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…
Exogenous oxytocin (Pitocin) may be the most commonly used drug in obstetrics but it is not benign. Its use in clinical practice is riddled with myths, unsubstantiated by science, that perpetuate poor practice habits. Misuse, overuse, and sometimes abuse in…
Receiving notice of a medical malpractice claim often comes as a shock to physicians. It ushers them into an adversarial and hostile legal environment. The stress can impair the physician’s health, family relationships, and ability to meet the professional obligations…
The Medical Professionalism Project is an innovative course that explores the complex expectations, challenges, and responsibilities of being a healthcare professional. While often we like to divide people and their choices into “good” and “bad,” the truth is that in…
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:…
As specialists who are closely involved in the process of diagnosing patients’ conditions (often serious ones), radiologists have a comparatively high malpractice liability risk, and the top allegation in claims against them is that they have made an error in…
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…
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…
Practice high value care by reviewing ACP’s online collection of clinical cases, answering the associated knowledge checks, and reading through the critiques. ACP’s five module program offers highly practical guidance and curated resources to help you incorporate effective HVC principles…
Learn how to eliminate unnecessary health care costs and improve patient outcomes. These on-line, interactive high value care (HVC) cases can be completed in 30 to 60 minutes on your dekstop, laptop, tablet, or smartphone. Review the medical cases online,…
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