of whether partial meniscectomies are effective is crucial...              


Is Obamacare Finally On Track And Moving Toward Success?

January 2, 2014 9:08 am | by Robert Laszewski | Comments

After the disastrous launch of Obamacare the enrollment of 1.1 million people in the 36 state exchanges run by the feds is a major accomplishment. It is likely that the enrollment in the 14 state-run exchanges will take total Obamacare’s private insurance enrollment to near 2 million for the year. Does this mean that Obamacare is finally on track and moving toward success?



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