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 […]
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  | August 29, 2018 |  1
By:  Chirag R. Patel, DO, SFHM, FACP The Ohio State University Wexner Medical Center [email protected] twitter.com/OSUBUCKQI Efficiency and timeliness in care are two of the Institute of Medicine’s six “Aims for Improvement”. Those are literally “million-dollar” topics for your institution, as millions are wasted annually due to throughput inefficiencies and increased length of stay. A […]
By  | August 21, 2018 |  2
By:  Richard Bottner, PA-C Hospitalist, Division of Hospital Medicine, Dell Seton Medical Center Assistant Clinical Professor, Internal Medicine, Dell Medical School at The University of Texas at Austin Alvin is a 42-year-old man who was never really given a chance. His parents both had severe alcohol use disorder. At age 12, his parents encouraged him to skip school […]
By  | June 26, 2018 |  2
JAMA just published the largest trial I have seen on a Hospital at Home (HAH) model to date and the first one out in the last few years. It comes from Mount Sinai in NYC–who have led the pack in this style of care if national presentations are the judge. They launched the program three […]
By  | June 4, 2018 |  4
The question of appropriate ward garb is a problem for the ages. Compared to photo stills and films from the 1960s, the doctors of today appear like vagabonds. No ties, no lab coats, and scrub tops have become the norm for a number (a majority ?) of hospital-based docs—and even more so on the surgical […]