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


From the JAMA Network, this is JAMA Performance Improvement: Do No Harm, the podcast about performance improvement and medicine that aims to elevate the quality of care, one patient at a time, with host Ed Livingston, MD.

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From the JAMA Network, this is JAMA Performance Improvement: Do No Harm, the podcast about performance improvement and medicine that aims to elevate the quality of care, one patient at a time, with host Ed Livingston, MD.
🇬🇧 English
last modified
2019-03-20 04:59
last episode published
2019-03-19 15:00
publication frequency
91.0 days
The JAMA Network author  
American Medical Association owner  
Number of Episodes
Detail page
Science & Medicine Health Medicine



Date Thumb Title & Description Contributors
19.03.2019 http://static.libsyn.com/p/assets/a/0/7/3/a0731ee5930fca1b/PerformanceImprovement.png

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...
18.01.2019 http://static.libsyn.com/p/assets/a/0/7/3/a0731ee5930fca1b/PerformanceImprovement.png

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 ...
27.03.2018 http://static.libsyn.com/p/assets/a/0/7/3/a0731ee5930fca1b/PerformanceImprovement.png

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 That may not have occurred since one type of error, illegible orders, has been replaced by another: Order sets may incorrectly match a patient and necessary treatments.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...
6.02.2018 http://static.libsyn.com/p/assets/a/0/7/3/a0731ee5930fca1b/PerformanceImprovement.png

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...
26.12.2017 http://static.libsyn.com/p/assets/a/0/7/3/a0731ee5930fca1b/PerformanceImprovement.png

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...
28.11.2017 http://static.libsyn.com/p/assets/a/0/7/3/a0731ee5930fca1b/PerformanceImprovement.png

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 ...

Medication Errors in hospitals – it’s everyone’s fault

A patient was admitted to the hospital and got three times their normal dose of phenytoin resulting in phenytoin toxicity and a long hospital stay. Analysis of the error revealed problems with hospital organization, supervision issues and having an env...

Retained Foreign Body From a Sheared Off Lumbar Drain

A resident is asked to remove a drain that was placed in the lumbar space during an operation. Having never seen this sort of drain before not having removed one, the resident proceeded to remove the catheter. Several days later, the patient complained...

Managing Patients With a Latex Allergy

Latex allergy is common and usually benign but at times can be life-threatening. What can clinicians do to minimize the risk of serious complications attributable to latex allergy? We interview Cynthia Barnard, PhD, MBA, MSJS, and Erin Slade-Smith, MSN...

Ensuring Staff Safety Against Violent Patients

Violence against health care workers is increasing. With fewer mental health services available, health care workers have disproportionate exposure to potentially dangerous patients. This article reviews the experience of one nurse who was severely inj...

Performing the Wrong Procedure

What to do when the wrong procedure is performed? In this first installment of JAMA Performance Improvement: Do No Harm we explore the options for dealing with this very difficult problem with Tami Minnier, RN, MSN, Paul Phrampus, MD, Linda Waddell, R...