A Better Way to Manage Chronic Medical Conditions in Homeless Emergency Department Patients
Homeless patients with chronic medical conditions who need long-term care often repeatedly present to emergency departments to receive treat...
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Science & Medicine
JAMA Performance Improvement: Do No Harm—Taking complications head on to improve the quality of medical care
From the JAMA Network, this is JAMA Performance Improvement: Do No Harm, the podcast about performance improvement and medicine that aims to elevate the quality of care, one patient at a tim...
Episodes
15 episodes
Improving Management of Elevated Liver Function Tests in Post Liver Transplant Patients
There are hundreds of thousands of liver transplant patients, all of whom will be seen in general clinical practices. It is common for them...
The Aging Clinician: When Should Older Clinicians' Cognitive Abilities Be Evaluated?, Part 2
As physicians age, they experience the inevitable decline of cognitive and physical function. It is not clear how that affects clinical prac...
The Aging Clinician: When Should Older Clinicians' Cognitive Abilities Be Evaluated?, Part 1
More than a third of the physician workforce is older than 60 years, and 10% are older than 70 years. Cognitive abilities may decline with a...
How to Reduce Emergency Department Dwell Time
Chaos in the emergency department is common. How to fix it is not always clear. Mary P. Mercer, MD, MPH, from the University of California,...
Poof – It's Gone – The Disappearing Order That Led to a Patient Getting an Unnecessary Procedure
Electronic health records are the bane of most clinicians' existence. They were supposed to help us but not only have they made life more di...
EMRs Gone Bad: How Order Sets Can Result in Medication Errors
One promise of electronic medical records (EMRs) was to reduce medication errors. That may not have occurred since one type of error, illegi...
The Not-So-Good Idea of Sedating Patients Who Have Obstructive Sleep Apnea
One-third of the US population is obese. Obesity is a major risk factor for obstructive sleep apnea. This condition is very common, and pati...
What to Do When There Is an Overdose of Insulin
It is very easy to confuse drug concentrations and vials containing different amounts of drugs in the hospital setting. It is not uncommon t...
Avoiding Wrong-Site Surgery
There are about 500 wrong-site surgeries performed in the United States every year. Simple maneuvers can minimize the risk for these occurri...
Medication Errors in Hospitals–-It's Everyone's Fault
A patient was admitted to the hospital and got three times their normal dose of phenytoin resulting in phenytoin toxicity and a long hospita...
Retained Foreign Body From a Sheared Off Lumbar Drain
A resident is asked to remove a drain that was placed in the lumbar space during an operation. Having never seen this sort of drain before n...
Managing Patients With a Latex Allergy
Latex allergy is common and usually benign but at times can be life-threatening. What can clinicians do to minimize the risk of serious comp...
Ensuring Staff Safety Against Violent Patients
Violence against health care workers is increasing. With fewer mental health services available, health care workers have disproportionate e...
Performing the Wrong Procedure
What to do when the wrong procedure is performed? In this first installment of JAMA Performance Improvement: Do No Harm we explore the optio...