Louisiana Medical Mutual Insurance Company (LAMMICO)

Surgeons and Burnout

Between 40% and 65% of surgeons are suffering from at least one symptom of burnout, according to a recent national study. Evidence indicates that burned-out surgeons are more likely to experience negative personal consequences such as addictions, sleep disorders, cardiovascular…

Escalation of Care: A Quality Improvement Initiative

Surgical residents do not always call the attending physician about critical patient events, believing that it is not necessary or that the call will not be welcome. Failure to call for help is associated with failure to rescue, adverse events…

Controlled Substances Series: Drug Diversion Prevention

Prescription drug diversion is a serious problem and fuels the current US epidemic of drug misuse, abuse, and addiction. Healthcare practitioners need to be able to identify and prevent drug diversion in their practices, by patients or staff members. This…

Controlled Substances Series: Best Practices for Prescribing

While concerns about the opioid epidemic are paramount, many other controlled substances are being misused and abused. Part one of this course describes the best practices and special considerations necessary for prescribing any controlled dangerous substance. Medication reconciliation and the…

EFM Case Study Series #18: Hypertensive Crisis & Stroke

Hypertensive crisis and stroke are on the rise in the pregnant population. Over the past 20 years, the incidence of preeclampsia has increased by approximately 25% in the US and is the leading cause of maternal and infant illness and…

Statins: What to Recommend When Guidelines Conflict?

More than 21% of US adults take lipid-lowering statin medications; however, the CDC states that many more people should be doing so. But who is eligible? The guidelines of the USPSTF, the American College of Cardiology/American Heart Association and the…

VIP Syndrome: A Moral Dilemma

Managing the care of an influential or famous person can be challenging and may introduce a moral dilemma. Think about the healthcare situations involving celebrities that have been in the news recently. When a “very important person/patient” shows up for…

Hip Fracture: Enhancing Patient Recovery

About 340,000 Americans suffer hip fractures due to falls every year. For many elderly patients, a hip fracture signals the beginning of the end, a decline ending in death within the following year. In the past, hip fractures have been…

Delirium and the Elderly Hospitalized Patient

Delirium is common among elderly hospitalized patients. At home, the incidence is low, but once hospitalized, patient incidence increases to 14–24%, and in intensive-care even higher, 50-80%. Delirium is under-diagnosed and under-treated. In a 2017 study, clinicians failed to list…