When will patients start reviewing quality data before choosing their doctors and hospitals? The answer has been “soon” for several years, but “soon” may finally be the right answer. If you doubt it, check out the Commonwealth Fund’s new site, “Why Not The Best?” The central premise of the healthcare transparency movement has been that [...]
Archive | December, 2008
The Hospitalist as Bed Czar: Indispensability, But At What Cost?
In last week’s Annals of Internal Medicine, Eric Howell and colleagues describe an innovative experiment in which the hospitalists at Johns Hopkins Bayview became the institution’s bed czars. It worked. So should my program and yours take this one on? Hopkins Bayview is a 335-bed teaching hospital affiliated with Johns Hopkins. The Chief of Medicine, [...]
Resident Duty Hours and Patient Safety: Did The IOM Get It Right?
The Institute of Medicine just released its long-awaited report on trainee duty hours. It is well researched and balanced, and its recommendations appropriately reflect what we know vs. what we believe. Now the fun begins. Let’s start with a little background, some of it drawn from my book Understanding Patient Safety: Let’s be honest. Traditional [...]
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