Home2018-05-24T15:44:59+00:00
By  | January 17, 2019 |  0
By: Gopi Astik, MD, Hospitalist, Medical Director, Northwestern Medical Hospital I walked into a patient room one frigidly cold Chicago morning with the warmest smile on my face. I spoke to the gentleman who was admitted with an acute exacerbation of his COPD a few days prior and had improved over the weekend. He had […]

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By  | January 14, 2019 |  0
“The Joint Commission – [insert name of your institution here] is in the survey window.” A message you have become accustomed to seeing every few years at your hospital–and one administrators liken to habanero sauce on a gaping cold sore. But there is something else you should know. Bet you were not aware of this […]
By  | January 8, 2019 |  0
Florence Nightingale, in her seminal 1859 Notes on Nursing textbook, reminded nurses about the importance of not waking hospitalized patients up. It is not surprising that years later, the American Academy of Nursing, through the Choosing Wisely™ campaign, recommended that hospitalized patients not be woken for routine medical care to protect their sleep, citing numerous […]
By  | January 7, 2019 |  0
Like you, I am focused on care transitions these days. Inpatient providers have gotten closer to mastering the hospital side of things (disease-specific care), but we still have a long way to go on broad-based QI with items such as hand washing, nosocomial infections, and patient communication. Additionally, the patient’s passage back from the wards […]
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By  | December 17, 2018 |  4
According to a new survey report released by The Physicians Foundation, 80% of physicians across all specialties report being at full capacity or overextended, and 78% reported sometimes, often, or always experiencing feelings of burnout. Sixty-two percent of U.S. doctors are pessimistic about the future of medicine, and 49% wouldn’t recommend medicine as a career […]
By  | March 26, 2008 |  22
Do you get as annoyed as I do about being pressured on your “Time of Discharge?” I just received my monthly report, and we’re in The Doghouse again: our average TOD – 3:28 pm – is hours after “check-out time.” But when did we turn into the Holiday Inn? Let’s start by appreciating where this […]
By  | September 29, 2008 |  7
Last week’s New York Times front-page piece on colored wristbands highlighted an issue I’ve been fretting about for years. We can achieve consensus on a $700B bailout in 3 days (well, perhaps not), but can’t agree on what color a DNR wristband should be? Wow. My interest in this subject began with a remarkable case […]