WIHI - A Podcast from the Institute for Healthcare Improvement
Summary: It's free, it's timely, and it's designed to help dedicated legions of health care improvers worldwide keep up with some of the freshest and most robust thinking and strategies for improving patient care. Welcome to WIHI, a bi-weekly podcast from the IHI, a not-for-profit organization founded in 1991 and based in Cambridge, Massachusetts. IHI is a reliable source of energy, knowledge, and support for a never-ending campaign to improve health care worldwide. IHI works with health care providers and others to accelerate the measurable and continual progress of health care systems toward safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity.
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- Artist: Madge Kaplan
- Copyright: 2015 IHI
Podcasts:
Family Caregiving, Caregivers, and Compassion?
Managing Medication Shortage: Best Practices for a Crisis?
Payment Reform As We Speak
1) Concussion does not require a loss of consciousness and is typically a transient and reversible neurologic dysfunction 2) Those with sports related concussion should not return to play the same day 3) Intital treatment often begins with rest and subsequent gradual activation
Payment Reform As We Speak
1) Appreciate the frequency, faces, and challenges of test result follow-up management errors. 2) Understand selected reliability science concepts and ways they apply to the problem of test result management. 3) Learn about some specific change ideas that can help ensure more fail-safe test follow-up.
Improving Health Care: The Global View
New Models for Patients with Multiple Health and Social Needs
1)Individuals with Alzheimers disease will have increasing difficulty with finances over time, and the very first signs of this difficulty will occur prior to the diagnosis of dementia, when they have only mild cognitive impairment. 2) Health care professionals, including physicians, should educate older adult patients and families about the need for advance financial planning and encourage the use of Durable Power of Attorney for Financial Matters. 3) Using objective information from performance-based financial tests can help decide whether, when, and in which financial areas families or caregivers need to assume proxy financial responsibility.
Integrity On and Off the Page: A Discussion with JAMAs Departing Editor in Chief
Leading Across the Continuum
1)Cardiovascular disease (CVD) risk increases beginning at systolic blood pressure levels of 115 mmHg and the use of antihypertensive medications among patients with a history of CVD or diabetes and without hypertension has been debated. 2) Among patients with clinical history of CVD but with blood pressure lower than 140/90 mmHg, antihypertensive treatment was associated with decreased risk of stroke, congestive heart failure, composite CVD events, and all-cause mortality. 3) Additional randomized trial data are necessary to assess these outcomes in patients without CVD events.
Palliative Care Equals Quality Care
1) Axillary dissection is a major cause of morbidity after breast Cancer surgery. 2) In women who have 3 or fewer sentinel nodes and are have breast conserving surgery, removal of only the sentinel nodes produces local axillary control in 99% of cases. 3) Axillary dissection does not contribute to survival. 4)In women with T1 and T2 clinically node negative BR CA who are undergoing lumpectomy and whole breast radiation, removal of sentinel nodes only is an appropriate management strategy.
The Power to Detect and Improve: Revisiting the IHI Global Trigger Tool and Adverse Events