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JAMA Performance Improvement: Do No Harm

JAMA Performance Improvement: Do No Harm

JAMA Network

From the JAMA Network, this is JAMA Performance Improvement: Do No Harm, the podcast about performance improvement and medicine that aims to elevate the quality of care, one patient at a time, with host Ed Livingston, MD.

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Top 10 JAMA Performance Improvement: Do No Harm Episodes

Goodpods has curated a list of the 10 best JAMA Performance Improvement: Do No Harm episodes, ranked by the number of listens and likes each episode have garnered from our listeners. If you are listening to JAMA Performance Improvement: Do No Harm for the first time, there's no better place to start than with one of these standout episodes. If you are a fan of the show, vote for your favorite JAMA Performance Improvement: Do No Harm episode by adding your comments to the episode page.

JAMA Performance Improvement: Do No Harm - Ensuring Staff Safety Against Violent Patients

Ensuring Staff Safety Against Violent Patients

JAMA Performance Improvement: Do No Harm

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12/27/16 • 30 min

Violence against health care workers is increasing. With fewer mental health services available, health care workers have disproportionate exposure to potentially dangerous patients. This article reviews the experience of one nurse who was severely injured by a patient and the lessons learned by the hospital where the incident occurred regarding minimizing the risk of staff injury when providing care for potentially violent patients. We interview Robert P. Roca, MD, MPH, MBA; Antonio DePaolo, PhD; Ernestine Cosby, RN; and Bolarin Kehinde, RN, to shed light on this serious issue.

Article discussed in this episode: Ensuring Staff Safety When Treating Potentially Violent Patients

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JAMA Performance Improvement: Do No Harm - Avoiding Wrong-Site Surgery

Avoiding Wrong-Site Surgery

JAMA Performance Improvement: Do No Harm

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11/28/17 • 24 min

There are about 500 wrong-site surgeries performed in the United States every year. Simple maneuvers can minimize the risk for these occurring. This JAMA Performance Improvement podcast reviews a case of wrong-site surgery and discusses potential ways to avoid it.

Interviewees include Armando Giuliano, MD, Harry Sax, MD, Kathryn Englehart, MD, and David Baker, MD, from The Joint Commission.

Read the article: Wrong-Site Surgery

Author Affiliations:

Armando Giuliano, MD, Executive Vice Chairman, Department of Surgery, Cedars-Sinai Medical Center, Los Angeles

Harry C. Sax, MD, Executive Vice Chair, Administration Department of Surgery, Cedars-Sinai Medical Center, Los Angeles

Kathryn Englehart, MD, Research Fellow, Department of Surgery, Northwestern University

David Baker, MD, Executive Vice President, Division of Health Care Quality Evaluation, The Joint Commission

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Electronic health records are the bane of most clinicians’ existence. They were supposed to help us but not only have they made life more difficult for clinicians, they are the cause of medical errors. Described here is a case of the patient receiving an unnecessary procedure because an order was not canceled in an EHR where it had disappeared from the clinicians’ view. A second theme in this case that is consistent in nearly all of the JAMA Performance Improvement articles to date is inadequate communication among clinicians.

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As physicians age, they experience the inevitable decline of cognitive and physical function. It is not clear how that affects clinical practice. Jeffrey Saver, MD, vice chair of neurology at UCLA and a JAMA Associate Editor, discusses how to best assess the clinical performance of aging physicians.

The Aging Clinician: When Should Older Clinicians' Cognitive Abilities Be Evaluated?, Part 1

Read the article:

Cognitive Testing of Older Clinicians Prior to Recredentialing

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JAMA Performance Improvement: Do No Harm - Improving Management of Elevated Liver Function Tests in Post Liver Transplant Patients
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11/10/20 • 17 min

There are hundreds of thousands of liver transplant patients, all of whom will be seen in general clinical practices. It is common for them to develop elevated liver enzymes—a potentially serious problem that may be a sign that the transplanted liver is failing. Traditionally, patients with these findings are sent to a liver transplant center for an inpatient workup. A new protocol facilitating management of most of these patients in routine outpatient clinics has been developed, greatly improving the efficiency of managing patients with this clinical problem. Fady Kaldas, MD, director of the Dumont-UCLA transplant center, discusses how to manage elevated liver function results in liver transplant patients on an outpatient basis.

Related Article(s):

Outpatient Management of Liver Function Test Abnormalities in Patients With a Liver Transplant

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JAMA Performance Improvement: Do No Harm - Managing Patients With a Latex Allergy

Managing Patients With a Latex Allergy

JAMA Performance Improvement: Do No Harm

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01/17/17 • 32 min

Latex allergy is common and usually benign but at times can be life-threatening. What can clinicians do to minimize the risk of serious complications attributable to latex allergy? We interview Cynthia Barnard, PhD, MBA, MSJS, and Erin Slade-Smith, MSN, RN, CNOR, both from Northwestern Memorial Hospital in Chicago, Illinois, and David W. Baker, MD, MPH, FACP, from The Joint Commission, to shed light on this serious issue.

Article discussed in this episode: Management of a Patient With a Latex Allergy

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JAMA Performance Improvement: Do No Harm - Performing the Wrong Procedure

Performing the Wrong Procedure

JAMA Performance Improvement: Do No Harm

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09/20/16 • 19 min

What to do when the wrong procedure is performed? In this first installment of JAMA Performance Improvement: Do No Harm we explore the options for dealing with this very difficult problem with Tami Minnier, RN, MSN, Paul Phrampus, MD, Linda Waddell, RN, MSN, and David Baker, MD, MPH, FACP. Air traffic audio courtesy of LiveATC.net, used with permission.

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Homeless patients with chronic medical conditions who need long-term care often repeatedly present to emergency departments to receive treatment. Following a performance improvement analysis, clinicians at UCSF developed an emergency department–based team who work with the community to provide care for this challenging population. Hemal Kanzaria, MD, and Jack Chase, MD, discuss how UCSF has addressed this clinical problem.

Related Article(s) available here

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JAMA Performance Improvement: Do No Harm - How to Reduce Emergency Department  Dwell Time

How to Reduce Emergency Department Dwell Time

JAMA Performance Improvement: Do No Harm

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03/19/19 • 24 min

Chaos in the emergency department is common. How to fix it is not always clear. Mary P. Mercer, MD, MPH, from the University of California, San Francisco, discusses how they successfully fixed their long dwell times at the emergency department at San Francisco General Hospital. Their solution was to create a fast-track unit that managed low-acuity patients separately from the rest of the emergency department cases. The most important aspect of this quality improvement effort was the ongoing and regular engagement of executives from the medical center with frontline staff.

Read the article: Reducing Emergency Department Length of Stay

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JAMA Performance Improvement: Do No Harm - What to Do When There Is an Overdose of Insulin

What to Do When There Is an Overdose of Insulin

JAMA Performance Improvement: Do No Harm

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12/26/17 • 32 min

It is very easy to confuse drug concentrations and vials containing different amounts of drugs in the hospital setting. It is not uncommon to have dosing errors occur. In this podcast, we discuss how to manage an overdose of insulin and also how to implement preventive measures in the hospital environment to minimize the risk of drug dosing errors. Interviewees include Cynthia Barnard, PhD, MBA, MSJS, from Northwestern Memorial HealthCare, Lara K. Ellinger, PharmD, BCPS, from Northwestern Memorial Hospital, and Keith Hemmert, MD, from Northwestern Memorial HealthCare.

Read the article: Insulin Dosing Error in a Patient With Severe Hyperkalemia

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FAQ

How many episodes does JAMA Performance Improvement: Do No Harm have?

JAMA Performance Improvement: Do No Harm currently has 15 episodes available.

What topics does JAMA Performance Improvement: Do No Harm cover?

The podcast is about Health & Fitness, Medicine, Podcasts and Science.

What is the most popular episode on JAMA Performance Improvement: Do No Harm?

The episode title 'Ensuring Staff Safety Against Violent Patients' is the most popular.

What is the average episode length on JAMA Performance Improvement: Do No Harm?

The average episode length on JAMA Performance Improvement: Do No Harm is 25 minutes.

How often are episodes of JAMA Performance Improvement: Do No Harm released?

Episodes of JAMA Performance Improvement: Do No Harm are typically released every 84 days.

When was the first episode of JAMA Performance Improvement: Do No Harm?

The first episode of JAMA Performance Improvement: Do No Harm was released on Sep 20, 2016.

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