by Mark N. Simon, MD What can hospital medical staff leaders learn from University of Oregon football coach Chip Kelly? In the morning of September 4th, Kelly had an opportunity to review video tape from the conclusion of his team’s game with Boise State University the night before. What he saw was his senior running back LeGarrette Blount punch an opponent and then lose his cool with the fans ...

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by Emily P. Walker, Washington Correspondent, MedPage Today The White House today announced details of a $25 million grant program to test alternatives to the tort system for medical liability cases. medpage-today In his Sept. 9 speech before Congress, the president announced he would direct Kathleen Sebelius, Health and Human Services secretary, to launch pilot programs meant to cut down on physicians ...

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Not necessarily. That's the finding from a recent study in the Journal of General Internal Medicine. What the researchers did was simulate three scenarios of medical mistakes, "a year-long delay in noticing a malignant-looking lesion on a mammogram, a chemotherapy overdose 10 times the intended amount and a slow response to pages by a pediatric surgeon for a patient who eventually codes and is rushed to emergency surgery." Varying degrees of physician ...

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It depends if you see the glass half empty or full. I've written on several occasions that there is little evidence that preventive medicine saves money, despite what some politicians say or believe. A recent study from Health Affairs provides more clarity, as it related to the long-term implications of diabetes. There are two decidedly different takes on the article. First, according to The New York Times' Prescriptions, it ...

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by Patricia B. Allen, MBA, RN What would you differently tomorrow if you had a violent episode in your emergency department today? Violence in the ED is a growing and alarming phenomenon. A recent survey conducted by the Emergency Nurses Association (ENA) revealed that 25 percent of the RN respondents report experiencing physical violence more than 20 times in the past three years and 20 percent of the respondents revealed encountering ...

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by Jerry I. Meyers, Esq. Communication is essential between health care providers but sometimes communication fails because of the arrogance or carelessness of the persons involved in the needed medical communication. Several years ago, a female client about to enjoy an important anniversary was admitted to a University affiliated hospital for the purpose of having a colostomy wound debrided. This was to be a one-day inpatient hospital procedure and was associated with little ...

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One bane of emergency physicians are patient satisfaction scores, which some hospitals use in part to determine physician salaries. Often times, if patients are denied, say, opioid medications, they're more likely to give low scores, which the hospital administration can then use to penalize doctors. Of course, this creates an incentive to give patients everything they want, sometimes to the detriment of good medicine. But Shadowfax, an emergency physician-administrator, delves ...

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95-year old patients who go to the emergency department, more likely than not, will get admitted to the hospital. But is that always what's best for the patient? Emergency physician Graham Walker suggests not. He notes, correctly, that, "the group with the highest odds of having something seriously wrong with them are probably also the most likely to have something go wrong with them while they’re in the hospital." Indeed, ...

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by Charles Bankhead, Staff Writer, MedPage Today A news magazine's rankings of top-rated hospitals for heart failure care did not include many hospitals that performed at least as well as the ranked centers, according to a comparison of the magazine's list and government data. medpage-today Hospitals that made the U.S. News & World Report list had a better 30-day mortality than ...

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Much has been made of the superior performance – on both cost and quality – of integrated health care organizations like the Mayo and Geisinger Clinics. But since the defining characteristic of these standout systems is at least 50 years of integrated history, few believe that the rest of us – namely the docs and hospitals that provide the bulk of American health care – can quickly achieve such seamless ...

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