Pediatrics

a family member is not a visitor

On Friday I wrote about issues in patient safety, and I will continue in that vein today

. One big focus of the Children's hospital over the last two years, has been the introduction and development of patient and family centered care (PFCC). There are many aspects to health care that make it patient and family centered. One major aspect is acknowledging the role that families play in the lives  of patients, and recognizing that respect for families is an important part of how we care for patients.

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our healthcare system is like an autumnal mountainside

This morning as I awoke with the sun coming up over the mountain, I was struck with the similarity of the autumnal changes of the mountain, and the changes we are now seeing in our health care system.

If you look at the side of a mountain as a whole, the change appears to be gradual. Slowly the variegated green of summer turns into a quilt of reds, organges, yellows and browns. But have you noticed that some of the trees actually turned bright red weeks ago? And after all the leaves have turned color and eventually fallen to the forest floor, there will be some patches of green left on that mountainside, created by those trees whose colors will never change.

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confessions about patient harm

A couple of days ago, Nancy Agee, president of Carilion Clinic's hospital division, distributed a sobering article from the Reader's Digest about the importance of patient safety http://www.rd.com/living-healthy/doctors-confess-their-fatal-mistakes/article185422.html. It is moving, because it consists of a number of "confessions" of doctors, nurses, and pharmacists who inadvertently caused harm to patients, and have lived with the knowledge of this harm for the rest of their careers. Such experiences happen to EVERY HEALTH CARE PROVIDER at some time in their careers, and are responsible for unnecessary harm to patients and unnecessary cost to our health care system.

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get your flu shot

I just returned from getting my flu shot and have to admire the way our employee health folks have set this up. Although the line looked long, it moved quickly. I had no actual "waiting" time, and from start to finish, spent about 8 minutes in the vicinity of the 6th floor auditorium.

I encourage all staff to get their flu shots, especially all staff who care for children.

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...and home again

Apologies for not writing last night after a busy day of listening to new information about resuscitation, and meeting with old friends and new acquaintances. Lots of walking around the San Francisco Embarcadero area, and the need to go to sleep early so I could rise at 4am to catch my plane home, lead me to  postpone the post I promised on the soon-to-be released new approaches to CPR in children.

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a day of learning new things...learning about learning

Today at the AAP NCE I attended the scientific abstract and poster presentations, followed by an afternoon of presentations and discussions about challenges in teaching medical students, residents and fellows.

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at the AAP NCE meeting

Yesterday was a day of uneventful travel from Roanoke to San Francisco.

Today I started performing the "work" of attending this meeting.  At 7:30 am I was among a small group of  pediatric subspecialists that met with the leadership of the American Board of Pediatrics to discuss issues related to maintenance of certification in the pediatric subspecialties.

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the value of travel

Dr. Ackerman discusses her upcoming trip to San Francisco, and notes the value of medical travel for continuing medical education.

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what is a children’s hospital?

Dr. Ackerman discusses her reasons for starting this Blog, and invites others to share comments and perspectives.

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