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Contrast Media Shortage of 2022 – Lessons Learned

EMDocs

” – Musings of an American ED resident in July 2022 when US healthcare was affected simultaneously by supply chain issues from GE Healthcare (contrast media) and Abbott Laboratories (Similac baby formula). A baby formula milk shortage for adults.” 11 Table 1.

Radiology 101
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The Broselow-Luten System

Pediatric EM Morsels

PAWPER [Wells 2013, Silvagni 2022] Takes into account body habitus. Zhu 2022] In Nepalese children, the Broselow correlated well at lower weights, but accuracy decreased at higher weights >18 kg. [K K 2020] In Mexican children, the Broselow differed from actual weight by <10% in 46-64% of patients. Published 2022 Sep 15.

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Is It OK for Internists to Wear Masks Forever?

Sensible Medicine

I have written my own essays about it on Sensible Medicine on September 28 th , 2022 , and January 11 th , 2024. The parallels to universal precautions, the balance of comfort, communication, and patient safety, and the issues of power in the doctor patient relationship keeps me coming back to the issue.

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Preventing Healthcare-associated Infections

American Medical Compliance

According to the Emergency Care Research Institute, staffing shortages posed the greatest threat to patient safety in 2022. With staffing shortages expected to worsen in the coming years, finding ways to protect patient safety and combat healthcare-associated infections will improve patient health outcomes.

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Improving Care for Patients with a Non-English Language Preference (NELP)

EMDocs

Improving patient safety systems for patients with limited English proficiency: a guide for hospitals. Hospital and health system-level interventions to improve care for limited English proficiency patients: a systematic review. The Joint Commission Journal on Quality and Patient Safety. October 2022.

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The ‘Hidden C’

Don't Forget the Bubbles

staff wellbeing/turnover and patient safety) can boost engagement. By formally incorporating interpersonal elements such as respectful communication, psychological safety, and respect, we can improve outcomes for our patients, colleagues, and the healthcare system. 2022 May 12;46(3):319-24. Edmondson, Amy C.

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More Paralysis | Burnout = Bad Outcomes

JournalFeed

The JournalFeed podcast for the week of Oct 3-7, 2022. More Paralysis Spoon Feed In this single center cohort of 886 patients, 5 patients had definite awareness during paralysis. However, there were 61 patients determined to have possible awareness, meaning upwards of 7.4% of patients could have been aware.