JAMA Performance Improvement: Do No Harm

By JAMA Network

What's JAMA Performance Improvement: Do No Harm about?

From the JAMA Network, this is JAMA Performance Improvement: Do No Harm, the podcast about performance improvement and medicine that aims to elevate the quality of care, one patient at a time, with host Ed Livingston, MD.

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JAMA Performance Improvement: Do No Harm episodes:

12.22.2020
A Better Way to Manage Chronic Medical Conditions in Homeless Emergency Department Patients
Homeless patients with chronic medical conditions who need long-term care often repeatedly present to emergency departments to receive treatment. Following a performance improvement analysis, clinicians at UCSF developed an emergency department–based team who work with the community to provide care...
11.10.2020
Improving Management of Elevated Liver Function Tests in Post Liver Transplant Patients
There are hundreds of thousands of liver transplant patients, all of whom will be seen in general clinical practices. It is common for them to develop elevated liver enzymes—a potentially serious problem that may be a sign that the transplanted...
04.28.2020
The Aging Clinician: When Should Older Clinicians' Cognitive Abilities Be Evaluated?, Part 2
As physicians age, they experience the inevitable decline of cognitive and physical function. It is not clear how that affects clinical practice. Jeffrey Saver, MD, vice chair of neurology at UCLA and a JAMA Associate Editor, discusses how to best...
01.14.2020
The Aging Clinician: When Should Older Clinicians' Cognitive Abilities Be Evaluated?, Part 1
More than a third of the physician workforce is older than 60 years, and 10% are older than 70 years. Cognitive abilities may decline with age but how cognition affects clinical practice is unknown. It is also not clear how...
03.19.2019
How to Reduce Emergency Department Dwell Time
Chaos in the emergency department is common. How to fix it is not always clear. Mary P. Mercer, MD, MPH, from the University of California, San Francisco, discusses how they successfully fixed their long dwell times at the emergency department...
01.18.2019
Poof – It’s Gone – The Disappearing Order That Led to a Patient Getting an Unnecessary Procedure
Electronic health records are the bane of most clinicians’ existence. They were supposed to help us but not only have they made life more difficult for clinicians, they are the cause of medical errors. Described here is a case of...
03.27.2018
EMRs Gone Bad: How Order Sets Can Result in Medication Errors
One promise of electronic medical records (EMRs) was to reduce medication errors. That may not have occurred since one type of error, illegible orders, has been replaced by another: Order sets may incorrectly match a patient and necessary treatments. In...
02.06.2018
The Not-So-Good Idea of Sedating Patients Who Have Obstructive Sleep Apnea
One-third of the US population is obese. Obesity is a major risk factor for obstructive sleep apnea. This condition is very common, and patients with sleep apnea are at risk of major complications from sedation. This JAMA Performance Improvement podcast...
12.26.2017
What to Do When There Is an Overdose of Insulin
It is very easy to confuse drug concentrations and vials containing different amounts of drugs in the hospital setting. It is not uncommon to have dosing errors occur. In this podcast, we discuss how to manage an overdose of insulin...
11.28.2017
Avoiding Wrong-Site Surgery
There are about 500 wrong-site surgeries performed in the United States every year. Simple maneuvers can minimize the risk for these occurring. This JAMA Performance Improvement podcast reviews a case of wrong-site surgery and discusses potential ways to avoid it....
06.20.2017
Medication Errors in Hospitals–-It’s Everyone’s Fault
A patient was admitted to the hospital and got three times their normal dose of phenytoin resulting in phenytoin toxicity and a long hospital stay. Analysis of the error revealed problems with hospital organization, supervision issues and having an environment...
03.28.2017
Retained Foreign Body From a Sheared Off Lumbar Drain
A resident is asked to remove a drain that was placed in the lumbar space during an operation. Having never seen this sort of drain before not having removed one, the resident proceeded to remove the catheter. Several days later,...
01.17.2017
Managing Patients With a Latex Allergy
Latex allergy is common and usually benign but at times can be life-threatening. What can clinicians do to minimize the risk of serious complications attributable to latex allergy? We interview Cynthia Barnard, PhD, MBA, MSJS, and Erin Slade-Smith, MSN, RN,...
12.27.2016
Ensuring Staff Safety Against Violent Patients
Violence against health care workers is increasing. With fewer mental health services available, health care workers have disproportionate exposure to potentially dangerous patients. This article reviews the experience of one nurse who was severely injured by a patient and the...
09.20.2016
Performing the Wrong Procedure
What to do when the wrong procedure is performed? In this first installment of JAMA Performance Improvement: Do No Harm we explore the options for dealing with this very difficult problem with Tami Minnier, RN, MSN, Paul Phrampus, MD,...

What's JAMA Performance Improvement: Do No Harm about?

Download our free app to listen on your phone

JAMA Performance Improvement: Do No Harm episodes:

A Better Way to Manage Chronic Medical Conditions in Homeless Emergency Department Patients

Improving Management of Elevated Liver Function Tests in Post Liver Transplant Patients

The Aging Clinician: When Should Older Clinicians' Cognitive Abilities Be Evaluated?, Part 2

The Aging Clinician: When Should Older Clinicians' Cognitive Abilities Be Evaluated?, Part 1

How to Reduce Emergency Department Dwell Time

Poof – It’s Gone – The Disappearing Order That Led to a Patient Getting an Unnecessary Procedure

EMRs Gone Bad: How Order Sets Can Result in Medication Errors

The Not-So-Good Idea of Sedating Patients Who Have Obstructive Sleep Apnea

What to Do When There Is an Overdose of Insulin

Avoiding Wrong-Site Surgery

Medication Errors in Hospitals–-It’s Everyone’s Fault

Retained Foreign Body From a Sheared Off Lumbar Drain

Managing Patients With a Latex Allergy

Ensuring Staff Safety Against Violent Patients

Performing the Wrong Procedure