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Author: Emily Methangkool, MD, MPH ASA Monitor September 2022, Vol. 86, 28. Ever since To Err is Human advocated for reporting critical incidents to improve patient safety, incident reporting systems have proliferated across health care organizations (To Err Is Human: Building a Safer Health System. 2000). Over the past two decades, critical incident reporting systems have become […]
Read MoreASA Monitor September 2022, Vol. 86, 12. Trends Treating precancerous anal lesions reduces risk of cancer in people with HIV A National Institutes of Health (NIH)-funded study found that the treatment of anal pre-cancerous growths, known as high-grade squamous intraepithelial lesions (HSILs), reduces the risk of developing anal cancer in people with HIV by more than […]
Read MoreAuthor: Steven L. Shafer, MD, FASA ASA Monitor September 2022, Vol. 86, 29–30. The following first-person accounts are selected from about 200 such stories I received after asking anesthesiologists to share their experiences with weaponized incident reporting (asamonitor.pub/3Okyc5s). I have not verified these accounts. However, the common thread of the reports I received is that physicians […]
Read MoreAuthors: Anita Honkanen, MD, MS, FAAP et al ASA Monitor September 2022, Vol. 86, 26–27. Members of professional organizations are required to self-monitor and to self-correct their behavior. Among physicians, self-regulation is essential for protecting patients, promulgating physician excellence, and promoting an interdisciplinary, collaborative practice. Professionalism is one of the six core competencies required by the […]
Read MoreAuthors: A. Steven Bradley, MD; Alyssa M. Burgart, MD, MA ASA Monitor September 2022, Vol. 86, 25–26. I was written up for “yelling at staff.” I responded to a code and yelled to the pharmacist to get induction medications, who couldn’t hear me over the din of people who had crowded into the room. The report completely failed […]
Read MoreAuthor: James J. Lamberg, DO, FASA, CPPS ASA Monitor September 2022, Vol. 86, 22–24. Figure: The Just Culture Tool (NPSF September 2016). Clinical peer review is the process whereby medical providers evaluate the quality of their colleagues’ clinical work (World J Gastroenterol 2014;20:6357-63). It may also be referred to as medical peer review, quality review, patient […]
Read MoreAuthor: Steven L. Shafer, MD, FASA ASA Monitor September 2022, Vol. 86, 21–22. Being on the receiving end of reports about imagined misconduct has sensitized me to the misuse of anonymous event reporting systems. Health care organizations need reporting systems to identify events and behaviors that reduce safety and harm patients. Frank and honest reporting is […]
Read MoreAuthor: Amanda Xi MD blog.amandaxi.com August 17, 2022 I took my anesthesia critical care medicine board examination on October 9, 2021 – a significant delay from my graduation from my fellowship in June 2020 because of pandemic restrictions. It was a different experience studying for this exam because I was working as an attending at […]
Read MoreAuthor: Greg Sackuvich Practical Pain Management Jul 28, 2022 With gaps in defining refractory pain (is it the same as chronic pain?), both physicians and researchers are focusing on underlying pathologies and treatment options beyond opioids to help patients. A key step in managing a medical condition is to define it and then develop a […]
Read MoreRadius Anesthesia August 17, 2022 Ensuring a swift discharge after surgery is important for patient outcomes and helps reduce health care costs 1. A number of factors can influence time to discharge following surgery, ranging from anesthesia to perioperative workflow. First, even after controlling for other clinically important factors, anesthetic management during surgery can affect postoperative length of stay. […]
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