A Clear-Eyed Approach to Reducing Costly Health Care Regulations

A Clear-Eyed Approach to Reducing Costly Health Care Regulations

Posted by  | Measurement of Safety and Quality

Johns Hopkins ophthalmologist Oliver Schein has found a simple way to save a half a billion dollars a year from our country's health-care bill, with no negative effect on patient health. The only thing standing in the way is a stubborn government requirement. Seventeen years ago, Dr. Schein and colleagues published a study finding that(...)

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Breaking Down the Barriers to a Second Opinion

Breaking Down the Barriers to a Second Opinion

Posted by  | Patient-Centered Care

When patients receive life-altering diagnoses, face aggressive treatments, or have misgivings about a provider’s conclusions, they may wonder if they should seek a second opinion. A recent study by Mayo Clinic researchers suggests that patients who do get second opinions frequently end up with different diagnoses. Of 286 cases referred by primary care practices to(...)

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Hospitals Helping Hospitals Improve Patient Safety

Hospitals Helping Hospitals Improve Patient Safety

Posted by  | Organizational and Cultural Change, Preventing Patient Harm

The moment that an accreditation team shows up unannounced can spike the pulse of even the most seasoned hospital executive. The next several days will amount to one big exam for the safety and quality of care, as surveyors meet with executives, managers and care teams, and watch first-hand as care is delivered. Make the(...)

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How We Can Engineer a Less Costly Health Care System

How We Can Engineer a Less Costly Health Care System

Posted by  | Designing Safer Systems, Patient-Centered Care, Preventing Patient Harm

If we want to rein in the costs of the U.S. health-care system — now equal to nearly 18 percent of the nation's gross domestic product — we cannot ignore the fragmented technologies used to help heal and save lives. At first glance, the devices, monitors, electronic health records and machines found in today's hospitals(...)

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More Science, Less Sausage-Making Needed for Hospital Quality Measures

More Science, Less Sausage-Making Needed for Hospital Quality Measures

Posted by  | Measurement of Safety and Quality

If you understand statistics and possess the intestinal fortitude to examine a ranking methodology, you will recognize that it involves ingredients that have to be recombined, repackaged and renamed. It's messy, like sausage-making. This is not to say that the end product — hospital rankings — are distasteful. Patients deserve valid, transparent and timely information(...)

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Common Symptoms, Uncommon Causes: Reducing Misdiagnosis on the Front Lines

Common Symptoms, Uncommon Causes: Reducing Misdiagnosis on the Front Lines

Posted by  | Preventing Patient Harm

In 2013, a 52-year-old man went to an emergency department complaining of dizziness. Physicians evaluated him, decided that it was a benign condition — as it usually is — and sent him home. Days later, it became apparent that this was no harmless event. He suffered a significant stroke, with permanent disability as the result.(...)

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Thinking Outside the Hospital: A Call to Action for Outpatient Safety

Thinking Outside the Hospital: A Call to Action for Outpatient Safety

Posted by  | Patient-Centered Care, Preventing Patient Harm

Health care has been thinking about medical errors for nearly 20 years, starting with the Institute of Medicine’s 1999 report “To Err is Human.” This and other work across the country have correctly shed light upon such medical errors as amputation of the wrong limb, inpatient adverse drug events and hospital-acquired infections, and we have(...)

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