Home2018-05-24T15:44:59+00:00
By  | October 16, 2018 |  0
By: Rich Bottner, PA-C and Victoria Valencia, MPH You submit an issue to your Event Reporting System and never hear back. You discuss the need for institutional improvement with your colleagues around the water cooler, but few things seem to change. Sound familiar? Instead of passively waiting for quality improvement to happen in hospitals, organizations […]

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By  | October 2, 2018 |  0
On behalf of SHM’s Practice Analysis Committee, I’m delighted to announce that the 2018 State of Hospital Medicine Report is now available! This year’s report may be the most representative yet regarding the current state of hospital medicine. Of the survey’s 569 respondent groups: 52% are employed by hospitals or health systems 25% are employed […]
By  | September 27, 2018 |  0
This article originally appeared on the Josiah Macy Jr. Foundation website. While I was waiting in the pre-op area for a medical procedure, the anesthesiologist entered the room and introduced himself to me.  After asking me about my surgical and anesthesiology history, he asked about my allergies. I reported my allergy to a blue food […]
By  | September 20, 2018 |  0
Have you ever wondered if there’s a correlation between Gore-Tex® (Think: rain jacket material) and Social Media? No!? Well, I have… It turns out there may be more commonality between these topics than what one might imagine. You see, Bill Gore (the company’s founder and CEO) recognized a particular number in his manufacturing plants: 150. […]
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Featured Posts

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 […]
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  | May 13, 2013 |  2
A quick post on something we do not think about often. We look at the world through our own professional lens.  If you toil at a big urban hospital, your sphere of interest encompasses GME, training, research, and safety net care.  Conversely, if you work at a small, rural hospital, you concentrate on ER and […]