Hospital medicine

5,188 articles · Since 2004

Articles, page 8

Catholic hospitals in America [PODCAST]

July 4, 2024Jul 4, 2024

Join us for an episode featuring Patricia A. Gabow, a nephrologist, as she discusses her book, The Catholic Church and Its Hospitals: A Marriage Made in Heaven? Patrician delves into the origins and evolution of the Catholic health care system…

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Catholic hospitals in America [PODCAST]

Conditions and diseases

A mother’s harrowing hospital experience

Laura Buchman, MBA

July 2, 2024Jul 2, 2024

An excerpt from NERVE: Surviving Medical Madness. "There are moments which mark your life. Moments when you realize nothing will ever be the same and time is divided into two parts, before this and after this." — N. Kazan It…

An excerpt from NERVE: Surviving Medical Madness.

“There are moments which mark your life. Moments when you realize nothing will ever be the same and time is divided into two parts, before this and after this.”
— N. Kazan

It was a peaceful, uneventful drive—until it wasn’t. My husband and I flipped to the local news radio station and heard them discussing an extreme weather event just as we looked straight ahead …

The collapse of rural health care: Why small-town hospitals are closing

P. Dileep Kumar, MD, MBA

June 24, 2024Jun 24, 2024

Half a dozen brick steps from the side road led directly to the emergency room (ER). The hospital building resembled a thin strip of warehouse in the middle of a remote small town. A couple of ill patients occupied the beds in the tiny ER. A room beyond the ER served as the intensive care unit (ICU), where the ER doctors frequently checked on patients. The ICU’s location was a …

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Health policy

Innovation doesn’t have to be flashy to make a big impact

Mark Mahnfeldt, RN, MBA

June 23, 2024Jun 23, 2024

Labor shortages have become a pressing concern across the health care sector, with the nurse staffing crisis looming large over hospitals and health systems nationwide. A report from the Massachusetts Health Policy Commission illuminated the severity of the workforce challenges,…

Labor shortages have become a pressing concern across the health care sector, with the nurse staffing crisis looming large over hospitals and health systems nationwide.

A report from the Massachusetts Health Policy Commission illuminated the severity of the workforce challenges, revealing a doubling of vacancy rates for registered nurses in the state’s hospitals from 2019 to 2022. Despite concerted efforts, the problem persists, with health systems still resorting to costly …

Health policy

Improving maternal health with integrated technology and coordinated decision-making

Whitney Weighall, RN

May 24, 2024May 24, 2024

The U.S. infant mortality rate, children who die under one year of age, rose to its highest rate in two decades in 2022, up about 3 percent to 5.6 infant deaths per 1,000 live births. At the same time, the…

The U.S. infant mortality rate, children who die under one year of age, rose to its highest rate in two decades in 2022, up about 3 percent to 5.6 infant deaths per 1,000 live births.

At the same time, the nation’s neonatal mortality rate, infants who die in less than 28 days, increased by 3 percent from 3.49 to 3.58, and the post-neonatal mortality rate, infants who die between 28 days …

Physician voices

The voice that saved lives: a doctor’s pandemic hero

Zoran Naumovski, MD

May 19, 2024May 19, 2024

I would not recognize her if she crossed before me on the street. I could not pick her out in a staff photo of her and her colleagues. I do not know the color of her hair or skin; I…

I would not recognize her if she crossed before me on the street. I could not pick her out in a staff photo of her and her colleagues. I do not know the color of her hair or skin; I could not even guess if she is short or tall. But her voice—I know her voice. I could recognize that voice anywhere.

I first met Julie sometime before the COVID pandemic, …

Physician voices

The curse of the excellent doctor

Dr. Damane Zehra

April 6, 2024Apr 6, 2024

The reward for good work is always more work. The employer becomes dependent on the quality of work that you do because he knows that you, as a person, are a workaholic and perfectionist. You put your heart and soul into everything you do. No other employers can do the kind of work that you do. But don’t ever think that you would be appreciated for your hard work. You …

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The curse of the excellent doctor

Conditions and diseases

Hospital retaliation and my fight for patient rights

Samson Cournane

April 1, 2024Apr 1, 2024

I found myself compelled into the complex world of health care advocacy under extraordinary circumstances last year when I went to my university administration to request a table to do a free speech petition because of a personal and troubling experience. My mother, a respected pediatric intensive care doctor, had been abruptly terminated from her workplace after she raised concerns about patient safety.

Throughout my studies as an undergraduate, I frequently …

Conditions and diseases

Sepsis protocols coupled with rapid host response technologies are the key to improving patient outcomes

Robert Scoggins, MD, PhD

March 20, 2024Mar 20, 2024

Patients come into the emergency department (ED) with symptoms, not diagnoses. That's when time is of the essence. Clinicians must quickly triage patients and establish an appropriate care pathway to obtain the best possible outcome. Most patients entering the ED…

Patients come into the emergency department (ED) with symptoms, not diagnoses. That’s when time is of the essence. Clinicians must quickly triage patients and establish an appropriate care pathway to obtain the best possible outcome. Most patients entering the ED are time-sensitive, requiring clear protocols for care. However, even some of the deadliest conditions still lack the necessary data, tools, and standards to quickly diagnose and effectively treat patients.

Over the …

Physician voices

How to face our mistakes: Using the military’s after-action review to improve morbidity and mortality conferences

Neel Vahil, MD

March 16, 2024Mar 16, 20242

Nearly three decades ago, David Hilfiker, a family medicine physician in rural Minnesota, authored an essay in the New England Journal of Medicine titled "Facing our mistakes." In the piece, he chronicles three major medical mistakes he made during his…

Nearly three decades ago, David Hilfiker, a family medicine physician in rural Minnesota, authored an essay in the New England Journal of Medicine titled “Facing our mistakes.” In the piece, he chronicles three major medical mistakes he made during his long career practicing medicine. Some of the mistakes are horrifying and others simply tragic, but he is brutally honest and forthcoming—displaying a frank self-reflection that is too frequently absent …

Physician voices

From intern to witness: Working in a resource-limited health care system

Dr. Muhammad Usama

March 7, 2024Mar 7, 20242

A little anecdote The year was 2022, and it marked the first month of my initial rotation at one of the largest tertiary care hospitals in Punjab, Pakistan. After having assisted with several procedures in the ENT operating room one…

A little anecdote

The year was 2022, and it marked the first month of my initial rotation at one of the largest tertiary care hospitals in Punjab, Pakistan. After having assisted with several procedures in the ENT operating room one morning, I found myself on call for the next 18 hours in the emergency department as the new intern.

As soon as the shift changed, a young boy landed in the ED …

Physician voices

Inside the heart of a hospital: love, loss, and resilience

Dr. Damane Zehra

March 6, 2024Mar 6, 2024

"Airports have seen more sincere kisses than wedding halls and the walls of hospitals have heard more prayers than the walls of churches." – Anonymous It's 1 a.m. in the night. I am on call duty, which starts at 8:30…

“Airports have seen more sincere kisses than wedding halls and the walls of hospitals have heard more prayers than the walls of churches.” – Anonymous

It’s 1 a.m. in the night. I am on call duty, which starts at 8:30 a.m. in the morning and ends at 10 a.m. the next day. I finished entering the labs and doing my final tasks at approximately 12:30 a.m. Then I ordered some food …

Physician voices

Sham peer review epidemic: A doctor’s career destroyed

Aysun Alagoz, MD

February 28, 2024Feb 28, 2024

An excerpt from The Medical Matrix: One Physician's Story Maneuvering the Minefields of Medicine. It was a routine Monday morning in the middle of May 2011. I had custody of my boys that day, so I dropped them off at…

An excerpt from The Medical Matrix: One Physician’s Story Maneuvering the Minefields of Medicine.

It was a routine Monday morning in the middle of May 2011. I had custody of my boys that day, so I dropped them off at school and headed to work.

As soon as I got to work I received a phone call from the vice CEO of the hospital. Maria (name changed) was a short woman …

Physician voices

Discover the physician who made a village his family

Zoran Naumovski, MD

February 28, 2024Feb 28, 2024

I finished my residency training on June 30th, 2000, in a combined internal medicine and pediatrics residency program at Ohio State University and Columbus Children's Hospital (before it was renamed Nationwide Children's Hospital). One month later, I was slated to…

I finished my residency training on June 30th, 2000, in a combined internal medicine and pediatrics residency program at Ohio State University and Columbus Children’s Hospital (before it was renamed Nationwide Children’s Hospital). One month later, I was slated to begin my first “adult” job as I joined a private family medicine practice in Southern Ohio – practicing traditional medicine (outpatient and inpatient care). There were no hospitalists back then …

Conditions and diseases

Surviving my nephrectomy nightmare: the night I’ll never forget

Debbie Moore-Black, RN

February 24, 2024Feb 24, 2024

My first post-op night after my nephrectomy was a mix of fantastical and almost devastating. I woke up in the PACU after my surgery, extremely confused and disoriented. I felt like I was trapped inside a video game, desperately trying…

My first post-op night after my nephrectomy was a mix of fantastical and almost devastating.

I woke up in the PACU after my surgery, extremely confused and disoriented. I felt like I was trapped inside a video game, desperately trying to escape.

Upon entering my new post-op room on a medical-surgical unit, it had that brand-new, hotel-like decor – shiny and pristine. The nurses, techs, and NPs greeted me with words of …

Conditions and diseases

Clinicians and management at odds in health care

Michele Luckenbaugh

January 31, 2024Jan 31, 2024

In a survey conducted by a University of Pennsylvania School of Nursing team led by Linda Aiken, PhD, RN, of 21,050 physicians and nurses at 60 hospitals, it was found that more than 40 percent of clinicians were not confident that hospital management would act to resolve problems that clinicians identify in patient care. Close to one-third of clinicians said their values were not aligned with those of their hospital’s …

Physician voices

How religious freedoms impact patient care

Patricia A. Gabow, MD

December 28, 2023Dec 28, 20234

An excerpt from The Catholic Church and Its Hospitals: A Marriage Made in Heaven? The ability of Catholic hospitals and physicians to withhold some medically accepted care from patients based on their own religious and moral beliefs is made possible…

An excerpt from The Catholic Church and Its Hospitals: A Marriage Made in Heaven?

The ability of Catholic hospitals and physicians to withhold some medically accepted care from patients based on their own religious and moral beliefs is made possible by numerous protections of religious freedoms. However, patients look to their physicians as trusted partners in their care who will act solely in their best interest and include them in …

The Podcast by KevinMD

From 8-hour to 12-hour shifts: Exploring health care’s changing landscape [PODCAST]

The Podcast by KevinMD

December 21, 2023Dec 21, 2023

Join Bruce L. Davidson, a pulmonary and critical care physician. We delve into the transformation of health care work conditions, from 8-hour shifts to 12-hour shifts, and how this impacts both health care professionals and patient care. Bruce sheds light…

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Physician voices

The challenge of seeking joy: Navigating the current health care maze

Miguel Villagra, MD

December 17, 2023Dec 17, 2023

Before delving into the heart of joy's pursuit, it's essential to grasp the complexities faced by medical professionals in today's health care environment. The modern health care system, with all its advancements, presents unique challenges that can often overshadow the…

Before delving into the heart of joy’s pursuit, it’s essential to grasp the complexities faced by medical professionals in today’s health care environment. The modern health care system, with all its advancements, presents unique challenges that can often overshadow the intrinsic joys of the profession.

The burden of bureaucracy. One of the significant hindrances to joy in medicine is the ever-increasing administrative demands. Doctors find themselves spending more time on paperwork and …

Physician voices

Tackling health care conflicts and stereotyping

Deepak Gupta, MD

December 2, 2023Dec 2, 2023

Concerns about conflicts of interest and stereotyping differ in their complexity. Resolving stereotyping-related concerns is relatively straightforward. Stereotyping should be dismantled immediately, regardless of the reasons for its creation, before it continues to perpetuate unchecked. However, merely dissolving stereotyping might not be enough if one form of stereotyping is replaced by another. Therefore, the ongoing effort to combat stereotyping must continue. When aiming to dissolve any stereotyping and ensure it …

Hospital medicine

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