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Medicine
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JAMA Performance Improvement: Do No Harm

Updated 8 days ago

Health & Fitness
Medicine
Science
Read more

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.

Read more

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.

iTunes Ratings

17 Ratings
Average Ratings
12
3
1
1
0

Valuable information

By Atieh - Aug 26 2018
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This is the only podcast that I enthusiastically wait for the next episode. Every health care professional should be familiar with the situations that they discuss and the best way to approach and manage them. I am a pre-med student working as a medical assistant and this podcast helped me personally to be more cautious and aware of my workplace ethical concerns. Thanks for all your valuable work.

I took their advice on

By PathMax - Aug 26 2017
Read more
being exposed to dishonest superior physicians and got counseling. I think it's helping.

iTunes Ratings

17 Ratings
Average Ratings
12
3
1
1
0

Valuable information

By Atieh - Aug 26 2018
Read more
This is the only podcast that I enthusiastically wait for the next episode. Every health care professional should be familiar with the situations that they discuss and the best way to approach and manage them. I am a pre-med student working as a medical assistant and this podcast helped me personally to be more cautious and aware of my workplace ethical concerns. Thanks for all your valuable work.

I took their advice on

By PathMax - Aug 26 2017
Read more
being exposed to dishonest superior physicians and got counseling. I think it's helping.

Listen to:

Cover image of JAMA Performance Improvement: Do No Harm

JAMA Performance Improvement: Do No Harm

Updated 8 days ago

Read more

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.

Rank #1: Medication Errors in Hospitals–-It’s Everyone’s Fault

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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

Jun 20 2017

18mins

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Rank #2: Managing Patients With a Latex Allergy

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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 Latex Allergy

Jan 17 2017

32mins

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Rank #3: Retained Foreign Body From a Sheared Off Lumbar Drain

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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 perform procedures on their own. We talk with Drs Cynthia Barnhard, John DeLancey, authors of Retained Lumbar Catheter Tip, and Dr Aaron Reynolds and Dr David Baker.

Related article: Retained Lumbar Catheter Tip

Mar 28 2017

19mins

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Rank #4: Avoiding Wrong-Site Surgery

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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 Chairman, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles

Harry C. Sax, MD, Executive Vice Chair, Administration Department of Surgery, Cedars-Sinai Medical Center, Los Angeles

Kathryn Englehart, MD, Research Fellow, Department of Surgery, Northwestern University

David Baker, MD, Executive Vice President, Division of Health Care Quality Evaluation, The Joint Commission

Nov 28 2017

24mins

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Rank #5: How to Reduce Emergency Department Dwell Time

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Chaos in the emergency department is common. How to fix it is not always clear. Mary P. Mercer, MD, MPH, from the University of California, San Francisco, discusses how they successfully fixed their long dwell times at the emergency department at San Francisco General Hospital. Their solution was to create a fast-track unit that managed low-acuity patients separately from the rest of the emergency department cases. The most important aspect of this quality improvement effort was the ongoing and regular engagement of executives from the medical center with frontline staff.

Read the article: Reducing Emergency Department Length of Stay

Mar 19 2019

24mins

Play