Climate Change: The Future of the Quality Movement

By MARIE DUNN A little more than 20 years ago, the IOM report To Err is Human catalyzed the profession around the realization that our health care system was killing around 98,000 people a year from medical error. I am part of a generation of professionals that learned to adopt systems thinking; to measure, monitor, and improve; and to ultimately improve quality of care.  Today, we face a different set of challenges. Health care is in the midst of a global pandemic, a reckoning with systemic racism, not to mention the great resignation. But also, we face a climate crisis. Are these things connected? Is there something we all can do? The answer is undoubtedly yes, and I write to advocate for climate change to be included on this list of strategic and moral imperatives for health care leaders everywhere.  Why is that? Even today, the health care industry’s contribution in emissions to climate change is killing people. In 2018, greenhouse gas emissions from the health care industry alone resulted in the loss of 388,000 disability adjusted life years.The impacts of climate change on health are inextricably connected to issues of systemic racism. For example, communities that were red-lined (racist housing policy that led to systematic underinvestment) experience higher temperatures than communities that were not, and higher temperatures take lives.Climate change makes conditions more favorable for the spread of some infectious disease, including pa...
Source: The Health Care Blog - Category: Consumer Health News Authors: Tags: Health Policy Climate Change Marie Dunn Pandemic Source Type: blogs

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Discussion regarding adjustment of specific PAG values is provided in the footnotes and bases portions of the PAG manual but is often not included in jurisdictional plans or routinely considered in exercises. However, when properly applied, the protective action guidance provides the necessary flexibility for decision-makers to account for additional public health risks or impediments, and jurisdictions can use this guidance to build a more effective response strategy. The authors have applied the full guidance and flexibility provided in the 2017 US Environmental Protection Agency PAG Manual to develop more specific guida...
Source: Health Physics - Category: Radiology Tags: FORUM ARTICLE Source Type: research
This article describes the impacts of food insecurity (FI) on child health, outlines clinical and public policy interventions to mitigate FI in children, and defines new paradigms in population health to ameliorate the harmful effects of FI in children. Recent findings Rates of FI among children have dramatically increased with the onset of the COVID-19 pandemic, with particular adverse impact on low-income children. Population health innovations in screening, referral, and social service integration offer new opportunities to address FI. Summary Despite advances in clinical practice and public policy, FI rem...
Source: Current Opinion in Pediatrics - Category: Pediatrics Tags: POPULATION HEALTH: Edited by Kara Odom Walker Source Type: research
Purpose of review The COVID-19 pandemic has ushered in great and rapid change in our society. Although children are somewhat less likely to get infected or have severe symptoms from COVID-19, they are being adversely affected by this global public health emergency in many direct and indirect ways. This review focuses on the major areas in which children and adolescents are suffering, and how pediatricians can anticipate and optimize child healthcare and support as the COVID-19 pandemic and its aftermath continues. Recent findings This review provides preliminary insights into the physical, psychological, educati...
Source: Current Opinion in Pediatrics - Category: Pediatrics Tags: OFFICE PEDIATRICS: Edited by Henry H. Bernstein Source Type: research
On Sunday, Australia ’s federal court upheld the cancellation of Djokovic’s visa.
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With a 1.1 million jab delivery in Rwanda this weekend, the World Health Organization’s multilateral initiative to provide equal access to vaccines for all reached the one billion milestone.
Source: UN News Centre - Health, Poverty, Food Security - Category: International Medicine & Public Health Source Type: news
Congratulations! You’re an insightful clinician who’s offered your patient a screening assessment to find out if she or he has psychosocial risk factors – and yes! they do! Well done. Now what? Do you… send your patient to the nearest psychologist?spend at least one treatment session offering pain neurobiology education?scramble to find a “psychologically informed physio” to send them to, because it takes really highly trained and special clinicians to work with these peoplegive your patient the same exercise prescription you were going to anyway because, after all, they still hav...
Source: HealthSkills Weblog - Category: Anesthesiology Authors: Tags: Back pain Chronic pain Clinical reasoning Occupational therapy Pain conditions Physiotherapy Professional topics Psychology Research Science in practice biopsychosocial healthcare pain management Therapeutic approaches Source Type: blogs
TWiV reviews findings that increased fitness of the Omicron variant is due to immune evasion, not an increase in intrinsic transmissibility, and determination of infectious viral load in patients infected with wild type, Delta and Omicron viruses reveals lack of correlation with RNA loads determined by RT-PCR, similar levels of shedding among Delta and Omicron, and greatly reduced shedding in vaccinated people. Hosts: Vincent Racaniello, Dickson Despommier, Rich Condit, Kathy Spindler, and Brianne Barker Subscribe (free): iTunes, Google Podcasts, RSS, email Become a patron of TWiV! L...
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It is 2022, and the COVID-19 pandemic is still unrelenting, with no end in sight. Health care workers have been challenged mentally, physically, and emotionally. Sadly, some may never fully understand the struggles of many medical professionals, especially residents. It is no new news that residents have historically been underpaid and overworked. However, what isRead more …Let ’s talk residency: COVID edition originally appeared
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As the fast-spreading variant has blanketed the country, known cases and hospitalizations have surged, and officials warn of tough weeks ahead.
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France's parliament gave final approval on Sunday to the government's latest measures to tackle the COVID-19 virus, including a vaccine pass contested by anti-vaccine protestors. #protestors
Source: Reuters: Health - Category: Consumer Health News Source Type: news
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