Patients ’ Experiences With Institutional Responses to Medical Injury
Interview with Michelle M. Mello, JD, PhD, MPhil, author of Patients’ Experiences With Communication-and-Resolution Programs After Medical Injury (Source: JAMA Author in the Room)
Source: JAMA Author in the Room - October 9, 2017 Category: General Medicine Authors: The JAMA Network Source Type: podcasts
JAMA: 2013-02-27, Vol. 309, No. 8, Author in the Room ™ Audio Interview
Interview with Justin B. Dimick, MD, MPH, author of Bariatric Surgery Complications Before vs After Implementation of a National Policy Restricting Coverage to Centers of Excellence. Summary Points:
Bariatric surgery has become much safer over the past decade, likely due to better techniques, training in advanced laparoscopy, and tighter credentialing of surgeons.
The CMS policy of restricting care to Centers of Excellence has not improved outcomes, but may have had the unintended consequence of reducing access to care.
Referring patients to Centers of Excellence for bariatric surgery will not lower the risk of adverse ou...
Source: JAMA Author in the Room - May 15, 2013 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2013-02-27, Vol. 309, No. 8, Author in the Room™ Audio Interview
Interview with Justin B. Dimick, MD, MPH, author of Bariatric Surgery Complications Before vs After Implementation of a National Policy Restricting Coverage to Centers of Excellence. Summary Points:
Bariatric surgery has become much safer over the past decade, likely due to better techniques, training in advanced laparoscopy, and tighter credentialing of surgeons.
The CMS policy of restricting care to Centers of Excellence has not improved outcomes, but may have had the unintended consequence of reducing access to care.
Referring patients to Centers of Excellence for bariatric surgery will not lower the risk of adverse ou...
Source: JAMA Author in the Room - May 15, 2013 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2013-03-20, Vol. 309, No. 11, Author in the Room ™ Audio Interview
Interview with Phillip M. Boiselle, MD, author of Computed Tomography Screening for Lung Cancer. Summary Points:
CT screening reduced lung cancer-specific mortality by 20% in a large randomized trial of a high-risk population.
CT is associated with a high false-positive rate, with associated risks and costs associated with follow-up CT and the potential for more invasive diagnostic procedures.
Physicians should consider discussing CT screening with their high-risk patients who meet criteria in published guidelines. (Source: JAMA Author in the Room)
Source: JAMA Author in the Room - April 17, 2013 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2013-03-20, Vol. 309, No. 11, Author in the Room™ Audio Interview
Interview with Phillip M. Boiselle, MD, author of Computed Tomography Screening for Lung Cancer. Summary Points:
CT screening reduced lung cancer-specific mortality by 20% in a large randomized trial of a high-risk population.
CT is associated with a high false-positive rate, with associated risks and costs associated with follow-up CT and the potential for more invasive diagnostic procedures.
Physicians should consider discussing CT screening with their high-risk patients who meet criteria in published guidelines. (Source: JAMA Author in the Room)
Source: JAMA Author in the Room - April 17, 2013 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2013-02-20, Vol. 309, No. 7, Author in the Room ™ Audio Interview
Interview with Daniel J. Buysse, MD, author of Insomnia. Summary Points:
Insomnia is a frequent comorbid condition that increases costs and worsens outcomes.
Insomnia is a chronic condition for which there are effective and widely available acute treatments (medications) and effective but hard-to-find long-term treatments (behavioral).
Need to consider other health professionals such as nurses, physician assistants, and behavioral health managers (smoking, obesity, diet, exercise, sleep/insomnia). (Source: JAMA Author in the Room)
Source: JAMA Author in the Room - March 21, 2013 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2013-02-20, Vol. 309, No. 7, Author in the Room™ Audio Interview
Interview with Daniel J. Buysse, MD, author of Insomnia. Summary Points:
Insomnia is a frequent comorbid condition that increases costs and worsens outcomes.
Insomnia is a chronic condition for which there are effective and widely available acute treatments (medications) and effective but hard-to-find long-term treatments (behavioral).
Need to consider other health professionals such as nurses, physician assistants, and behavioral health managers (smoking, obesity, diet, exercise, sleep/insomnia). (Source: JAMA Author in the Room)
Source: JAMA Author in the Room - March 21, 2013 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2013-01-16, Vol. 309, No. 3, Author in the Room ™ Audio Interview
Interview with Daniel S. Chertow, MD, MPH, author of Bacterial Coinfection in Influenza: A Grand Rounds Review. Summary Points:
Influenza vaccine remains the best available tool for prevention of severe influenza illness commonly associated with bacterial coinfection.
Early empirical antiviral and antibiotic therapy should be administered to all individuals with suspected coinfection.
Vancomycin or linezolid should be administered in addition to standard therapy for community-acquired pneumonia to patients with severe or necrotizing pneumonia and/or evidence of sepsis. (Source: JAMA Author in the Room)
Source: JAMA Author in the Room - February 23, 2013 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2013-01-16, Vol. 309, No. 3, Author in the Room™ Audio Interview
Interview with Daniel S. Chertow, MD, MPH, author of Bacterial Coinfection in Influenza: A Grand Rounds Review. Summary Points:
Influenza vaccine remains the best available tool for prevention of severe influenza illness commonly associated with bacterial coinfection.
Early empirical antiviral and antibiotic therapy should be administered to all individuals with suspected coinfection.
Vancomycin or linezolid should be administered in addition to standard therapy for community-acquired pneumonia to patients with severe or necrotizing pneumonia and/or evidence of sepsis. (Source: JAMA Author in the Room)
Source: JAMA Author in the Room - February 23, 2013 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2012-11-28, Vol. 308, No. 20, Author in the Room ™ Audio Interview
Interview with Robert H. Shmerling, MD, author of Management of Gout: A 57-Year-Old Man With a History of Podagra, Hyperuricemia, and Mild Renal Insufficiency. Summary Points:
Risk factor modification: alcohol intake, excess weight, diet, medications (although overall impact on gout uncertain).
Acute gout can be treated with NSAIDs, colchicine, corticosteroids, or a combination of these.
Urate-lowering treatment to prevent attacks and tophi is appropriate for certain patients with gout. (In my opinion, allopurinol is the best initial choice to suppress uric acid.)
Urate-lowering treatment should suppress uric acid to 6.0 ...
Source: JAMA Author in the Room - January 17, 2013 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2012-11-28, Vol. 308, No. 20, Author in the Room™ Audio Interview
Interview with Robert H. Shmerling, MD, author of Management of Gout: A 57-Year-Old Man With a History of Podagra, Hyperuricemia, and Mild Renal Insufficiency. Summary Points:
Risk factor modification: alcohol intake, excess weight, diet, medications (although overall impact on gout uncertain).
Acute gout can be treated with NSAIDs, colchicine, corticosteroids, or a combination of these.
Urate-lowering treatment to prevent attacks and tophi is appropriate for certain patients with gout. (In my opinion, allopurinol is the best initial choice to suppress uric acid.)
Urate-lowering treatment should suppress uric acid to 6.0 ...
Source: JAMA Author in the Room - January 17, 2013 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2012-11-21, Vol. 308, No. 19, Author in the Room ™ Audio Interview
Interview with Laura N. Gitlin, PhD, author of Nonpharmacologic Management of Behavioral Symptoms in Dementia. Summary Points:
Attending to behavioral symptoms is part of comprehensive dementia care and requires ongoing long-term management.
Use 6 steps to systematically prevent, assess, manage, eliminate or reduce behavioral symptoms.
Use combination of nonpharmacologic approaches.
Keep trying—nonpharmacologic approaches are relatively adverse free.
Create a health professional team to offset time needed for provision of nonpharmacologic approaches. (Source: JAMA Author in the Room)
Source: JAMA Author in the Room - December 20, 2012 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2012-11-21, Vol. 308, No. 19, Author in the Room™ Audio Interview
Interview with Laura N. Gitlin, PhD, author of Nonpharmacologic Management of Behavioral Symptoms in Dementia. Summary Points:
Attending to behavioral symptoms is part of comprehensive dementia care and requires ongoing long-term management.
Use 6 steps to systematically prevent, assess, manage, eliminate or reduce behavioral symptoms.
Use combination of nonpharmacologic approaches.
Keep trying—nonpharmacologic approaches are relatively adverse free.
Create a health professional team to offset time needed for provision of nonpharmacologic approaches. (Source: JAMA Author in the Room)
Source: JAMA Author in the Room - December 20, 2012 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2012-10-17, Vol. 308, No. 15, Author in the Room ™ Audio Interview
Interview with Nancy A. Rigotti, MD, author of Strategies to Help a Smoker Who Is Struggling to Quit. Summary Points:
Treat tobacco use like the chronic disease that it is. Don't give up if your first few efforts do not succeed.
Medications and brief counseling are each effective, but combining the two is most effective.
Link your smokers to free national resources like the tobacco quit lines (1-800-QUIT-NOW). New noncombustible tobacco products are coming. (Source: JAMA Author in the Room)
Source: JAMA Author in the Room - November 15, 2012 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
JAMA: 2012-10-17, Vol. 308, No. 15, Author in the Room™ Audio Interview
Interview with Nancy A. Rigotti, MD, author of Strategies to Help a Smoker Who Is Struggling to Quit. Summary Points:
Treat tobacco use like the chronic disease that it is. Don't give up if your first few efforts do not succeed.
Medications and brief counseling are each effective, but combining the two is most effective.
Link your smokers to free national resources like the tobacco quit lines (1-800-QUIT-NOW). New noncombustible tobacco products are coming. (Source: JAMA Author in the Room)
Source: JAMA Author in the Room - November 15, 2012 Category: Journals (General) Authors: The JAMA Network Source Type: podcasts
