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Work-life balance in healthcare: Addressing the system
By Catherine Iste
Why is achieving work-life balance as a healthcare professional so difficult?
As noted in the first part of this three-part series, it is difficult for everyone to agree on what work-life balance really is. Without a common vocabulary on the subject, it is hard to determine to what degree you may or may not be achieving it.
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AAEM Makes Strong Commitments to Combat Antibiotic Resistance
AAEM was the sole representative of emergency medicine at yesterday’s White House Forum on Antibiotic Stewardship. We announced commitments to implement changes over the next five years to slow the emergence of antibiotic-resistant bacteria. Learn more about AAEM’s actions.
Exceptional EM Education — Join us at MEMC-GREAT 2015!
Join us in Rome, Italy from Sept. 5-9, 2015, for the Mediterranean Emergency Medicine Congress in conjunction with the Italian GREAT Network Congress. Register for the congress, submit an abstract and book your hotel! Learn more about MEMC-GREAT competitions.
Help create “How-To” videos of >100 common procedures. These will be made available for free around the world in multiple languages on Merck Manuals websites and apps.
CLICK HERE to learn more.
Registration now open! — AAEM Fall Oral Board Review Course
Join us for the highly recommended Oral Board Review Course! NEW hands-on simulation practice. Be confident on exam day — prepare with the experts for the new format. Learn more and register.
Prepare for Written Boards with AAEM — Register today!
Join us in Orlando Aug. 18-21! Up to 27 lecture hours of intense review of EM board materials, taught by experienced emergency medicine faculty. This course is a comprehensive review of emergency medicine for all emergency physicians and is ideal for exam-takers or for physicians seeking quality review materials. Learn more!
NEW: 2nd Edition of the Written Board Review book
This comprehensive text will help prepare you for: Emergency medicine qualifying exam (formerly the “written boards”), Emergency medicine annual resident in-service exam, and the ConCert Exam. It includes over 200 color images, 225 question practice in-service examination, and 24 chapters written by experts in the field. Special member pricing, order today!
Many parts to solving opioid addiction problem, Congress told
States need to have more interoperative prescription drug management programs (PDMPs) in order to better combat the opioid abuse epidemic, state officials told a congressional committee. "We need better communication, and we need more real-time information," Indiana state health commissioner Jerome Adams, M.D., MPH, told the House Energy and Commerce Subcommittee on Oversight and Investigations. "We need to share information across state lines."
EHR roadblocks holding docs back
Healthcare IT News
Anna Orlova, senior director, standards at AHIMA, compares the current interoperability of today's electronic health record systems to treadle sewing machines of the early 20th century.
"What we give physicians is a mechanical sewing machine," she says. "You just need to move your legs to create data. It shouldn't be that way."
Steven J. Stack, M.D., president-elect of the American Medical Association, says difficulties exchanging and sharing data stem in large part from "an overabundance of measures with specifications that are unaligned," creating confusion for overburdened physician practices.
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To be sued less, doctors should consider talking to patients more
The New York Times
Doctors call it defensive medicine. They order extra tests, perform extra procedures or push for more office visits because they think that without them, they’re at greater risk of being sued.
But studies don’t support the notion that this extra precaution reduces their risk. What might help physicians avoid being sued is getting along better with their patients. Or at least, they could become better communicators.
Communication at pediatric rapid response events: A survey of healthcare providers
A disconnect in perceived quality of communication was observed between RRTm and FP at pediatric rapid response events. A structured approach with well-defined roles may improve communication quality.
Using active methicillin-resistant Staphylococcus aureus surveillance nasal swabs to predict clinical respiratory culture results
American Journal of Health-System Pharmacy
This analysis demonstrated a notable association between negative results of nasal-swab screening for MRSA and an absence of MRSA growth on respiratory clinical cultures at the study site, suggesting that airway swab screening can be a useful tool for streamlining antimicrobial therapy.
US drug shortages frustrate doctors, patients
The Wall Street Journal
Robin Miller, a 62-year-old oncologist in Atlanta with bladder cancer, was scheduled to receive a potentially lifesaving drug in December. But her doctor’s office called shortly before the appointment to say: “Sorry, we don’t have any. We can’t give it to you,” according to Dr. Miller.
The disruption was due to a global shortage of the drug, BCG, which arose after manufacturing problems at two of the few global suppliers.
New rapid-deployment plasma protocol for trauma care effectively treats patients quicker in the emergency room
Traumatic injury is the leading cause of death among people under age 45, but if trauma physicians could deliver plasma to these injury victims within minutes of their arrival in the emergency room, more of them would stand a better chance of survival. When they arrive at the hospital, trauma victims can often wait 30 minutes or longer to receive plasma because the traditional way of giving them plasma involves two time-consuming steps: testing for blood type and then thawing frozen plasma.
How distractions cause stress and impede your ability to function
By Michael S. Haro, Ph.D.
If you are easily distracted, your level of stress likely rises with these distractions. In this state, your potential for making poor decisions and mistakes increases. Leaders and managers constantly face their share of distractions, so it's important to know how to handle them in the appropriate manner.
Smoking, drug abuse, mental illness linked to frequent ER visits
Smokers, substance abusers, and patients with mental illness are three times more likely to become “frequent emergency room users,” meaning they visit the ER three or more times a year, according to a new study published in the journal Nursing Research.
Furthermore, within the general population, all medical services have seen a large increase in visits; this includes the ER as well as regular doctor visits.
New MRI technique could expand treatment options for stroke victims
A recent study by scientists from Trinity College Dublin has shown how a new MRI scanning technique, which looks at sodium levels rather than water levels in the brain, offers the potential to extend the time-window during which drug therapy may be given to stroke patients.
FDA: Watch for dosing errors with Zerbaxa
Pharmacy Practice News
The U.S. Food and Drug Administration has issued a warning to healthcare professionals about the risk for dosing errors with the antibacterial drug combination ceftolozane/tazobactam (Zerbaxa, Cubist) due to confusion about the drug strength displayed on the vial and carton labeling. Zerbaxa is a combination product consisting of ceftolozane, a cephalosporin antibacterial drug, and tazobactam, an inhibitor of certain β-lactamase enzymes. Zerbaxa’s vial label was approved initially with a strength that reflects each individual active ingredient (1 g/0.5 g); however, the product is dosed based on the sum of these ingredients (1.5 g).
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