There is a longstanding but unproven belief that shortening LOS will lead to higher readmission rates. This study of 129 VA hospitals over 14 years found significant decreases in both LOS and readmissions among 5 diagnoses; hospitals with shorter LOS did have higher readmission rates, with ~ a 6% increase in readmissions for every day reduction in LOS. More research needs to be done to determine the “tipping point” between reducing LOS and increasing readmissions (abstract).
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. […]
I just heard. A colleague, a man of integrity and warmth, a hard-working physician with ideals, ethics and many valued contributions, has taken his own life. His perspectives may have differed from mine at times, but every interaction was infused with respect. He was a good man. Much has been written about the rate of […]
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 […]