Mutual Matters

Coordination of Care: Keep Patient Info from Falling through Cracks

Posted by Bill Kanich, MD on Jun 8, 2017 1:00:00 PM

Accurate information about a patient’s past history is vital for decision making in every physician-patient interaction. In addition, proper documentation is essential for care that may be provided in the future by yourself or other physicians. Coordination of care is as much of a patient safety challenge as making an accurate diagnosis or ordering the appropriate treatment. The path of care from the initial complaint to completion of treatment is far from seamless. Sometimes it can be full of obstacles – such as the potential to misunderstand or not see important information, including details that could pose serious risks for the patient. Many medical liability cases involve poorly coordinated care that results in harm to a patient.

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Topics: Patient Safety, Healthcare Industry

Specialty Focus: Obstetrics and Gynecology

Posted by Bill Kanich, MD on Jun 2, 2017 4:16:59 PM

Case #1

A 28-year-old G1 P0 female presents in active labor after an uncomplicated pregnancy. She progressed adequately in labor, getting an epidural at 6cm dilatation. After delivery of the fetal head, the head partially withdraws back into the birth canal (turtle head) and this was immediately noted. A modified McRoberts’ maneuver was done with suprapubic pressure without success.

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Topics: Patient Safety

Hospital Advisory:  Should Hospital Security Officers Be Armed?

Posted by Chet Crockett on May 11, 2017 11:00:00 AM

In light of continued reports of violent incidents in healthcare facilities, healthcare professionals are debating whether arming their security officers will improve safety for patients.

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Topics: Hospital Management, Patient Safety, Healthcare Industry

Developing Resilience and Avoiding Physician Burnout, Part Four

Posted by Marshaleen King, MD on May 9, 2017 1:00:00 PM

The Road to Recovery Once Burnout Occurs

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Topics: Patient Safety, Healthcare Industry

Essential Medical Skill Can Change Physician Behavior and Improve Patient Outcomes

Posted by Bill Kanich, MD on Apr 27, 2017 1:49:32 PM

A recent Emergency Medical Journal article[1] examined the relationship between empathy and litigation. The authors enrolled two groups of patients into a randomized, double-blind controlled trial. The subjects watched simulated discharge discussions between physicians and standardized patients; half of the videos differed only by the inclusion of two brief empathy statements. These verbalizations included: 1) a reflection on the patients' concerns about their symptoms, and 2) a reflection on their health awareness.

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Topics: Patient Safety

Developing Resilience and Avoiding Physician Burnout, Part Three

Posted by Marshaleen King, MD on Apr 25, 2017 12:30:00 PM

Self-Care as a Path to Resilience

Resilient persons typically engage in positive thinking and are willing to face challenges. They seldom get frustrated when problems arise and they usually rebound from adversity. Although some people believe resilience is innate, this trait can be developed using a number of techniques. Self-care is a central component of

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Topics: Patient Safety, Healthcare Industry

FDA Boxed Warning Required for Fluoroquinolones

Posted by Bill Kanich, MD on Apr 14, 2017 1:30:00 PM

On May 12, 2016, the FDA released an announcement advising that the serious side effects associated with fluoroquinolone antibacterial drugs generally outweigh the benefits for patients with acute sinusitis, acute bronchitis, and uncomplicated urinary tract infections who have other treatment options. For patients with these conditions, fluoroquinolones should be reserved for those who do not have alternative treatment options.

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Topics: Patient Safety

Physicians Prone to Medical Liability Claims

Posted by Bill Kanich, MD on Apr 6, 2017 1:00:00 PM

NEJM Study shows 1% of physicians accounted for one-third of all paid claims

A study in the January 2016 New England Journal of Medicine[1] analyzed paid medical liability claims, (an indemnity payment made to an injured party), and the physician’s name was reported to the National Practitioner Data Bank (NPDB) to determine if the characteristics of claim-prone physicians could be identified.

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Topics: Patient Safety, Healthcare Industry

Developing Resilience and Avoiding Physician Burnout, Part Two

Posted by Marshaleen King, MD on Apr 4, 2017 1:42:28 PM

Series Part Two: Fostering Resilience

Although medicine is a stressful profession, many physicians are able to practice medicine without experiencing burnout. Developing resilience increases the likelihood of avoiding burnout. Resilient individuals typically have a more optimistic outlook, remain calm in a crisis, have a good sense of humor and are less daunted by challenges. An individual could be naturally resilient but persons who are not resilient by nature can develop habits that increase their resilience.

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Topics: Patient Safety, Healthcare Industry

FDA Drug Safety Communication Regarding Viberzi (eluxadoline)

Posted by Carrie Lowe, J.D. on Mar 30, 2017 12:30:00 PM

On March 15, 2017, the FDA issued a drug safety warning that Viberzi (eluxadoline), a drug used to treat irritable bowel syndrome with diarrhea (IBS-D), should not be used in patients who do not have a gallbladder. The FDA found that when used in patients without a gallbladder there is an increased risk of developing serious pancreatitis that could result in hospitalization or death.  Patients who are taking Viberzi (eluxadoline) who do not have a gallbladder should stop taking the drug immediately and contact their physician.

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Topics: Patient Safety