”But it’s always been done that way”
In Doctor Informed, we've been hearing a lot about the problems of healthcare, but we also want to talk about solutions. Whatever we're going to do to fix healthcare, whether that's bullying, or burnout, or patient safety - it's going to require change. And change is hard.
In this episode Clara Munro is joined by Graham Martin, director of research at THIS Institute. They discuss the dreaded phrase "But it's always been done this way", and why failing is the path to success, and the true importance of listening.
Our guests;
Penny Pereira, Q managing director at the Health Foundation. Q helps promote improvement wi...
Source: The BMJ Podcast - May 30, 2022 Category: General Medicine Authors: BMJ Group Source Type: podcasts
Talk Evidence - evidence in Roe vs Wade, MI treatment variation, and tribal methodologies
Helen Macdonald, The BMJ's research integrity editor is back with another episode, and this week is joined by Joe Ross, professor of medicine and public health at Yale, and US research editor for The BMJ, and Juan Franco, editor in chief of BMJ EBM, and Professor at the Instituto Universitario Hospital Italiano de Buenos Aires
In this episode they discuss;
The US supreme court looks set to overturn Roe v Wade, creating a patchwork of abortion provision across the U.S. We consider the role which evidence might play in documenting how health is affected by that decision, and whether medical evidence is being used at all i...
Source: The BMJ Podcast - May 23, 2022 Category: General Medicine Authors: BMJ talk medicine Source Type: podcasts
Talk Evidence - evidence in Roe vs Wade, MI treatment variation, and tribal methodologies
Helen Macdonald, The BMJ's research integrity editor is back with another episode, and this week is joined by Joe Ross, professor of medicine and public health at Yale, and US research editor for The BMJ, and Juan Franco, editor in chief of BMJ EBM, and Professor at the Instituto Universitario Hospital Italiano de Buenos Aires
In this episode they discuss;
The US supreme court looks set to overturn Roe v Wade, creating a patchwork of abortion provision across the U.S. We consider the role which evidence might play in documenting how health is affected by that decision, and whether medical evidence is being used at all in...
Source: The BMJ Podcast - May 23, 2022 Category: General Medicine Authors: BMJ Group Source Type: podcasts
SCCM Pod-456 PCCM: Effects of Excessive Oxygen Supplementation
This podcast will examine a retrospective, observational cohort study that found an association between excessive oxygen supplementation in the first day of mechanical ventilation with multiple organ dysfunction syndrome on day 7 of admission and in-hospital mortality in critically ill children. Host Elizabeth H. Mack, MD, MS, FCCM, is joined by L. Nelson Sanchez-Pinto, MD, MBI, to discuss the study's findings. (Source: SCCM PodCast - iCritical Care)
Source: SCCM PodCast - iCritical Care - May 10, 2022 Category: Intensive Care Authors: The Society of Critical Care Medicine (SCCM) Tags: Medicine Source Type: podcasts
Deep Breath In - what's in store for general practice in the UK
This is a special episode of our podcast for GP's, Deep Breath In, where we tackle the everyday challenges of being a GP.
With the focus on covid, and the pressure on hospitals, it may be easy to overlook what’s happening in general practice in the UK - but changes are afoot. Our new health secretary Sajid Javid doesn’t seem to like our long standing GP practice arrangement, NHS England has imposed new weekend wo rking arrangements on the already stretched service, and the workforce pressures continue.
In this episode of Deep Breath In, our GP panel of Tom Nolan, Navjoyt Ladher, and Jenny Rasanathan are joined by Ga...
Source: The BMJ Podcast - April 30, 2022 Category: General Medicine Authors: BMJ talk medicine Source Type: podcasts
Deep Breath In - what ’s in store for general practice in the UK
This is a special episode of our podcast for GP's, Deep Breath In, where we tackle the everyday challenges of being a GP.
With the focus on covid, and the pressure on hospitals, it may be easy to overlook what’s happening in general practice in the UK - but changes are afoot. Our new health secretary Sajid Javid doesn’t seem to like our long standing GP practice arrangement, NHS England has imposed new weekend working arrangements on the already stretched service, and the workforce pressures continue.
In this episode of Deep Breath In, our GP panel of Tom Nolan, Navjoyt Ladher, and Jenny Rasanathan are joined by Gare...
Source: The BMJ Podcast - April 30, 2022 Category: General Medicine Authors: BMJ Group Source Type: podcasts
TWiV 889: COVID-19 clinical update #110 with Dr. Daniel Griffin
In COVID-19 clinical update #110, Dr. Griffin covers hospital admissions during variant outbreaks, viral load in vaccinated and unvaccinated individuals, predictive capacity of symptoms in children, comparison of antigen tests, incidence of myocarditis after vaccination, steroids during replication phase, Paxlovid efficacy and safety, fluvoxamine, sabizabutin, colchicine, and prevalence of infection in Africa. Subscribe (free): Apple Podcasts, Google Podcasts, RSS, email Become a patron of TWiV! Links for this episode Hospital admissions during Omicron and Delta variant outbreaks (Lancet) Viral load in unvaccinat...
Source: This Week in Virology - MP3 Edition - April 16, 2022 Category: Virology Authors: Vincent Racaniello Source Type: podcasts
TWiV 883: COVID-19 clinical update #108 with Dr. Daniel Griffin
In COVID-19 clinical update #107, Daniel Griffin reviews vaccine booster doses, at-home testing, transmission in ferrets, improving indoor air quality, trials of BCG, ivermectin, and fluvoxamine, vaccination during pregnancy, mRNA vaccines and Fc functions, anti-platelet and aspirin therapy and a trial of prone positioning. Subscribe (free): Apple Podcasts, Google Podcasts, RSS, email Become a patron of TWiV! Links for this episode FDA authorizes second booster (FDA) Second booster and mortality (Res Square) Booster effectiveness vs hospitalization (MMWR) SARS-CoV-2 confections (Lancet) At-home testing (MMWR) Transm...
Source: This Week in Virology - MP3 Edition - April 2, 2022 Category: Virology Authors: Vincent Racaniello Source Type: podcasts
Treatments to manage rapid breathing in babies (transient tachypnoea of the newborn)
The Cochrane Neonatal Group has produced more than 400 reviews over the last two decades and, in February 2022, they published their overview of reviews of treatments for rapid breathing in babies. We asked two of the co-authors, Olga Romantsik and Matteo Bruschettini from Sk åne University Hospital in Lund, Sweden, to tell us about the latest findings. (Source: Podcasts from The Cochrane Library)
Source: Podcasts from The Cochrane Library - March 28, 2022 Category: General Medicine Authors: Cochrane Source Type: podcasts
Providing information to stroke survivors and their carers
Every year, approximately 14 million around the world have a stroke, and the Cochrane Stroke Group has produced more than 200 reviews in the last 25 years. In November 2021, they updated the review of information provision for stroke survivors and their carers, and two of the authors, Tom Crocker and Lesley Brown from the Bradford Teaching Hospitals NHS Foundation Trust in the UK discuss the latest findings in this podcast. (Source: Podcasts from The Cochrane Library)
Source: Podcasts from The Cochrane Library - March 22, 2022 Category: General Medicine Authors: Cochrane Source Type: podcasts
Sublingual Dexmedetomidine for Agitation in Bipolar Disorder, SARS-CoV-2 Infection and Maternal Morbidity and Mortality, Neurological Outcome in Refractory Out-of-Hospital Cardiac Arrest, and more
Editor's Summary by Kristin Walter, MD, Associate Editor of JAMA, the Journal of the American Medical Association, for the February 22, 2022 issue. (Source: JAMA: This Week's Audio Commentary)
Source: JAMA: This Week's Audio Commentary - February 22, 2022 Category: General Medicine Authors: JAMA Network Source Type: podcasts
Selective serotonin reuptake inhibitors for stroke recovery
Cochrane Stroke has produced more than 70 systematic reviews of pharmacological interventions that might improve the recovery of patients after stroke. In this podcast, co-authors Simiao Wu and Xing Hua, both from the West China Hospital at Sichuan University, in Chengdu, China, talk about the November 2021 update for one of these, which looks at the effects of selective serotonin uptake inhibitors on recovery from stroke. (Source: Podcasts from The Cochrane Library)
Source: Podcasts from The Cochrane Library - February 22, 2022 Category: General Medicine Authors: Cochrane Source Type: podcasts
Are inflatable sleeves and medication effective to prevent deep vein thrombosis and pulmonary embolism after surgery?
The single most common, preventable cause of in-hospital death is a hospital-acquired venous thromboembolism; making this an important target for prevention when people are admitted to hospital. An updated Cochrane Review from January 2022 looks at the evidence for one of the possible interventions, which combines anti-coagulant drugs with intermittent pneumatic leg compression to prevent these blood clots. Stavros Kakkos from the University of Patras in Greece tells us more. (Source: Podcasts from The Cochrane Library)
Source: Podcasts from The Cochrane Library - February 21, 2022 Category: General Medicine Authors: Cochrane Source Type: podcasts
Which treatments are best for symptoms in COVID-19 patients at the end of life?
Cochrane is producing a series of reviews to help in the response to the COVID-19 pandemic. Among these, our systematic review of interventions for palliative symptom control in people dying of COVID-19 was published in August 2021. In this podcast, Claire Iannizzi speaks with the lead author, Marike Andreas, both from the University Hospital Cologne in Germany, about the review ’s findings. (Source: Podcasts from The Cochrane Library)
Source: Podcasts from The Cochrane Library - January 21, 2022 Category: General Medicine Authors: Cochrane Source Type: podcasts
Why is it so hard to speak out about patient safety?
In the previous episodes of Doctor Informed, we've heard why it's so important to talk about patient safety concerns, and some of the mechanisms that allow hospital staff to raise them, but knowing why and how doesn't always make it easier to speak out.
In this episode we're exploring the concept of a voiceable concern – identifying what counts as a concern, and what counts as an occasion for voice by an individual, is not a straightforward matter of applying objective criteria- for example how do you tell if you're witnessing poor practice, or just something that lies outside your area of understanding? Or how do you ...
Source: The BMJ Podcast - January 21, 2022 Category: General Medicine Authors: BMJ talk medicine Source Type: podcasts
