JAMA Performance Improvement: Do No Harm
16 episodes - English - Latest episode: over 3 years ago - ★★★★ - 23 ratingsFrom 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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Episodes
A Better Way to Manage Chronic Medical Conditions in Homeless Emergency Department Patients
December 22, 2020 16:00 - 35 minutes - 32.8 MBHomeless patients with chronic medical conditions who need long-term care often repeatedly present to emergency departments to receive treatment. Following a performance improvement analysis, clinicians at UCSF developed an emergency department–based team who work with the community to provide care for this challenging population. Hemal Kanzaria, MD, and Jack Chase, MD, discuss how UCSF has addressed this clinical problem. Related Article(s) available here
Improving Management of Elevated Liver Function Tests in Post Liver Transplant Patients
November 10, 2020 16:00 - 17 minutes - 15.9 MBThere are hundreds of thousands of liver transplant patients, all of whom will be seen in general clinical practices. It is common for them to develop elevated liver enzymes—a potentially serious problem that may be a sign that the transplanted liver is failing. Traditionally, patients with these findings are sent to a liver transplant center for an inpatient workup. A new protocol facilitating management of most of these patients in routine outpatient clinics has been developed, greatly imp...
The Aging Clinician: When Should Older Clinicians' Cognitive Abilities Be Evaluated?, Part 2
April 28, 2020 15:00 - 9 minutes - 8.4 MBAs physicians age, they experience the inevitable decline of cognitive and physical function. It is not clear how that affects clinical practice. Jeffrey Saver, MD, vice chair of neurology at UCLA and a JAMA Associate Editor, discusses how to best assess the clinical performance of aging physicians. The Aging Clinician: When Should Older Clinicians' Cognitive Abilities Be Evaluated?, Part 1 Read the article: Cognitive Testing of Older Clinicians Prior to Recredentialing
The Aging Clinician: When Should Older Clinicians' Cognitive Abilities Be Evaluated?
January 14, 2020 16:00 - 32 minutes - 30.1 MBMore than a third of the physician workforce is older than 60 years, and 10% are older than 70 years. Cognitive abilities may decline with age but how cognition affects clinical practice is unknown. It is also not clear how clinicians’ cognitive ability can be measured and acted upon when diminished without committing age discrimination. Two major academic hospitals launched programs to test cognitive abilities in older physicians applying for renewal of their medical staff privileges. It we...
The Aging Clinician: When Should Older Clinicians' Cognitive Abilities Be Evaluated?, Part 1
January 14, 2020 16:00 - 32 minutes - 30.1 MBMore than a third of the physician workforce is older than 60 years, and 10% are older than 70 years. Cognitive abilities may decline with age but how cognition affects clinical practice is unknown. It is also not clear how clinicians’ cognitive ability can be measured and acted upon when diminished without committing age discrimination. Two major academic hospitals launched programs to test cognitive abilities in older physicians applying for renewal of their medical staff privileges. It we...
How to Reduce Emergency Department Dwell Time
March 19, 2019 15:00 - 24 minutes - 22.8 MBChaos 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 ...
Poof – It’s Gone – The Disappearing Order That Led to a Patient Getting an Unnecessary Procedure
January 18, 2019 16:00 - 20 minutes - 19.3 MBElectronic health records are the bane of most clinicians’ existence. They were supposed to help us but not only have they made life more difficult for clinicians, they are the cause of medical errors. Described here is a case of the patient receiving an unnecessary procedure because an order was not canceled in an EHR where it had disappeared from the clinicians’ view. A second theme in this case that is consistent in nearly all of the JAMA Performance Improvement articles to date is inadeq...
EMRs Gone Bad: How Order Sets Can Result in Medication Errors
March 27, 2018 15:00 - 25 minutes - 23.6 MBOne 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 th...
The Not-So-Good Idea of Sedating Patients Who Have Obstructive Sleep Apnea
February 06, 2018 16:00 - 26 minutes - 24.4 MBOne-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 Foundation. ...
What to Do When There Is an Overdose of Insulin
December 26, 2017 16:00 - 32 minutes - 29.4 MBIt 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 Me...
Avoiding Wrong-Site Surgery
November 28, 2017 16:00 - 24 minutes - 22.5 MBThere 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 Vi...
Medication Errors in Hospitals–-It’s Everyone’s Fault
June 20, 2017 15:00 - 18 minutes - 17.2 MBA 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
Retained Foreign Body From a Sheared Off Lumbar Drain
March 28, 2017 14:39 - 19 minutes - 18.1 MBA 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 perfor...
Managing Patients With a Latex Allergy
January 17, 2017 16:00 - 32 minutes - 29.7 MBLatex 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 L...
Ensuring Staff Safety Against Violent Patients
December 27, 2016 16:00 - 30 minutes - 14.3 MBViolence 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 DePaolo...
Performing the Wrong Procedure
September 20, 2016 15:00 - 19 minutes - 18 MBWhat 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.