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Sharp Scratch
Sharp Scratch episodes
- What is Sharp Scratch?What is Sharp Scratch.Laura Nunez-Mulder is here to introduce Sharp Scratch, the new podcast from The BMJ.We're here to talk about the "hidden curriculum" all of those things that new medics are supposed to just pick up on the job - but that no-one actually explains.
In the coming months we'll talk about how to survive your first night shift, how to not piss off your med-reg, why CPR isn't like it is on TV, and what it can be like to be moved far from friends, family and partners.
4 min - Tell me a storyHow can asking patient to tell us their story improve healthcare? Helen Morant, content lead at BMJ, talks us through her project getting healthcare professionals to sit down with patients and record their conversations, and what on earth this has to do with quality improvement.We also hear some of the recordings she has gathered through the project.Here are links to the other podcasts and projects Helen mentions:Story Corps - https://storycorps.org/The Listening Project - http://goo.gl/3auSHX
Beautiful stories from anonymous people - http://goo.gl/78QSjU
26 min - What are they on?This week, we look at medication reconciliation.Joshua Pevnick, health services researcher and hospital physician at Cedars-Sinai Hospital, LA, US, talks us through what it is and why it can be so hard to get right.And Emma Iddles, a junior doctor in general surgery at Hairmyres Hospital, Lanarkshire, UK, explains how her project improved medicines reconciliation in the surgical admissions unit of the hospital.
For more, read Joshua's full paper, http://goo.gl/O59BWo, and Emma's project write up http://goo.gl/znrNGQ.
15 min - Extra: Fiona Moss on the science of improvementFiona Moss, dean at the Royal Society of Medicine, gives us an overview of quality improvement, and it's underpinnings.This interview was recorded at the International Forum on Quality and Safety in Healthcare, Gothenburg, April 2016.
Find Fiona Moss on twitter, @FiMoss.
18 min - Extra: Don Berwick on the science of improvement"Those who do not study the past are doomed to repeat it."At the International Forum on Quality and Safety in Healthcare, in Gothenburg in April, Don Berwick spoke on the scientific foundations of improvement. This is the full audio of his talk.
Don Berwick is president emeritus and senior fellow, Institute for Healthcare Improvement. On twitter, he's @donberwick.
1 hr 10 min - The science of improvementOr, the one where Fiona Moss and Don Berwick tells us what they think quality improvement is.Fiona Moss is dean, Royal Society of Medicine, and Don Berwick is president emeritus and senior fellow, Institute for Healthcare Improvement.Don's talk and the interview with Fiona were both recorded at the International Forum on Quality and Safety in Healthcare, Gothenburg, April 2016. Watch out for the extended versions of these recordings, up next Friday.15 min
- Bad with namesIt's bad practice to prescribe a brand name drug when a cheaper, viable and approved generic is available. But, particularly in the US, this happens too much, at major cost to the health system.The team behind Michigan State University's paediatric clinics set out to increase their prescribing of generics, and found that much of the problem was that whilst brand names lodged in staff and patient's minds, generic names were easily forgotten.Sath Sudhanthar, paediatrician and assistant professor in paediatrics, and Kari Chandler, nurse manager, tell Harriet Vickers how they overcame this and tripled the team's generic medication prescription rate.
Read their full report: http://qir.bmj.com/content/4/1/u209517.w3931.full
12 min - Plan, do, study, actPlan, do, study, act cycles, or PDSA cycles, are the basis of many quality improvement projects, they're a model to trial changes and feed the lessons from each test into the next.Why are they a popular method, and how do you get the best out of them? And what on earth happens when they explode?Harriet Vickers asks Julie Reed, National Institute for Healthcare Research CLAHRC (Collaboration for Leadership in Applied Health Research and Care) for north west London.Read all of Julie's paper (for free): http://qualitysafety.bmj.com/content/25/3/147
Check out BMJ Quality: http://quality.bmj.com
15 min - Mistakes were madeThe Francis report, the Berwick report, the Keogh review - all of these have highlighted how important learning from mistakes is in healthcare.Reporting incidents is key to this, and in this podcast Jen Perry, from BMJ Quality, tells Harriet Vickers the whats, hows and whys of incident reporting.And Emily Hotton, previously a foundation doctor at Royal United Hospital Bath, UK, talks about how her project helped junior doctors at the hospital become more confident at incident reporting, and bumped up the number of incidents they logged.Read Emily's full report: http://qir.bmj.com/content/3/1/u202381.w2481.full
Check out BMJ Quality: http://quality.bmj.com
17 min - Things I wish I knew before starting a job in surgeryThis podcast offers practical advice and top tips on how to prepare for your first job in surgery as a newly qualified doctor.
It includes advice on topics such as how to approach the management of a sick surgical patient, how communicate with seniors and with healthcare professionals in other disciplines, and how to prescribe safely.
33 min
About Sharp Scratch
From the publisher's feed
Bringing together medical students, new doctors and expert guests to discuss everything you need to know to be a good doctor.
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