Yes, it’s that time. What’s new, hot, and interesting (at least to me)? Here you go!
Apparently, a large number of transfers to higher level of care involve a “highly preventable adverse event.” More reason for us to continue to emphasize patient safety not just in the ICU, but throughout the hospital. I am reasonably certain this phenomenon is not unique to Belgium.
I’m linking you to the Academic Medicine commentary on feedback in clinical education because the full text is easily available and the content is beneficial. If you can access the accompanying article, it is also worth a read.
If you didn’t get to hear Barbara Bass’ Olga Jonasson lecture during the ACS Clinical Congress last year, here’s the inspirational text. It’s worth considering our purpose and priorities on a routine basis, and I know I’m guilty of sometimes not allowing myself that time. I’ve realized recently it’s too important to not invest that little bit of time.
Some of you are aware that I am a HUGE fan of the SCOAP/ CERTAIN project in the Pacific Northwest. This excellent study examines the impact of delaying operative management of diverticulitis on the ability to complete a resection laparoscopically.
And…from the not-peer-reivewed but very impactful literature, a new piece from Atul Gawande in the New Yorker discussing the epidemic of unnecessary medical tests. This is a huge driver of healthcare costs in the US right now and adds exactly zero value to patient care. The question, of course, is how do we change this culture? I know that many of my residents can describe me arguing against labs with them on rounds, trying to break them of checking labs “just in case.” Unless you can tell me what you’re concerned about or looking for, the answer is no.
And my May for-fun reading will start this week. Mink River is our book group book for May, and I’m looking forward to it. For those who have not read The Shipping News (April’s book group book), I’m happy to lend you my copy. It is beautiful.