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How Doctors Can Save More and Do Less

The Motivated MD

In medicine, it is commonly agreed that ‘to err is human’ Most healthcare professionals would agree that humans make mistakes. A study by Johns Hopkins in 2016 found that medical errors may potentially be the third leading cause of death nationwide. So yes, humans make mistakes.

Finance 52
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EMS Intervention to Reduce Falls: Carmen Quatman and Katie Quatman-Yates

GeriPal

Wait, first of all, what’s the incidence of calling EMS for falls over almost a decade, I think like 2007 to 2016, and what happens to people afterwards? They know what their dog’s name are sometimes, which we don’t even have from a primary care level, and so that’s kind of a fascinating lens of opportunity.

Community 116
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Intentionally Interprofessional Care: DorAnne Donesky, Michelle Milic, Naomi Saks, & Cara Wallace

GeriPal

The many arguments, theories, & approaches across settings and conditions are explored in detail in the book they edited, “ Intentionally Interprofessional Palliative Care ” (discount code AMPROMD9). Of note: these lessons apply to geriatrics, primary care, hospital medicine, critical care, cancer care, etc, etc.

Screening 121
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PC Trials at State of Science: Tom LeBlanc, Kate Courtright, & Corita Grudzen

GeriPal

Eric: And that’s similar to the 2016 JAMA paper, right? Eric: And we’re going to get to results, but that’s why I also love that 2016 paper: I think it was the very first palliative care trial that ever looked at individuals getting curative therapy. Did it negate everything from the 2016 trial?Palliative

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Dementia and high risk surgery: Joel Weissman and Samir Shah

GeriPal

Samir: As some of your audience may know, there are new billing codes introduced January 1st, 2016 to start reimbursing for having advance care planning discussions. Is there a role for the primary care doctor, for the anesthesiologist, for the consulting team, for … Eric: Integrative geriatrics. Alex: Mm-hmm.

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RCT of PC in ED: Corita Grudzen, Fernanda Bellolio, & Tammie Quest

GeriPal

I think back in what, May 2016, you published a randomized controlled trial, first author, palliative care and the ED randomized study, cancer patients. Primary outcome was quality of life. And so how do we think about palliative care in those patients? No difference in their primary outcome. Corita 04:32 Yep.

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Aging and Homelessness: Margot Kushel

GeriPal

I remember deep in the recesses, 2016, I think it was, a New England Journal piece came out saying that we need to reframe the debate about cost. But nothing in healthcare. We said, “Reframe the debate,” because what we saw, for instance, in this permanent housing trial is that people started to use primary care.