Patient Care & Procedural Skills

EFM Case Study #16: Equipment Failure

Medical error is the third leading cause of death in the US and technology failure is to blame 44% of the time. Perinatal clinicians are frequently unaware of the equipment limitations they use routinely. Non-invasive blood pressure machines, pulse oximeters,…

EFM Case Study #15: Critical Event Notification

The obstetric malpractice claim of “a delay in treatment of fetal distress” remains the number one factor In over 20% of claims from multiple PIAA resources. The key to avoiding delaying treatment to a fetus in distress is to recognize…

National Diagnostic Imaging Symposium

The course focuses on emerging medical techniques, information and technologies, current medicine, as well as review of best practices in the field of radiology. The program features presentations covering ten subspecialties including Musculoskeletal Imaging, Breast Imaging, Breast MRI, Gastrointestinal Radiology,…

Derail Depression: Treatment on Track

Major Depressive Disorder (MDD) is difficult to diagnose, and often undertreated at LGH. In addition, scales that measure depression (ie, PHQ-9) are a not being used consistently. Derail Depression Treatment on Track is a multiplatform quality improvement program designed to:…

Prescribing Controlled Substances

According to the CDC, drug overdose deaths are the leading cause of injury deaths in the US, and this death rate more than doubled from 1999 to 2013. Abused drugs included opioid pain killers, stimulants, -and -depressants, and the majority…

Ischemic Stroke: Risk Issues for the Emergency Physician

While professional society guidelines differ in their grading of the recommendation to administer intravenous tissue plasminogen activator (IV tPA) for treatment of ischemic stroke, there is evidence that giving tPA within established parameters can improve some patients’ outcomes. Patients with…

EFM Case Study #13: Diagnostic Error

Diagnostic error in medicine is one of the top ten causes of death in the US and around the world. Failure to diagnosis EFM patterns accurately has long and short term implications for patients and the perinatal team. Failure to…

Antibiotic Stewardship Strategies for Adult Outpatient Care

Studies of antibiotics provided to US children found that over half of all antibiotic prescriptions in the outpatient setting are given for infections that are likely viral rather than bacterial. In such situations, the medication prescribed has no therapeutic benefit…

Pediatric Asthma Part I: Risks, Burden, Practice Gaps

Asthma is the most common chronic health condition in children under 18 years old. Low-income, minority and underserved populations are most at risk for poor outcomes. While there have been significant improvements in asthma care, barriers to the implementation of…

Pediatric Asthma Part III: Education for a Partnership in Care

A partnership between the clinician and the person who has asthma (and the caregiver, for children) is required for effective asthma management. When providers, patients and caregivers work together, patients can better learn self-management skills. Self-management education provided at multiple…