Author archive for Marjorie Stiegler

  • Quality Improvement or Human Research? Ethics in the Gray Zone

    By Marjorie Stiegler on March 1, 2017
    0
    0
    Medical research on human subjects has substantial institutional oversight and regulatory assurances to protect patients. However, research is expensive and the insights gained from human research often takes many years to permeate clinical practice. In this modern age of healthcare focused on enhancing quality, value, and patient safety, a new paradigm has emerged - the 'quality improvement' project. These projects are subject to a much lower level of oversight, and enjoy more loosely defined protocols. The intent is to be able to rapidly implement better and safer processes for the benefit of patients. However, some projects share considerable similarities with traditional human research. Are their champions simply trying to circumvent regulatory hurdles by calling their experiments 'quality improvement'?
  • Twitter for busy doctors: tweeting the meeting

    By Marjorie Stiegler on October 28, 2016
    0
    0
    Twitter for busy doctors? It is easier than you think! Another American Society of Anesthesiologists Annual Meeting has come and gone, and once again, social media exploded. There was plenty going on around Facebook and a little bit of Instagram, but as has been typical for healthcare social media, doctors are on Twitter. Check out these images that show the amazing growth (15,000%) since October of 2013 around this meeting. The same is going on in all realms of healthcare - time to get on board!
  • Can social media get doctors in trouble with the law?

    By Marjorie Stiegler on September 21, 2016
    1
    0
    This video emphasizes the importance of a few simple best practices for doctors on social media, and healthcare social media in general. Specifically, we discuss a few things you should NOT do! 1) You should obviously not disclose or discuss the personal health information of patients online, even in a "private" or "physician only" forum. Your words or images may be construed as a violation of (HIPPA) - the Health Insurance Portability and Accountability Act - EVEN if you do not explicitly reveal the patient's identity...
  • Make your online reputation audit accurate and actionable!

    By Marjorie Stiegler on September 12, 2016
    0
    0
    It is SO worth the time invested to get this right! Your digital footprint is your online reputation, and much of it IS within your control. Be sure you know what Google says about you, so you can influence the internet to serve up more of what you like and less of what you don't (errors, out of date, same name but not you, etc). Every professional, doctors included, needs to do this. This video will walk you through the exact process of performing a thorough, accurate online self-audit so you'll...
  • Should doctors use social media professionally?

    By Marjorie Stiegler on August 25, 2016
    0
    0
    Click "keep reading" below to access my video - a special announcement about a free Facebook LIVE video series on healthcare and social media! Whether you are in private practice, academics, or even administration, there's something for you in this new series that breaks down how, why, when, and where healthcare professionals and organizations can and should be leveraging social media.
  • Why are kids dying at the dentist?

    By Marjorie Stiegler on July 21, 2016
    13
    1
    Is pediatric dental anesthesia safe? Right on the homepage of the ADSA is a big box: “getting sedated at the dentist: there’s nothing to worry about”. Recent news, however, seems to contradict that statement. In Texas alone, there are at least 85 reported deaths of patients who died following dental procedures between 2010 and 2015. In these cases, anesthesia was reportedly administered by dentists with anesthesia training. But what is a 'dentist anesthesiologist'? In the FAQ section of the ADSA website, they state “Anesthesia is administered by a licensed anesthesiologist, who was trained in a formal anesthesia residency program.” No wonder people are confused...
  • Twitter has changed. Meet the new 140 character rules.

    By Marjorie Stiegler on May 31, 2016
    0
    0
    Twitter has made some changes to the 140 character limit. Specifically, they have changed the structure to exclude “prefix” and “suffix” data. Here's how the new changes will impact your twitter stream:
  • Why is everyone so upset about the VA APRN proposed rule?

    By Marjorie Stiegler on May 28, 2016
    4
    0
    The best outcome of research in healthcare quality and safety would be to make the practice of medicine and healthcare systems so safe and so good that we essentially make ourselves obsolete. Are we there yet? Some think so. Within the VA system, a new rule has been proposed: "expanding the pool of qualified health care professionals who are authorized to provide health care... without the clinical supervision of physicians" and "to exercise Federal preemption of State nursing licensure laws...regardless of individual State restrictions that limit such full practice authority". Let's look at the details...
  • Medical error is #3 cause of death – what does this mean?

    By Marjorie Stiegler on May 9, 2016
    3
    0
    Recently, a paper written by researchers at Johns Hopkins and published by the British Medical Journal estimated that medical error was the third leading cause of the death in the United States. This received – as you might imagine – considerable coverage in the media. The researchers proposed that death certificates should include a qualifier or indicator that medical error was linked to the death, if in fact it was, so that better statistics could be obtained. I certainly can’t argue with the fact that we do not have good data about how frequently medical error occurs, or how frequently such errors contribute to serious disability or death. However, the paper also offered a case illustration which did show how un-illuminating the death certificate is, but in my view, did not actually demonstrate a preventable error.
  • Who is mentoring academic physicians?

    By Marjorie Stiegler on April 26, 2016
    0
    0
    Are we (the establishment of academic medicine) doing a good job of providing mentorship to the next generation? What is the “path” or “formula” – is there one? Can we improve faculty development for those who have dedicated their professional careers to academic pursuits - those who will make the big discoveries and leaps forward in patient safety and quality healthcare? If you are an academic, I hope you'll...
Google+