JAMA Performance Improvement: Do No Harm—Taking complications head on to improve the quality of medical care

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Episodes

Date Title & Description Contributors
2020-12-22

  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 t...
2020-11-10

  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 liver i...
2020-04-28

  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 asse...
2020-01-14

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

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 clinicians’ cognitive abilit...
2019-03-19

  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 at San F...
2019-01-18

  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 the patient receiving ...
2018-03-27

  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. I...
2018-02-06

  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 podcas...
2017-12-26

  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 and also how to imp...
2017-11-28

  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 ...