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Author: 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. […]
Read MoreAuthors: Mike Charlesworth and Andrew Klein TheAnesthesiaBlog August 15, 2022 It is not clear yet why facemask ventilation becomes easier following neuromuscular blockade. This new prospective observational study from Lee et al. evaluates changes in tidal volume after administration of neuromuscular blockade and assesses the correlation of this with changes in the vocal cord angle. […]
Read MoreAuthors: Alessandro De Cassai, M.D. et al Anesthesiology September 2022, Vol. 137, 341–350. Background Retracted articles represent research withdrawn from the existing body of literature after publication. Research articles may be retracted for several reasons ranging from honest errors to intentional misconduct. They should not be used as reliable sources, and it is unclear why they […]
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