A study published in last month’s Archives of Internal Medicine has
reignited the patient sat survey debate, correlating high patient
satisfaction with several negative indicators, including higher patient
The cost of running a high-quality CME event has gone up, but physicians
aren’t willing to cover the tab. That tension has put the squeeze on
medical education, bringing into focus the role of industry in the
future of CME.
With a wave of new articles published every day, how is an emergency
physician to know how to keep up to date? One EP’s fight against biased
literature reviews, followed by an admittedly-biased endorsement
Emergency physicians need to lead the charge on halting unnecessary
urinary catheterizations, for the sake of patient safety and the bottom
The trend of voluminous, exhaustive discharge instructions puts
the pressure on patients to understand and identify complex risk
factors, like infection. According to the research, this is probably a
One of the trickiest diagnoses in emergency medicine is pulmonary
embolism. The problem is not a lack of information; the amount of
literature on this topic is truly staggering. The problem with making
the PE diagnosis is that ordering the definitive test, a CT pulmonary
angiogram, is a big deal.
It gets a little tiring, and certainly frustrating, to be on the receiving end of recurring mandates from “the experts” regarding the care provide by physicians and nurses. It seems that CMS and its watch dog, the Joint Commission (JC), relish adding more and more requirements onto healthcare staff because, obviously, we just don’t seem to understand the importance of initiating these behaviors on our own.
WARNING: If you are a radiologist, married to a radiologist, related to a radiologist, or even remotely like radiologists, you will be offended by this article. Be forewarned.
I think that I have made my view of electronic health records very clear
to anyone who’s cared to listen. I think they are great for monitoring
the movement of patients in larger EDs (electronic tracking boards). I
have concerns that CPOE (computerized provider order entry) through the
use of order sets has the potential to result in over-ordering (and will
result in higher bills, unnecessary tests and less thought by
In a follow-up to January’s analysis of COCPR, Rick Bukata, MD, reviews a new round of
abstracts and answers the question: Is compression-only CPR data too good to be true?