Could the decline in #prostatecancer diagnoses usher in an increase in death rates? #cancer screening

There are a lot of problems with cancer screening. Explaining and understanding the calculus behind the tests is not easy.  Suffice to say that early detection is generally not the life saver we thought it would be. Now comes a steep decline in prostate cancer diagnoses. Harvard's Meir Stampfer asks where that's good news or bad … Continue reading Could the decline in #prostatecancer diagnoses usher in an increase in death rates? #cancer screening

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Should hospitals be #compounding #IVfluids? Logistics and safety concerns could make it prohibitive.

Commonhealth, WBUR's health blog, reports on a potential shortage of IV fluids at MGH. One approach to deal with it: compounding.  But, a 2014 story in Health Leaders Media quoted pharmacists who believe "Logistics and safety concerns would make it prohibitive." Saline Compounding a Poor Option for Hospitals Nov. 12 2014 By Tinker Ready For … Continue reading Should hospitals be #compounding #IVfluids? Logistics and safety concerns could make it prohibitive.

Two babies, two rattles, one heart. The complicated decision to separate conjoined twins when only one will survive

Oscar J. Benavidez, MD, the MGH pediatric cardiologist  involved in a difficult separation of conjoined twin girls, remembers a painful moment on the day of surgery. When the joined babies were rolled into the OR, each was holding a rattle. He and the others knew: only one of them would leave the operating room alive. … Continue reading Two babies, two rattles, one heart. The complicated decision to separate conjoined twins when only one will survive

In #Maine, transparency and cooperation lead to high #health care #quality scores

From Health Leaders Media, by Tinker Ready ...Maine seems to have made some moves over the years that allowed it to ease into in the era of mega-measurement. For one thing, the state began wrestling with quality measures more than a decade ago. In 2005, the state employee health plan began rewarding high quality hospitals … Continue reading In #Maine, transparency and cooperation lead to high #health care #quality scores

House# AHCA vote livens up Lown2017 “right care” conference

A great nation deserves a great health care system - and that means universal coverage. Everybody in, nobody out. @ShannonBrownlee #lown2017 — Lown Institute (@lowninstitute) May 5, 2017 The Lown Institute's meeting is taking place as the nation is trying to digest the possible impact of  yesterday's vote in the House of Representatives. The group's … Continue reading House# AHCA vote livens up Lown2017 “right care” conference

Jury: Double-booked surgery did not lead to injury

From The Globe. A Boston jury on Monday found that a spine surgeon at Massachusetts General Hospital failed to i nform a Westwood financial analyst that he planned to operate on two patients at once, but the jury concluded that the doctor’s divided attention did not cause the man’s quadriplegia. As a result the jury … Continue reading Jury: Double-booked surgery did not lead to injury

From Health Leaders: Shame, fear and medical errors

From a recent talk at Harvard by Danielle Ofri, MD, author of What Doctors Feel. Ofri's talk centered on one emotion, shame, which she said overwhelms many doctors and is a major reason many medical errors go unaddressed. When errors are not acknowledged, even those without bad outcomes, no one learns from them, she said. … Continue reading From Health Leaders: Shame, fear and medical errors