What is it worth to be treated in a hospital with a stellar patient safety record rather than one with lower performance? For a large majority of survey participants in a recent study by researchers from the Altarum Institute and Drexel University, the answer is quite a lot. Published online last month in the Journal of Patient Safety, the study found that most respondents would choose a hospital with a ...

Read more...

shutterstock_208968589 I have recently become a card-carrying member of the Association of Health Care Journalists.  Lofty title for a lowly blogger, but I’ll take it.  There are two main advantages to this membership, at least that I can see so far.  The first is access to the full text of online journals, key to actually discussing research intelligently.  The second is the ...

Read more...

shutterstock_228944191 Exactly one year ago, I abruptly fell off my professional trajectory. I lost the battle I was fighting -- trying to bring new and fresh ideas and a measure of fairness and accountability into a dictatorial academic establishment -- and, pretty much, lost the war. The year that followed was a spectacular ride, filled with new ideas, meeting great people, creating business ventures ...

Read more...

Atul Gawande posted a series of tweets, based on findings in the Senate CIA torture report, about the significant role physicians and psychologists played in torture. He comments, “But the worst for me is to see the details of how doctors, psychologists, and others sworn to aid human beings made the torture possible.” Agreed. Upon reading how these professionals used their knowledge to torture their fellow human beings I felt disappointed, ...

Read more...

shutterstock_97947788 As I watch the business world's fascination with the electronic medical record (EMR) and all of the big data that it accumulates, I see more and more processes codified and treatment pathways carefully honed. Only one small thing remains until the computer can tell doctors how to behave based on the developed algorithms: To turn free text in the patient chart ...

Read more...

shutterstock_114332227 I am a foreign born, foreign trained doctor, serving many patients from an ethnic minority, whose native language I never mastered. So, perhaps I am in a position to reflect a little on the modern notion that health care is a standardized service, which can be equally well provided by anyone, from anywhere, with any kind of medical degree and postgraduate training. 1. ...

Read more...

Information is everything, communication is the key. Recently, we were contacted by the medical director of a subspecialist fellow's practice at one of our affiliated hospitals. She wanted to discuss ways to improve communication between our practices, and expressed considerable frustration about the information received in consultation requests from the providers in our practice sending patients their way. She noted that they had "read-only" access to our electronic health record (through an information-sharing ...

Read more...

Improving patient engagement is a subject that’s being talked about in hospital boardrooms across the country. It’s become the in-fashion political buzz phrase. Certainly sounds very well and good, but what exactly does it mean? Likely different things to different people depending on what angle they approach it -- all the way from a care assistant up to the hospital CEO. In a nutshell, it’s all about allowing the patient to ...

Read more...

My earliest memories of medicine take me back to dinner table conversations with my mother, who is a physician. She would share with us her daily stories, telling us about patients she took care of in her clinics and in the hospital. As an internist, she often found herself traveling between many locations. I grew up knowing this to be medicine. As I have progressed in my career as a ...

Read more...

There are plenty of good reasons why thoughtful physicians are often unhappy with the current approach to measuring the quality of care they provide. Some, of course, object to the whole notion of quality measurement, but I believe they are in a shrinking minority clinging to an anachronistic mental model in which each physician defines for himself what constitutes high quality care. I have addressed this previously. But even those, ...

Read more...

Most Popular