Blog

Writing about the latest news and discoveries in the medical world.

 
  • How to Accelerate the Adoption of an Innovation

    How to Accelerate the Adoption of an Innovation

    The cheers from our hotel room were apparently heard down the hall.  We were on vacation when the results were first available.  My wife was checking on the boys in the room next door when she heard me jumping up and down, hooting and hollering in our room.  She ran […]

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  • Aligning Physicians and Healthcare Systems Through Choice Architecture

    Aligning Physicians and Healthcare Systems Through Choice Architecture

    The clinical practice change we implemented was supposed to be easy.  It was a simplified version of an Enhanced Recovery After Surgery (ERAS) program for patients undergoing bowel surgery. It was implemented in 18 hospitals and involved over 100 surgeons. Two key process steps were identified and tracked. They were early ambulation (patients […]

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  • How To Use Imperfect Data

    How To Use Imperfect Data

    George Box, the statistician, once quipped that “All models are wrong, but some are useful“.  The same could be said of data, in that all data is imperfect, but some data can be useful.  When working with data there is a tendency to either completely ignore the data as irrelevant, […]

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  • How To Complain So That Others Will Listen

    How To Complain So That Others Will Listen

    “Don’t waste too much time with this one Terry.  It’s just another doctor with nothing better to do than complain.”  This was the advice I received, along with a long list of forwarded emails that found its final resting spot in my Inbox.  It was a complaint regarding a recent change […]

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  • Great Advice For Getting Out Of Trouble

    Great Advice For Getting Out Of Trouble

    Unstable and bleeding from multiple gun shot wounds to the abdomen, the patient appeared, to my untrained eyes, a goner.  Fortunately for this patient, I was a newbie Intern starting my General Surgery residency and nobody asked for my opinion.  My job, as second assistant, was to “hold hooks” and […]

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  • How a Start-up Can Be the Shortcut to Your Dream Job

    How a Start-up Can Be the Shortcut to Your Dream Job

    Recently I left a great job to start-up my own company.  The most common question I’ve heard since leaving is, “WHY!!!”.  It’s difficult for most people to understand.  Simply put, it is because I’ve dreamed of doing this for years.  The start-up is my dream job.  I wanted to work […]

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  • Reprocessing: When the Conventional Wisdom is Wrong

    Reprocessing: When the Conventional Wisdom is Wrong

    It was a packed house.  The room was filled with leaders from the operating rooms from across the system.  Surgeons, Anesthesiologists and Operating Room Nursing Directors were all there to hear the great debate.  The rate of adoption of reprocessed “single use devices” was accelerating across the system and we […]

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