A new task trainer for Ultrasond imaging

Worth read for those care about the future of healthcare.

If Health Care Is Going to Change, Dr. Brent James’s Ideas Will Change It – NYTimes.com

It is sad for public and healthcare providers to learn this from recent death of Michael Jackson. (I happened to watched his movie last weekend. ) The new recommendation to use EtCO2 detector bring me those days when the SpO2 was first introduced.  We will see how long it takes the whole healthcare system to adopt to this kind of safety device.  Do we need more RCT to show the effectiveness?

Remember the classic paper from BMJ 2003?

Parachute use to prevent death and major trauma related to gravitational challenge: systematic review of randomised controlled trials

New Recommendations for Safe Use of Propofol

Interesting paper about the Surgeon training and workforce shortage.  Not sure about other specialties. 

The Impending Shortage and the Estimated Cost of T…[Ann Surg. 2009] – PubMed Result

Looking forward to visit one of the largest Simulation center in the country . 

Arizona Training Hospital Uses Fake Patients : NPR

Just read this blog from doc2doc ( a Doctors Community and Networking with worldwide), did expect such a good story of Louise Kenny posted at BMJ Group blogs.  Lots of things are take for granted in developed countries is not always available in developing countries.  There are no system can be rely on for healthcare delivery, the impact of individual doctor is big. 

Is an inexperienced doctor better than no doctor at all

doc2doc Forums – Doctors Community, Forums and Doctors Networking

Simulation doesn’t have to be in Simulation center. Simulation doesn’t have to be using only mannequins. See how useful the group learned from OR emergency Evacuation drill. Simulation is a Strategy and not a technology. 

Lessons Learned from an Operating Room Emergency Evacuation Drill

Another great example of using simulation for medical education.  The simulation has broad applications beyond hi-fidelity mannequins or task trainers.  Computer based like NEJM presented and virtual reality  (Second Life) could be also good way for learning. I really like statement from AHRQ:

•Simulation is described as a strategy – not a technology – to mirror, anticipate, or amplify real situations with guided experiences in a fully interactive way.

•Simulation can complement other organizational change methods to facilitate adoption and implementation of best practices and new technologies.

•AHRQ is interested in the use of and/or adaptation of simulation tools in diverse health care settings and the evaluation of its impact on improving patient safety

NEJM — The Writing on the Wall

Come across a book name from twitter, it is called The Patient’s Guide to Preventing Medical Errors.  I am surprised patient ever need this kind of book.  That means the heath care system is in a big trouble.  We never need a book called ” Passenger’s Guide to Preventing Aviation Errors”