Preventing Falls in the Healthcare Setting
Within Normal Limits: Navigating Medical Risks
by Pamela Johnson RN BSN, Eric Zacharias MD
2d ago
Pamela Johnson—a nurse and Senior Manager of Practice Quality and Facilities Risk Management at COPIC—joins us for a discussion about data around patient falls in health care facilities. Pamela highlights the top three areas where falls occur in these settings and talks about top risk factors that contribute to these incidents. She also points to adjustments that can make an immediate preventative impact, such as proper lighting and pathways, the importance of environmental rounds, and dispels major myths about falls and healthcare.   CDC STEADI- Older Adult Fall Prevention https://w ..read more
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Ensuring Patients Make Informed Decisions Through Informed Consent
Within Normal Limits: Navigating Medical Risks
by Anna Barr RN, Eric Zacharias MD
3w ago
Anna Barr, a nurse risk manager with COPIC, joins us for this episode to talk about the benefits of using informed consent in your medical practice. Anna highlights how informed consent is a process (not just a form), the goals of shared decision making that guide this, and how it can be a tool to foster trust and understanding with patients. In addition, we look at what situations require informed consent and key considerations in how you approach the process. Anna also explains what informed refusal is, how this differs from “against medical advice,” and provides examples of when you may wan ..read more
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COPIC Medical Foundation Grant Recipient: Children's Hospital Colorado
Within Normal Limits: Navigating Medical Risks
by Jennifer Disabato DNP, William Anderson MD, Eric Zacharias MD
1M ago
This episode is part of a special series that focuses on organizations that received grant funding from the COPIC Medical Foundation for initiatives that address the issue of reducing fragmentation across care settings. Dr. Zacharias welcomes back Jennifer Disabato, DNP, and William Anderson, MD, who are co-directors for the ImPACT Program and Navigation Hub, which focuses on care coordination for complex pediatric patients as they transition to adult care. Jennifer and Dr. Anderson talk about the progress made in building skilled teams to support patients going through these transitions. In a ..read more
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COPIC Medical Foundation Grant Recipient: West Mountain Regional Health Alliance
Within Normal Limits: Navigating Medical Risks
by Cristina Gair, Namrata Shrestha, Eric Zacharias MD
1M ago
This episode is part of a special series that focuses on organizations that received grant funding from the COPIC Medical Foundation for initiatives that address the issue of reducing fragmentation across care settings. Dr. Zacharias welcomes two staff members from West Mountain Regional Health Alliance—Christina Gair, Executive Director, and Namrata Shrestha, Assistant Director. Grant funding went toward a care coordination effort to support individuals experiencing homelessness with coordination by hospitals, health and behavioral health providers, community organizations and government agen ..read more
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COPIC Medical Foundation Grant Recipient: Providence Portland Medical Foundation
Within Normal Limits: Navigating Medical Risks
by Matthew Gonzales MD, Dr. Deborah Unger, Eric Zacharias MD
2M ago
This episode is part of a special series that focuses on organizations that received grant funding from the COPIC Medical Foundation for initiatives that address the issue of reducing fragmentation across care settings. Dr. Zacharias welcomes Dr. Matthew Gonzales and Dr. Deborah Unger who are affiliated with a grant provided to the Providence Portland Medical Foundation. Grant funding supported Providence and the Oregon Physician Orders for Life Sustaining Treatment (POLST) Registry for a partnership to build a bi-directional interface which integrates Providence's Epic electronic health recor ..read more
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COPIC Medical Foundation Grant Recipient: Minnesota Medical Association Foundation
Within Normal Limits: Navigating Medical Risks
by Katie Stangl, Tori Bahr MD, Eric Zacharias MD
3M ago
This episode is part of a special series that focuses on organizations that received grant funding from the COPIC Medical Foundation for initiatives that address the issue of reducing fragmentation across care settings. Dr. Zacharias welcomes Tori Bahr, MD and Katie Stangl who are affiliated with a grant provided to the Minnesota Medical Association Foundation. Grant funding supported Project ECHO, which focuses on the challenge of transitioning youth with medical complexity to adult care in Minnesota. The discussion explains the different conditions that fall under “childhood onset medical co ..read more
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Burnout, Exhaustion, and Leaving the Practice of Medicine
Within Normal Limits: Navigating Medical Risks
by David Weill MD, Eric Zacharias MD
4M ago
In this episode, we are joined by David Weill, MD, a transplant doctor and author of Exhale: Hope, Healing, and a Life in Transplant. Dr. Weill shares openly about losing and saving patients, dysfunctional teams and systems, and burnout in transplant medicine. Through the lens of his own emotional and physical exhaustion, he explores the underbelly of hospital systems and the clinical, administrative, and financial issues plaguing the specialty. He is an advocate of shifting the blame of burnout away from the individual and placing it on the macro problems that contribute to physician dissatis ..read more
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AI’s Impact on Medicine (Part Two)
Within Normal Limits | Navigating Medical Risks
by Michael Victoroff MD, Eric Zacharias MD
5M ago
We continue the conversation about artificial intelligence (AI) in this second episode of a two-part series. Our guest is Dr. Michael Victoroff, a family medicine physician, patient safety and risk management specialist, and clinical informatics expert. Dr. Victoroff uses image interpretation in radiology as an example of AI because it sees things humans miss and humans see things AI misses. We look at other AI applications—support for diagnosing and creating a treatment plan, concerns with visit notes (e.g., inaccuracies, information designed for billing purposes versus information for patien ..read more
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AI’s Impact on Medicine
Within Normal Limits | Navigating Medical Risks
by Eric Zacharias MD, Michael Victoroff MD
6M ago
In this two-part series, we look at the rise of artificial intelligence (AI) and examine the potential ways it may impact medicine. Our guest is Dr. Michael Victoroff, a family medicine physician, patient safety and risk management specialist, and clinical informatics expert who has gone down the rabbit hole of trying to understand the good, the bad, and the ugly of AI. Dr. Victoroff explains the fundamental technology behind AI applications, such as ChatGPT, and its interactive structure designed to generate human-like language and conversation. He talks about the concept of machine learning ..read more
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Addressing the Issue of Maternity Care Deserts
Within Normal Limits: Navigating Medical Risks
by Lori Adams RN BSN, Eric Zacharias MD
6M ago
In this episode, we look at a major challenge in obstetrics (OB) care with our guest, Lori Adams, who is a nurse, COPIC risk manager, and OB expert. Lori talks about her experience in a rural hospital and educating providers. The discussion focuses on “maternity care deserts” where access to OB services is limited or not available. Lori highlights how these deserts contribute to maternal death rates, the disparities we are seeing in certain geographic and demographic areas, and how emergency care units are dealing with OB situations. She also points to the training and education that is being ..read more
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