Tag Archives: quality care
close up of gloved hands filling a syringe

Emerging Trends in Pain Medication Management: Back to the Future: A Focus on Ketamine

  Providers face many challenges when faced with pain management. Pain is complex, difficult to understand and diagnose, and especially enigmatic to manage. The discovery of nonopioid agents for pain management has become particularly important considering the ongoing opioid epidemic. This review is focused on revisiting ketamine, an agent that has historically been used for […]

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Dr. Joseph S. Alpert

Socrates on Quality

Following several hours of vigorous exercise on a warm afternoon in the spring of 410 bce, Socrates converses with Asculepo, a young medical student attending the Hippocrates School of Medicine in Athens. Asculepo is telling Socrates about several recent lectures at the school on the subject of quality in healthcare. Socrates: A wonderful afternoon, Asculepo, perfect weather […]

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Learning to De-Adopt Ineffective Healthcare Practices

With rapidly rising healthcare costs constraining US wages and forcing difficult policy decisions, there is increasing pressure to identify means to decrease spending. One attractive target is the de-adoption of medical practices found to be ineffective or harmful. Just as emerging scientific evidence can support novel practices that improve health, it can also reverse beliefs […]

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Medical Axioms: The Pithy Little Sayings That Reflect Deeper Knowledge

  I love axioms. Perhaps it is the result of hearing them from one of my earliest mentors in medical school. Or perhaps it is the result of advice given me by my journalist/English teacher mother who told me that everything you write can be improved by condensation. Whatever the underlying reason, I continue to […]

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nurse showing an elderly woman something on a tablet in office

Candid to the Bitter End: Indiscriminate Disclosures

  The physician’s obligation to tell the patient the full truth about his or her condition has become an established ethical principle, enabling patients’ autonomy, shared decision-making, and patient-centered care. However, indiscriminate application of this obligation may at times be harmful to the patient, contradicting the old Hippocratic imperative of “first do no harm” (“Primum […]

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