#WHO Report on the Burden of HAI and its impact on patient safety #yam #ptsafety

WHO published Report the Burden of Endemic Health Care-Associated Infection Worldwide. 

 

From the report: 

” • The estimated HAI incidence rate in theUnited Stateswas 4.5% in 2002, affecting 1.7 million patients and corresponding to 9.3 infections per 1,000 patient days.

• The European Centre for Disease Prevention and Control (ECDC) estimated that more than 4.1 million patients are affected by approximately 4.5 million HAIs every year inEurope.

• In the United States approximately 99,000 deaths are attributed to HAIs each year, and the annual economic impact was estimated at approximately $6.5 billion. ” 

 

N.Y. may ban germy doctor ties, lab coats to improve #ptsafety

N.Y. may ban germy doctor ties, lab coats.  You can find details of Deadly Ties and the Rise of Multi-Drug Resistant Infections: A Case For a New Health Care Practitioner Hygienic Dress Code. from NY State Senator Klein website.

Nuclear expert: After Japan, examine plants’ safety systems, not reactor design

From WSJ, “The accident at the Fukushima Daiichi nuclear-power plant involved multiple system failures that cast doubt on the guiding principle of the nuclear power industry: that engineers can build enough redundancy into safety systems to overcome any threat.”

Aristotle’s words — “Probable impossibilities are to be preferred to improbable possibilities.” — should serve as a motto for engineers, reminding them to plan not just for rare events but also for contingencies that seem impossible.

Healthcare is in the process to transform the healthcare delivery, systems thinking is critical to deliver safety and quality care to patient every time and every day.

This is the key point from white paper Unmet Needs: Teaching Physicians to Provide Safe Patient Care published by Lucian Leape Institute at the National Patient Safety Foundation.

Nuclear expert: After Japan, examine plants’ safety systems, not reactor design

What is the potential of modeing and simulation in healthcare?

There are two stories today about simulation in the news.  One from BBC about how the chance affect perceived effectiveness of clinical outcomes.  The other one is about Bank Stress Test in Europe.  Both illustrate how simulation can help provide quantitative and objective analysis, prediction for informed decision making.  Health-care industry need to learn a lot from other disciplines (engineering, management, business, information technology. etc.) in order to improve patient safety. Modeling and Simulation is critical catalyst to advance the science of healthcare delivery and provide patient the good value—high-quality health care (good outcomes, safe care, and great service) at a reasonable price.

IMSH 2011: Simulation, Improv & All That Jazz

Next year gathering of medical simulation communiites will be at New Orleans.    Hope can see you all there.

From SSH website
New Orleans, Louisiana New Orleans Hilton Riverside

January 23 – 26 International Meeting on Simulation in Healthcare (IMSH)
Conference begins on Sunday! Opening Plenary Session at 2:00 pm

January 21 – 22 SSH Research Consensus Summit: State of the Science
January 22 – 23 IMSH Pre-Conference Courses
January 23 – 25 IMSH 2011 Exhibits & Exposition

Accepting submissions for IMSH 2011 in the following categories:Due July 19

• Abstract – Research Study
• Abstract – Work in Progress
• Session Proposal – Pre-Conference Course – Interactive, Intense, Focused Learning
• Session Proposal – Experience Sim!! – Immersive Course
• Session Proposal – Meet the SimPro’s Roundtable Discussion
• Session Proposal – Expert Panel – State-of-the-Art Discussion
• Session Proposal – Podium Presentation – A Report, Overview or Opinion Session Proposal – Video Presentation for the IMSH Simena
• Session Proposal – Workshop – Interactive and Compact Format

The Web Way to Learn a Language – NYTimes.com

Innovative way to delivery learning experience.  How we can learn this to apply medical training?  #yam #in

The Web Way to Learn a Language – NYTimes.com

Top Issues for Patient Safety in 2009 – Joint Commission Resources

At the end of the year, it is good time to think if whole healthcare industry handled well those 10 patient safety challenges by Joint Commission.

1) Care is based on continuous healing relationships
2) Care is customized according to patient needs and values
3) The patient is the source of control
4) Knowledge is shared and information flows freely
5) Decision making is evidence-based
6) Safety is a system property
7) Transparency is necessary
8)  Needs are anticipated
9) Waste is continuously decreased
10) Cooperation among clinicians is a priority.

Looking forward next year and how can doing better to prevent those unnecessary complications, errors and deaths.

Top Issues for Patient Safety in 2009 – Joint Commission Resources

JAMA: Comparisons of Citations in Web of Science, Scopus, and Google Scholar for Articles Published in General Medical Journals, September 9, 2009, Kulkarni et al. 302 (10): 1092

Found the paper published in JAMA: Comparisons of Citations in Web of Science, Scopus, and Google Scholar for Articles Published in General Medical Journals
It is interesting. I use Scopus a lot more then any others. I think the new PubMed is improved but still not my primary choice, especially those social networking functionality (save the citations, connect to others, etc.).  One thing is missing from the Scopus is the social bookmarking. It seems very common in JAMA or LANCET website already. 

I am big fan of CiteUlike, you can follow me at http://www.citeulike.org/user/simdoc

JAMA — Abstract: Comparisons of Citations in Web of Science, Scopus, and Google Scholar for Articles Published in General Medical Journals, September 9, 2009, Kulkarni et al. 302 (10): 1092

New Recommendations for Safe Use of Propofol by ASA

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

Arizona Training Hospital Uses Fake Patients : NPR

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

Arizona Training Hospital Uses Fake Patients : NPR