110 e-Letters

published between 2014 and 2017

  • Missing measure
    Arthur L. Yeager

    Dear Editor

    Adding the element of safety to medical education can not be effected unless the institutions supplement their systems with program of outcomes assesment.

    While all that Dr Stevens describes is of interest, only when it is established that the medical safety material that has been presented is absorbed and put into practice will the validity of the suggestions be established.

    This req...

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  • Response to letter regarding 'working smarter, not harder'
    Christopher W. Hayes

    We thank Dr. Iedema for highlighting that a gap exists in providers having the skillset to 'work smarter.' We agree that novel approaches to healthcare improvement are required that move beyond gadget-based solutions and that require a new set of skills of providers and provider organizations. The suggestion of video taping one's performance to review how the system (and its participants) currently operates and reflect...

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  • "That is Medicine"
    Jorge H Jimenez

    Dear Editor

    I will call the work of giving Medicine to poor countries, a Great English men do this beautiful things. From a Professor of internal medicine - Jorge H Jimenez.


  • Ryan's Rule - consumer / family escalation.
    Tieh Hee Hai Guan Koh

    Dear Editor,

    We read with interest your Editorial re the role of families in preventing avoidable harm in children (1).

    Many public hospitals in Queensland Health in Australia have now implemented Ryan's Rule. When Ryan's parents were worried he was getting worse they didn't feel their concerns were acted upon in time. It was subsequently established that Ryan died from likely preventable causes. Ry...

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  • Quality in nursing and health care: resources available
    Ann C Brokenshire

    Dear Editor

    As a member of the professional organisation for nurses in Ontario, I would like to direct nurses and other interested readers to the web page of the Registered Nurses Association of Ontario, www.rnao.org

    This site has a wealth of position statements, policies, submissions to a variety of health stakeholders and other documents relating to providing...

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  • Moving Beyond Tokenism: a public health response on Researcher in Residence models
    Duika L. Burges Watson

    Marshall et al's (2014) paper was highlighted as an exemplar of stakeholder participation by a speaker at a recent public health research conference, held in Newcastle. Participants gave useful feedback about many of the core issues raised, which we reflect here.

    Marshal et al's (2014) 'Researcher in Residence' models are suggested as a means of co-engaging academics and practitioners in the promotion of evide...

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  • Agreement with new paradigm for RM
    Mary E. Gutman, MS, CPHRM

    Dear Editor

    I very much agree with the authors concerning the role of Risk Management in the Patient Safety arena. In fact, as a Director of Risk Managment in an integrated delivery system in Dayton, Ohio, I have been very involved in the patient safety efforts of our two acute care organizations, as well as the other entities within our system. My concern for the past few months has been how to best focus the ri...

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  • Let's address everyday emotional harms.
    James M Walker

    One example of our almost universal, daily inflicting of emotional harm on patients is our mis-labeling of the patient's presenting problem as the 'Chief Complaint'.

    Years ago, an ICU patient said plaintively, "I'm not a complainer." after a bedside presentation is which that is just what he was called.

    Let's call it the 'Presenting Problem'--in our talk and in our notes. It might contribute to a clima...

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  • Important practical limitations for decision support
    Kaveh G. Shojania

    Dear Editor

    I share much of Dr Morris' enthusiasm for decision support. While involved in an evaluation of a decision support targeting vancomycin ordering practice,[1] I had the opportunity to observe the potential impact of this approach. However, as a clinician using the same computerized order entry system in daily practice, I also recognized the major limitation of this approach: users will not tolerate many...

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  • Curricula redesign requires assessments of value
    Neel Sharma

    This study focused on the lack of standardization for human factors content in postgraduate training curricula. The authors emphasized the importance of non-technical skills (NTS) such as leadership, decision making, team working and resource management during training, highlighting that a significant proportion of errors are based on failures of NTS as opposed to just knowledge and technical errors. The curricula of medi...

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