Systems-based Practice

Infection Control Rounding in Ambulatory Surgery Centers

It is Monday morning, and you’ve been invited to participate in the infection prevention rounds in your ambulatory surgical center. This activity will take you on rounds through the OR, sterile processing area, pharmacy, and a construction site to identify…

AI in Medicine: Cutting-Edge or Legal Landmine

The emergence of AI in healthcare, initially signaled in the 1970s with innovative AI diagnostic tools, has gained renewed momentum due to recent breakthroughs in generative AI. This revitalization has brought to the forefront both the immense possibilities and the…

Diagnostic Safety, Part 3: The Patient’s Story

Diagnostic errors are among the top allegations in US medical malpractice claims. While it’s impossible to eliminate all errors, there are some actions that can reduce the risks of diagnostic mistakes. One such action is to focus on each patient’s…

Diagnostic Safety, Part 2: Impediments to Diagnostic Reasoning

Researchers have identified more than 100 biases that can interfere with diagnostic reasoning. These biases can sway practitioners’ thinking during both intuitive and deliberative cognitive processes. This activity discusses biases and offers strategies to reduce their detrimental impacts.

OP Malpresentation: A Precarious Situation

Fetal malpresentation is defined as a fetus presenting at birth in a non-vertex presentation as either occiput transverse (OT) or occiput posterior (OP). This condition occurs 15% to 25% at term and 5% to 12% at birth, frequently increases risk…

OP Malpresentation: A Precarious Situation

Fetal malpresentation is defined as a fetus presenting at birth in a non-vertex presentation as either occiput transverse (OT) or occiput posterior (OP). This condition occurs 15% to 25% at term and 5% to 12% at birth, frequently increases risk…

NAS and NOWS, Part 2

The diagnosis of a substance use or opioid use disorder during pregnancy is linked to complications for the mother, fetus, and newborn. Chronically drug exposed fetuses are at high risk for neonatal abstinence syndrome (NAS) or neonatal opioid withdrawal syndrome…

NAS and NOWS, Part 1

The diagnosis of a substance use or opioid use disorder during pregnancy is linked to complications for the mother, fetus, and newborn. Chronically drug exposed fetuses are at high risk for neonatal abstinence syndrome (NAS) or neonatal opioid withdrawal syndrome…

Diagnostic Safety, Part 1: The Basics

This overview of the discipline of diagnostic safety gives information about the number of diagnostic errors that occur each year in the US. It discusses barriers that make diagnostic errors more likely and presents strategies for making diagnosis safer.