The 2017 Saline Bag Shortage

The 2017 Saline Bag Shortage

One of the casualties of Hurricane Maria was the Baxter Healthcare. Baxter makes supplies and fluids for intravenous therapy and also makes products for dialysis. One of Baxter’s manufacturing plants is in Puerto Rico. When the hurricane knocked out power to the island, the plant was not able to make products. The products that they […]

Improving Doctor Communication

Improving Doctor Communication

The HCAHPS survey measures patient satisfaction with various aspect of their hospitalization. One of the sections of the survey is about doctor communication with the patient. Because a hospital’s HCAHPS results are publicly available, hospitals want to do everything they can to keep their scores up. As a hospital medical director, one of my jobs […]

The 2017 Epinephrine Shortage

The 2017 Epinephrine Shortage

Epinephrine is the most common drug used to resuscitate patients in cardiopulmonary arrest. EMS squads keep it on hand during every emergency run and hospitals contain it in their code carts. Epinephrine comes in a variety of strengths and dosing sizes but during cardiopulmonary resuscitation, the most commonly used size is the pre-filled 10 ml […]

Not On My Watch: Avoiding Deaths In The Hospital

Hospitals don’t want patients to die in the hospital. On the surface, this seems like a good thing. However, patients do get ill and eventually, every patient (and everybody else) will die somewhere. Hospitals are incentivized to have patients die anywhere except in the hospital, even if the hospital is the best place for them […]

Improving Patient Satisfaction

Last month, Christy Dempsey, the Chief Nursing Officer of Press Ganey, visited our medical center to discuss strategies hospitals can use to improve patient satisfaction. She had some really insightful comments. Improved patient satisfaction doesn’t just improve your hospital’s scores on the Medicare Hospital Compare website, but it also results in lower length of stay […]

Disaster Drill Management

This week, our city staged a mass-casualty disaster drill. In preparing for it, I found that there is very little written about the medical director’s responsibilities in disaster preparation. The scenario was this: terrorists explode bombs at Mapfre stadium (home to the Columbus Crew professional soccer team) and John Glenn Airport then attack civilians with guns. […]