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  • Cosgrove: Innovation, speed determining future of medicine

    What precisely does innovation mean in the context of healthcare? Delos Toby Cosgrove, MD, the newly appointed president and CEO of the Cleveland Clinic, addressed that question in his opening remarks at this years Clinic-sponsored Medical Innovation Summit.
  • Device-based therapies expand role in heart disease management

    The management of heart disease has undergone a dramatic evolution over the past 20 years, driven by major developments in devices used for the treatment of vascular conditions and arrhythmia.
  • AHRQ offers a tool for measuring patient safety

    Patient safety is on everyones minds these days, but how do you know how well your organization already is doing on this topic? One way is a tool offered by the Agency for Health-care Research and Quality (AHRQ), an arm of the Department of Health and Human Services in Washington, DC.
  • Respond to the shortage by encouraging sick days

    If the flu season hits your community hard, will your health care staff suffer because they didnt get enough flu shots? Quite possibly. But there is something risk managers can do.
  • Flu shortage caused by liability fears? Maybe not

    When risk managers first heard that there wouldnt be enough flu vaccine from the two manufacturers still providing it, many probably reacted with the same thought: Thats what you get when money-hungry trial lawyers run health care companies out of business. But is that really the cause of the flu vaccine shortage?
  • Stolen ambulance tragedy: $12.5 million payout

    Health care providers in Texas have agreed to pay $12.5 million to settle a lawsuit stemming from the theft of an unattended ambulance, which was then involved in an accident that killed a father and seriously injured the rest of his family. The plaintiffs attorney says the settlement underscores the need for hospitals to secure ambulances and other vehicles.
  • New research shows brain injuries stem from infection

    New research continues to dispel the once widely accepted belief that premature infants suffer brain injury from a lack of oxygen usually attributed to obstetrician error. In fact, infection plays a larger role, according to a high-risk obstetrician and assistant professor at The Johns Hopkins University School of Medicine in Baltimore.
  • The science of safety: Duke moves in a new direction to improve patient safety

    In the aftermath of a tragic sentinel event traced back to poor processes, the appointment of a new patient safety officer at Duke University Hospital System in Durham, NC, raises several immediate questions.
  • Full January 2005 Issue in PDF

  • Timing is key for cauda equina syndrome diagnosis in the ED

    Low back pain is a frequent patient complaint in the emergency department. In fact, the same patients may visit the ED repetitively with the same complaint. It is easy to be assuaged into thinking that these patients are merely seeking drugs, but to make that assumption can lead a clinician to miss the cauda equina syndrome and may result in a malpractice action if efforts are not taken to identify any new symptoms and signs in a patient with low back pain. This issue provides the reader with a solid understanding of diagnosing and caring for patients with cauda equina syndrome in the ED and the medicolegal issues that arise from failing to diagnose and appropriately treat these patients.