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Health Updates on the Web
The Patient Safety Group has compiled the latest in health, quality, and safety, news and reports. Please view our chosen RSS feeds to stay current on what's happening from AHRQ Web M&Ms, Dr. Bob Wachter's Blog, AHRQ Healthcare 411 audio series, AMA Medical News, and the New York Times health news on Page 1, and the American Society of Health-System Pharmacists, Yahoo! health news, JAMA Journal and BBC health news on Page 2.
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SPOTLIGHT CASE AND COMMENTARY: Dangerous Shift
November 2008
Clinical Area: Pediatrics. Due to lack of communication during shift change, an infant's transfer to a higher level of care is delayed. The infant develops respiratory distress, prompting a call to the rapid response team and transfer to the ICU. Commentary by Emily S. Patterson, PhD
CASE AND COMMENTARY: A Mid-Summer Fog
November 2008
Clinical Area: Medicine. A woman with diabetes is admitted to a teaching hospital in July. An intern, who received training at a hospital where only paper orders were used, mistakenly chose the wrong form for the insulin order. As a result, the insulin dose was not adjusted for the patient's NPO (nothing by mouth) status, and she became unresponsive. Commentary by Clarence H. Braddock III, MD, MPH
CASE AND COMMENTARY: Sick and Pregnant
November 2008
Clinical Area: Medicine. A pregnant woman with asthma was admitted to the hospital with respiratory distress. Although the emergency department providers noted that she was pregnant, this information was not conveyed to the floor. On admission, the patient was given an antibiotic that could have been dangerous. Commentary by Shareen El-Ibiary, PharmD, BCPS
PERSPECTIVES ON SAFETY: In Conversation with...
November 2008
Sanjay Saint, MD, MPH, is Professor of Medicine at the University of Michigan and the Ann Arbor VA Medical Center in Ann Arbor, Michigan. Dr. Saint's research has focused on reducing health care–associated infections, with a particular focus on preventing catheter-related urinary tract infections (UTIs). We asked him to speak with us about how research on UTI prevention provides broader lessons for patient safety.
Health Care–Acquired Urinary Tract Infection: The Problem and Solutions
November 2008
Urinary tract infection (UTI) is the most common hospital-acquired infection, accounting for 40% of all hospital-acquired infections. More than 80% of these infections are attributable to use of an indwelling urethral catheter. Commentary by Lindsay E. Nicolle, MD
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Can the Physical Examination Save Us From the Technology-Induced Dehumanization of Medicine?
January 01, 2009
In last week’s NEJM, physician-author Abraham Verghese paints a disturbing picture of a medical world in which technology has morphed from tool to object, the patient relegated to a supporting role. To me, Abraham has nailed the diagnosis but not the...(read more)
Are We Finally Entering the Golden Age of Healthcare Transparency?
December 27, 2008
When will patients start reviewing quality data before choosing their doctors and hospitals? The answer has been “soon” for several years, but “soon” may finally be the right answer. If you doubt it, check out the Commonwealth Fund’s new site, “Why Not...(read more)
The Hospitalist as Bed Czar: Indispensability, But At What Cost?
December 12, 2008
In last week’s Annals of Internal Medicine, Eric Howell and colleagues describe an innovative experiment in which the hospitalists at Johns Hopkins Bayview became the institution’s bed czars. It worked.So should my program and yours take this one on?Hopkins...(read more)
Resident Duty Hours and Patient Safety: Did The IOM Get It Right?
December 06, 2008
The Institute of Medicine just released its long-awaited report on trainee duty hours. It is well researched and balanced, and its recommendations appropriately reflect what we know vs. what we believe. Now the fun begins.Let’s start with a little background,...(read more)
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Health Updates
Healthcare 411 podcasts from AHRQ
