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Unique Malpractice Risks of Ambulatory Surgery Centers
More physicians are setting up ambulatory surgery centers, but there are many malpractice risks that come with having a center. Here is what to watch out for.
Experts And Viewpoints, November 20, 2009
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Goal-directed Haemodynamic Therapy and Gastrointestinal Complications in Major Surgery: A Meta-Analysis of Randomized Controlled Trials
Investigators performed a meta-analysis to examine the effects of goal-directed hemodynamic therapy on postoperative gastrointestinal and hepatic complications.
Journal Article, November 19, 2009
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Part 2: The Case of the Emergency Room Physician Who Burned Out: Diagnosing and Treating His Substance Abuse
In part 2 of the new series on the Impaired Physician, substance abuse develops in Dr. X. Is it now time to turn him in?
Clinical Case, November 18, 2009
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Surgical Masks vs N95 Respirators: Research and Practice
A well-designed study examines the efficacy of surgical masks in protecting healthcare workers against influenza. William R. Jarvis, MD, comments in this video blog.
Experts And Viewpoints, November 17, 2009
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Physicians Are Talking About: Tort Reform: Does Saying "I'm Sorry" Help?
Physicians are often reluctant to apologize for clinical errors because their words can be used in malpractice litigation as admissions of fault. MPC members discuss whether saying "I'm sorry" can help.
Experts And Viewpoints, November 16, 2009
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Opioid Contracts in Primary Care
Opioid contracts are not prevalent in primary care.
Experts And Viewpoints, November 16, 2009
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Efficacy and Safety of Different Techniques of Paravertebral Block for Analgesia After Thoracotomy: A Systematic Review and Metaregression
This article discusses the efficacy and safety of various techniques for paravertebral block (PVB), primarily to determine whether local anesthetic dose influences the quality of analgesia from PVB.
Journal Article, November 12, 2009
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Application of Patient Safety Indicators Internationally: A Pilot Study Among Seven Countries
Authorities reported summaries of the distribution of hospital-level and overall (national) rates for each AHRQ patient safety indicator.
Journal Article, November 12, 2009
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Doctors and Social Media: Benefits and Dangers
Doctors use Facebook as well as physician community sites for clinical information and medical opinions. There are benefits and dangers to watch for.
Article, November 9, 2009
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Assessment of Procedural Skills in Anaesthesia
Compared with other areas of learning, procedural skills in anesthesia are assessed poorly. This article presents various methods in which anesthesia procedural skills may be evaluated.
Journal Article, November 5, 2009
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Physicians Are Talking About: A Death Foretold
Would you operate on a patient who experienced a premonition of death? Is this a contraindication surgery? Medscape Physician Connect members discuss whether to ignore or heed premonitions.
Experts And Viewpoints, November 4, 2009
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Epidemiology and Outcome of Nosocomial Bloodstream Infection in Elderly Critically Ill Patients: A Comparison Between Middle-Aged, Old, And Very Old Patients
Investigators evaluated the epidemiology of nosocomial bloodstream infection in elderly intensive care unit (ICU) patients.
Journal Article, November 2, 2009
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Laparoscopic Versus Open Left Lateral Segmentectomy
A comparison of laparoscopic versus open left lateral segmentectomy of the liver found similar morbidity rates for both procedures and a reduced postoperative opiate need in laparoscopic patients.
Journal Article, October 29, 2009
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Shared Decision-Making in Cross-cultural Encounters
In the setting of cross-cultural medical encounters, the importance of open, patient-centered communication is heightened as the risk for misunderstanding is increased.
Journal Article, October 29, 2009
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Physicians Are Talking About: Is It Worth Getting the H1N1 Vaccine?
Are you getting vaccinated against the swine flu? Medscape Physician Connect members debate their reasons for and reservations against receiving the vaccine.
Experts And Viewpoints, October 28, 2009
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Anaesthesia for Robot-Assisted Laparoscopic Surgery
This article discusses the history and utilization of the most commonly used system, the da Vinci robotic manipulator, and the anesthetic implications of its use for robot-assisted prostatectomy.
Journal Article, October 28, 2009
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Must You Still Practice Defensive Medicine to Avert a Malpractice Lawsuit?
Doctors feel pressure to lower healthcare costs, but the threat of malpractice lawsuit remains, and doctors continue to order tests to protect themselves in the event of a lawsuit.
Article, October 27, 2009
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Physicians Are Talking About: How to Deliver Bad News
How can doctors improve on the way that they deliver bad news?
Experts And Viewpoints, October 23, 2009
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What Is the Best Way to Manage Vertebral Fracture Pain?
A study compared vertebroplasty with a sham procedure and measured patients' reported pain and pain-related disability.
Experts And Viewpoints, October 22, 2009
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Wastage of Supplies and Drugs in the Operating Room
What is known about waste generation in the hospital and the operating room? What are various waste management strategies?
Article, October 21, 2009
