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Cases & Commentaries
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Ernest J. Ring, MD; Jane E. Hirsch, RN, MS; October 2009
Cardiology consultation on an elderly man admitted to the orthopedic service following a hip fracture reveals aortic stenosis. The cardiologist recommends against surgery, due to the risk of anesthesia. When the nurse reads these recommendations to the orthopedic resident, he calls her "stupid" and contacts the OR to schedule the surgery anyway. The Chief Medical Officer is called to intervene.
Journal Article > Study
Current teaching and evaluation methods in critical care medicine: has the Accreditation Council for Graduate Medical Education affected how we practice and teach in the intensive care unit?
Chudgar SM, Cox CE, Que LG, Andolsek K, Knudsen NW, Clay AS. Crit Care Med. 2009;37:49-60.
According to this survey of critical care program directors, regulations limiting trainees' duty hours have not improved either patient care or the quality of education in critical care.
Journal Article > Commentary
An anesthesiology department leads culture change at a hospital system level to improve quality and patient safety.
Fleischut PM, Evans AS, Faggiani SL, Lazar EJ, Kerr GE. Anesthesiol Clin. 2011;29:153-167.
This commentary describes how an anesthesiology department engaged residents in quality and patient safety initiatives and discusses the resulting impact on medication reconciliation, process improvement, laboratory ordering, and patient safety awareness.