Energetic and ambitious clinicians frequently present new disruptive technologies and growth opportunities to hospital management. Far too often, established medical staff leadership respond to these replacement services with derision, as they sense that the value of their hard-fought experience is threatened. In this regard, derision is often disguised validation and may be the first indicator that the visionary physician is on to something. Truly disruptive service offerings cannot survive the scrutiny of layered medical staff structure or traditional fiscal review. Innovative hospital CEOs should take notice when a new idea is treated with derision and consider resourcing them through an alternative pathway.
Download full-text PDF |
Source |
---|---|
http://dx.doi.org/10.1080/00185868.2011.550204 | DOI Listing |
Anesthesiology
March 2025
Professor of Anesthesiology and Perioperative Medicine, Department of Basic and Applied Medical Sciences, Ghent University, Ghent, Belgium; Professor, Department of Anesthesiology, UZLeuven, Leuven, Belgium & Department of Cardiovascular Sciences, KULeuven, Leuven, Belgium; Staff anesthesiologist, Department of Anesthesiology, OLV Hospital, Aalst, Belgium.
Background: The use of capturing devices may become required for the continued use desflurane. We tested the percentage of desflurane captured by a charcoal filter (CONTRAfluran)-workstation (Aisys) combination in vitro.
Methods: Desflurane in O2/air was administered via an Aisys workstation into a 2 L test lung that was insufflated with CO2 (160 mL/min).
Can J Public Health
March 2025
Canadian Institute for Substance Use Research, University of Victoria, Victoria, BC, Canada.
Setting: This paper describes the Safer Opioid Supply (SOS) program, a public health intervention in London, Ontario, in response to the toxic unregulated drug supply which is driving the overdose crisis in Canada.
Intervention: The London InterCommunity Health Centre (LIHC) SOS program provides comprehensive harm reduction and primary health care services to individuals at risk of overdose from the toxic drug supply. Clients are prescribed high-dose pharmaceutical opioids as replacement for unregulated toxic substances within a low-barrier primary care clinic, with wraparound interdisciplinary social services, embedded in the Ontario Community Health Centre model of care.
Diabetologia
March 2025
Department of Ophthalmology, Eye & ENT Hospital of Fudan University, Shanghai, China.
Aims/hypothesis: Signalling pathways that regulate endothelial cell (EC) dysfunction, ischaemia and inflammation play a crucial role in retinal microangiopathy such as diabetic retinopathy. MAP4K4 is highly expressed in ECs. However, the involvement of MAP4K4 in retinal vasculopathy of diabetic retinopathy remains unclear.
View Article and Find Full Text PDFJ Appl Clin Med Phys
March 2025
Kaiser Permanente Southern California Medical Group, Pasadena, California, USA.
The Mammography Quality Standards Act (MQSA) sets quality standards for displays used to interpret mammography images. With the shift to digital mammography and the widespread use of remote reading workstations (RWS), updated quality management (QM) programs are needed to ensure consistent image presentation and accurate interpretation. This document recommends a QM framework for mammography RWS displays, addressing challenges such as remote environments, regulatory compliance, and evolving technology.
View Article and Find Full Text PDFJ Hum Lact
March 2025
Jersey Shore University Medical Center, Hackensack Meridian Health, Neptune, NJ, USA.
Maintaining Baby-Friendly Hospital Initiative (BFHI) standards within a complex healthcare system presents unique challenges. This case study from a regional perinatal center in the northeast United States details the design and implementation of a program to address BFHI Step 2, which requires ongoing competency assessment and team member training to ensure breastfeeding support. The shift of BFHI competencies to continuous professional development introduced logistical challenges, compounded by staff turnover and budget constraints.
View Article and Find Full Text PDFEnter search terms and have AI summaries delivered each week - change queries or unsubscribe any time!