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Ataxia and Frailty

Ataxia and Frailty When I was a safety officer at Dartmouth, I did a fair amount of work on surgical/patient safety…. a big focus of ours was frailty-what we found was patients who tested positive had longer length of stay in the hospital and discharge to...

Surgical Safety and Frailty

When I was a practicing surgeon, there was a mystery. An 80-year-old patient does well after surgery but a 60-year-old doesn’t…. why is that? One of the answers is frailty Frailty is not merely aging or losing weight -it’s a defined medical...

COVID-19 AND Surgical Safety

Unfortunately, the pandemic COVID-19 posed some challenges around safety and also some process changes had to be implemented (e.g. confirming bed availability after the surgery-step 6). Patients get tested to determine their status (step 1). Most surgical teams have a...

Surgical safety-what I can do as a patient

I did a lot of work on surgical safety. What I discovered over time is everyone-the surgeon, anesthesiologist, nurses techs., all have a role to play in performing safe surgery. What van you do as a patient if you are scheduled for elective surgery? Talk to your...

Technology apps (that I use)

Technology in healthcare Technology in healthcare systems (hospitals, groups) have not been the solution to healthcare’s ills. As wee know, the use of technology has made a sea-change in other industries- A good example is banking. Most routine banking activities can...