Traveling for Care—in the U.S.
Some employers are looking to take advantage of geographical variations in the quality and cost of health care within the U.S., while others are leveraging deals they’ve struck with foreign hospitals in order to secure better rates with U.S. hospitals that are eager to keep American patients here. Most of the [...]
Posted in Healthcare | Also tagged hospitals |
Guiding Principles:
Rigorously Study Alternatives for Work Hour Reduction
Measure Outcomes Related to Resident Education
Improve “Sign-Out” Procedures
Eliminate or Minimize Situations in Which Residents Work 24 to 30 Continuous Hours
Improve Monitoring of Standards
Increase Flexibility for Implementation and Enforcement
Recognize the Importance of Supervision and Work Intensity
Align Incentives for Payment With Desired Objectives
Twenty years too late.
Posted in Healthcare | Also tagged Education, Medicine |
Internet-based learning is associated with large positive effects compared with no intervention. In contrast, effects compared with non-Internet instructional methods are heterogeneous and generally small, suggesting effectiveness similar to traditional methods. Future research should directly compare different Internet-based interventions.
Big surprise. Now we just need a display with haptic input and surround–smell…
Posted in Healthcare | Also tagged Education, Medicine |
Iatrogenesis the adverse effects or complications caused by or resulting from medical treatment or advice. Fulminans the sudden or rapid onset of an intense phenomenon (often pain). P4P is all about the incentivization of “best practices” in healthcare, and in the race to meet P4P reimbursable–metrics the patient may be harmed.
Not long ago, a colleague [...]
Probings: here, here and here:
Potential Signals of Serious Risks/New Safety Information Identifiedby the Adverse Event Reporting System (AERS)January - March 2008
Product Name: Active Ingredient (Trade) or Product Class
Potential Signal of Serious Risk/New Safety Information
Arginine Hydrochloride Injection (R-Gene 10)
Pediatric overdose due to labeling/packaging confusion
Desflurane (Suprane)
Cardiac arrest
Duloxetine (Cymbalta)
Urinary retention
Etravirine (Intelence)
Hemarthrosis
Fluorouracil Cream (Carac) and Ketoconazole Cream (Kuric)
Adverse events [...]
Posted in Healthcare | Also tagged drugs, fda |
Wonder if the uninsured in the US is just the start of the looming health-care crisis? The demand may have lessened:
The U.S. Census Bureau this week reported the number of Americans without health insurance fell last year to 45.7 million, down from the previous estimate of 47 million. Good news for sure, but of little [...]
Posted in Healthcare | Also tagged safety net |
The principle behind pay for performance, P4P, is that certain performances, in terms of health services, are beneficial for the patient. P4P is a third party beneficiary relationship. The provider promises to provide, the payer promises to pay, and the patient receives a benefit. What happens when there is no benefit conferred? What happens when [...]
Posted in Healthcare | Also tagged em, hospitals, p4p |
AMN:
The Joint Commission is calling on hospitals to crack down on “disruptive” health care professionals, over concerns that such behavior impacts patient care. A new commission standard taking effect in January 2009 will require hospital administrators to adopt codes defining disruptive behavior and develop procedures to discipline medical staff and other health professionals who behave [...]
Posted in Healthcare | Also tagged hospitals, policy |
Emergency Medicine’s mascot? Shouldn’t be!
