JAMA Performance Improvement: Do No Harm—Taking complications head on to improve the quality of medical care-logo

JAMA Performance Improvement: Do No Harm—Taking complications head on to improve the quality of medical care

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From the JAMA Network, this is JAMA Performance Improvement: Do No Harm, the podcast about performance improvement and medicine that aims to elevate the quality of care, one patient at a time, with host Ed Livingston, MD.

From the JAMA Network, this is JAMA Performance Improvement: Do No Harm, the podcast about performance improvement and medicine that aims to elevate the quality of care, one patient at a time, with host Ed Livingston, MD.
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Location:

United States

Description:

From the JAMA Network, this is JAMA Performance Improvement: Do No Harm, the podcast about performance improvement and medicine that aims to elevate the quality of care, one patient at a time, with host Ed Livingston, MD.

Language:

English


Episodes

EMRs Gone Bad: How Order Sets Can Result in Medication Errors

3/27/2018
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One promise of electronic medical records (EMRs) was to reduce medication errors. That may not have occurred since one type of error, illegible orders, has been replaced by another: Order sets may incorrectly match a patient and necessary treatments. In this JAMA Performance Improvement podcast, we review a case in which guideline-based care was incorporated into an order set, then the guideline changed but the order set did not, resulting in a post-STEMI patient receiving β-blockers when...

Duration:00:25:26

The Not-So-Good Idea of Sedating Patients Who Have Obstructive Sleep Apnea

2/6/2018
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One-third of the US population is obese. Obesity is a major risk factor for obstructive sleep apnea. This condition is very common, and patients with sleep apnea are at risk of major complications from sedation. This JAMA Performance Improvement podcast reviews a case of a patient who did poorly after he was sedated for a medical procedure. Interviewees include Joshua Pevnick, MD, MSHS, from Cedars-Sinai Medical Center, and Jason R. Farrer, MD, from Northwestern Medical Faculty...

Duration:00:26:25

What to Do When There Is an Overdose of Insulin

12/26/2017
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It is very easy to confuse drug concentrations and vials containing different amounts of drugs in the hospital setting. It is not uncommon to have dosing errors occur. In this podcast, we discuss how to manage an overdose of insulin and also how to implement preventive measures in the hospital environment to minimize the risk of drug dosing errors. Interviewees include Cynthia Barnard, PhD, MBA, MSJS, from Northwestern Memorial HealthCare, Lara K. Ellinger, PharmD, BCPS, from Northwestern...

Duration:00:32:06

Avoiding Wrong-Site Surgery

11/28/2017
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There are about 500 wrong-site surgeries performed in the United States every year. Simple maneuvers can minimize the risk for these occurring. This JAMA Performance Improvement podcast reviews a case of wrong-site surgery and discusses potential ways to avoid it. Interviewees include Armando Giuliano, MD, Harry Sax, MD, Kathryn Englehart, MD, and David Baker, MD, from The Joint Commission. Read the article: Wrong-Site Surgery Author Affiliations: Armando Giuliano, MD, Executive Vice...

Duration:00:24:16

Medication Errors in Hospitals–-It’s Everyone’s Fault

6/20/2017
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A patient was admitted to the hospital and got three times their normal dose of phenytoin resulting in phenytoin toxicity and a long hospital stay. Analysis of the error revealed problems with hospital organization, supervision issues and having an environment that facilitates errors. Errors don’t occur simply because one clinician makes a mistake—rather they occur because the hospital system fails to prevent them. Related article: Phenytoin Toxicity—A Significant Adverse Drug Event

Duration:00:18:37

Retained Foreign Body From a Sheared Off Lumbar Drain

3/28/2017
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A resident is asked to remove a drain that was placed in the lumbar space during an operation. Having never seen this sort of drain before not having removed one, the resident proceeded to remove the catheter. Several days later, the patient complained of persistent drainage. An 11-cm segment of retained catheter was removed. This JAMA Performance Improvement article discusses how to avoid this sort of problem as well as how to ensure that resident physicians have sufficient skills to...

Duration:00:19:32

Managing Patients With a Latex Allergy

1/17/2017
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Latex allergy is common and usually benign but at times can be life-threatening. What can clinicians do to minimize the risk of serious complications attributable to latex allergy? We interview Cynthia Barnard, PhD, MBA, MSJS, and Erin Slade-Smith, MSN, RN, CNOR, both from Northwestern Memorial Hospital in Chicago, Illinois, and David W. Baker, MD, MPH, FACP, from The Joint Commission, to shed light on this serious issue. Article discussed in this episode: Management of a Patient With a...

Duration:00:32:20

Ensuring Staff Safety Against Violent Patients

12/27/2016
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Violence against health care workers is increasing. With fewer mental health services available, health care workers have disproportionate exposure to potentially dangerous patients. This article reviews the experience of one nurse who was severely injured by a patient and the lessons learned by the hospital where the incident occurred regarding minimizing the risk of staff injury when providing care for potentially violent patients. We interview Robert P. Roca, MD, MPH, MBA; Antonio...

Duration:00:30:51

Performing the Wrong Procedure

9/20/2016
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What to do when the wrong procedure is performed? In this first installment of JAMA Performance Improvement: Do No Harm we explore the options for dealing with this very difficult problem with Tami Minnier, RN, MSN, Paul Phrampus, MD, Linda Waddell, RN, MSN, and David Baker, MD, MPH, FACP. Air traffic audio courtesy of LiveATC.net, used with permission.

Duration:00:19:34