As you may know, I’ve argued that that the quality and safety of healthcare have traditionally been underregulated. But regulators are like patients with Parkinson’s: it’s hard to get them unglued, but once they’re moving, it’s hard to stop them. Welcome to Exhibit A. Last month, I described Atul Gawande’s thrilling New Yorker article recounting […]
by Bob Wachter on January 7, 2008 in Hospital Care, Hospitalists/Hospital Medicine, Industry/Pharma, Information Technology, Media/Press Coverage, Medical Education/Academia, Nurses/Nursing, Patient Safety/Medical Errors, Quality Improvement
Great quote by USC cardiologist Leslie Saxon (a reporter reached her on her cell phone as Leslie was shopping) on this week’s NEJM study on delayed defibrillation: “You’re better off having your arrest [here] at Nordstrom [than in a hospital]… because there are 15 people around me.” You’ve probably seen the study, a detailed analysis […]
I recently participated in a meeting whose aim was to develop safety measures for hospital units (ie, med-surg, ED, L&D). As various measures were being ticked off, I muttered that we should also try to capture errors that occur as patients move between units. One of my colleagues, quite sensibly, asked, “but who will be […]
Today my pals Peter Lindenauer and Andy Auerbach (and colleagues) published the largest hospitalist outcomes study to date, in the New England Journal of Medicine. It is a rigorous, important piece of work. Let me try to add a bit of context. First, the What’s What. Using the massive database of the Premier system (which […]
I’ve not been posting regularly on this story (as you might imagine, it’s a bit tricky for me to do so), but for those following it from near and far (I’ve received emails from friends in Europe and Asia) there have been a number of interesting articles, including pieces in the LA Times, Washington Post, […]
Well, today the great Mecca of medical care and innovation that is UCSF all but ground to a halt. Our Dean was just let go under very odd circumstances, and everyone’s flocking to water coolers and Starbucks around the city to find out who knows what. I won’t be giving away any trade secrets here, […]
My older son is gearing up to apply to college (:-\ and so I bought him one of the Bibles, the Fiske Guide. The book is cleverly written – enough academic factoids to get parents to spring for it, leavened with enough social scene skinny to get kids to read it. The Guide dutifully lists […]
Let’s make this short and sweet. In this week’s New Yorker, Atul Gawande describes Peter Pronovost’s crusade to improve the safety of intensive care through the use of checklists. If it sounds dull, it’s not. In fact, it is thrilling and inspiring. Gawande glides effortlessly from microscopic detail to panoramic view and back again to […]
The University of Pittsburgh Medical Center announced today that it will donate up to $100 million over the next decade to fund college scholarships for Pittsburgh public school students. This is a magnificent gesture, but it left me scratching my head: I thought hospitals were supposed to absorb charity, not dole it out. I already […]
I had mixed emotions this morning when I heard that radio shock-jock Don Imus had returned to the airwaves. My 2004 interview with Imus was perhaps the wackiest experience of my life. It also made Internal Bleeding into a bestseller. Here’s the story: When Internal Bleeding came out, the book’s publicist, a lovely South African […]
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