safety

How Mistakes Change Clinical Practices

When fallible healthcare providers practice an imperfect science like medicine, mistakes are inevitable no matter how many protocols, checklists, or measures are in place. Some estimates suggest ~ 100,000 patients die yearly from medical...

What To Expect The Day Of Heart Surgery

As a cardiothoracic anesthesiologist, I often meet patients who have wrapped their head around the fact that they are getting surgery, but they have a lot of fear about the anesthesia, cardiopulmonary bypass, and...

Transporting Critically Ill Patients To The Operating Room

For critically ill inpatients on multiple pressors, mechanical ventilation, and/or mechanical circulatory support devices, it's customary for the anesthesiologist to be a part of the transport team. Over the years, I've seen countless styles...

Safely Drawing Up And Labeling Medications

Every day as an anesthesiologist, I reconstitute, draw up, and administer antibiotics, hypnotics, narcotics, paralytics, inotropes/pressors, blood products, fluids, vasodilators, and a myriad of other medications. Each year, the FDA receives over 100,000 reports...

The Unknown Unknowns

Medicine is all about constantly asking questions. Why is it so? Can it be done better? What am I missing? What's the diagnosis? What labs/tests should I order? What kind of treatment(s) can I...

The Patient Belongs To Everyone In The Operating Room

Surgical disciplines meet with patients, decide what operation(s) to perform, discuss the risks/benefits, and manage post-operative admissions with follow-ups. Undoubtedly, it's a time and labor intensive job, and as a perioperative physician myself, I...

Lifewings Healthcare Quality Improvement

Today I attended a wonderful session put on by Lifewings outlining techniques to improve patient safety and communication in the healthcare arena. We role played scenarios in which communication between team members became pivotal...

Barriers To Care

One of my favorite things about anesthesiology and critical care is the freedom I have to provide quality patient care. PACU and ICU nurses are top notch, pharmacists are always available with every medication...

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