I’m well aware that a good fraction of the people in this country – let’s call them Rush fans – spend their lives furious at the New York Times. I am not one of them. I love the Grey Lady; it would be high on my list of things to bring to a desert island. But [...]
HIT Job: How the New York Times Blew it on Healthcare IT
by Bob Wachter on February 26, 2013 in Health Policy, Industry/Pharma, Information Technology, Media/Press Coverage
Doctors, Tend to Your Online Reputations. KevinMD’s Terrific New Book Tells How
by Bob Wachter on January 30, 2013 in Book Review, Information Technology, Media/Press Coverage, Transparency and Reporting
Kevin Pho, better known as KevinMD, is the nation’s leading physician-social media guru. He and his colleague Susan Gay were nice enough to invite me to write the foreword to their book, “Establishing, Managing, and Protecting Your Online Reputation: A Social Media Guide for Physicians and Medical Practices,” which was published today. I think it’s [...]
(Not) Saving the Best for Last: Managing One’s Time on Rounds and Sign-Out
by Bob Wachter on December 20, 2012 in Efficiency, Hospitalists/Hospital Medicine, Information Technology, Medical Education/Academia, Patient Safety/Medical Errors
A clever little study was published last month in the Archives of Internal Medicine, and it – plus the fact that I’ve just started a stint as ward attending – prompted me to think about the importance of managing a set of tasks in the hospital. In my quarter-century of mentoring residents and faculty, I [...]
Putting the “A” Back in SOAP Notes: Time to Tackle An Epic Problem
by Bob Wachter on September 3, 2012 in Diagnosis/Clinical Reasoning, Hospital Care, Information Technology, Medical Education/Academia
A colleague recently sent me a remarkable video – of Professor Lawrence Weed giving Medical Grand Rounds at Emory University in 1971. It’s fun to watch for many reasons: the packed audience composed mostly of white men in white jackets and narrow ties, the grainy black and white images a nostalgic reminder of Life Before [...]
The New and Improved “Understanding Patient Safety” and the Evolution of the Safety Field
by Bob Wachter on June 25, 2012 in Diagnosis/Clinical Reasoning, Health Policy, Information Technology, Patient Safety/Medical Errors, Quality Improvement
Let me get the Shameless Commerce portion of this post out of the way: the second edition of my book, Understanding Patient Safety, was published this month by McGraw-Hill. I hope you’ll consider picking up a copy. That done, I’ll turn to something more interesting: the rapid evolution of the safety field, as seen through [...]
Digital Distractions: Time for a Diet
by Bob Wachter on March 30, 2012 in Health Policy, Information Technology, Media/Press Coverage, Medical Ethics, Patient Safety/Medical Errors
It’s been said that losing weight is much harder than kicking cigarettes or alcohol. After all, because one doesn’t need to smoke or drink, the offending substances can simply be kept out of sight (if not out of mind). Dieting, on the other hands, involves changing the way a person does something we all must [...]
The Patient Will Rate You Now
by Bob Wachter on March 19, 2012 in Ambulatory/Primary Care, Health Policy, Hospital Care, Information Technology, Pay-for-performance, Quality Measurement, Transparency and Reporting, United Kingdom Healthcare System
These days, I’d never consider trying a new restaurant or hotel without reading the on-line ratings on TripAdvisor or Yelp. I seldom even bother with professional restaurant or travel critics. Until recently, there was little patient-generated information about doctors, practices or hospitals to help inform patient decisions. But that is rapidly changing, and the results [...]
“I’m the Main Breadwinner”: The British Primary Care System and Its Lessons for America
by Bob Wachter on November 26, 2011 in Ambulatory/Primary Care, Health Policy, Information Technology, International Comparisons, Quality Improvement, Quality Measurement, United Kingdom Healthcare System
I’ve heard a lot of shocking things since arriving in England five months ago on my sabbatical. But nothing has had me more gobsmacked than when, earlier this month, I was chatting with James Morrow, a Cambridge-area general practitioner. We were talking about physicians’ salaries in the UK and he casually mentioned that he was [...]
Summer in London: First Impressions
by Bob Wachter on August 13, 2011 in Ambulatory/Primary Care, Health Policy, Hospital Care, Information Technology, International Comparisons, United Kingdom Healthcare System
First of all, let’s get the important stuff out of the way. Mom, I’m fine. Thanks for your concern. Really. I’ve now been in London for about 6 weeks on my sabbatical. The recent riots here are all folks are talking about and the trauma is real. One wonders whether the inevitability of budget cuts, [...]
Do We Have Any Clue How To Cut The Cost Of Healthcare?
by Bob Wachter on May 24, 2011 in Efficiency, Health Policy, Hospital Care, Information Technology, Medical Education/Academia
At the Society of Hospital Medicine’s annual meeting last week in Dallas, Lenny Feldman of Johns Hopkins presented the results of a neat little study. His hypothesis: physicians given information about the costs of their laboratory tests would order fewer of them. Feldman randomized 62 tests either to be displayed per usual on the computerized [...]
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The Dangers of Curbside Consults… and Why We Need Them
April 29, 2013
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When I Was In the Final Four
April 5, 2013
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Measuring the Quality of Doctors and Hospitals: When Is Good Enough, Good Enough?
April 1, 2013
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HIT Job: How the New York Times Blew it on Healthcare IT
February 26, 2013
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