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How do you get residents interested and involved in patient safety and quality improvement? It is, after all, one of many requirements made of medical students by the American Council of General Medical Education.
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Let's say you have a pretty robust system of patient safety and quality improvement (QI) and are up on all the latest trends in determining what needs attention and how to make effective changes.
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There are several ethical questions surrounding the American Medical Association's policy prohibiting physicians from giving substances they believe are placebos to their patients unless the patient is informed of and agrees to use of the substance, according to a 2012 report from the Hastings Center.
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The goal of proposed reforms in regulations governing human research subjects is to enhance protections for research subjects while reducing burden, delay, and ambiguity for investigators, according to the National Institutes of Health (NIH) Office of Science Policy, which received more than 1,000 public comments on the proposed changes.
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The most important ethical implication of the Supreme Court's ruling upholding the Affordable Care Act is "the recognized national responsibility to provide medical care for all citizens," according to Neil S. Wenger, MD, MPH, director of the University of California--Los Angeles (UCLA) Health System Ethics Center and professor at UCLA's Division of General Internal Medicine.
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If you have patients waiting for long periods of time in your emergency department, you better start thinking about ways to cut those times.
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It has been seven years since Medicare started requiring hospitals to publicly report their performance for core measures related to heart attack, heart failure and pneumonia. Ask the hospitals participating in Hospital Compare whether this has affected their quality improvement and patient safety efforts and the vast majority will answer in the affirmative.
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With all the talk about needing more outcomes measures rather than process measures, there are some well-loved projects that could get left out in the cold, simply because it is hard to prove they have a direct impact on improved outcomes.
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Perhaps the saddest thing about the Hospital Survey on Patient Safety Culture: 2012 User Comparative Database Report, released in February by the Agency for Healthcare Research and Quality (AHRQ) is not that so many people believe the culture in their hospitals is an impediment to error reporting, but that so many people who work in the patient safety arena are not surprised at the high number of people responding that way.
