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For many people working in health care, the problems have become painfully familiar: the growing burden of chronic disease, physician and nurse burnout, shortages of adequately trained clinicians, rising costs, and dissatisfaction among patients and professionals alike. Together, these pressures can create a frustratin
Any safety system that is ignored 96 percent of the time is not an effective safety system. It is only a record that the alert fired, and the clinician did not act. Override rates on drug safety alerts consistently run between 49 percent and 96 percent, depending on the alert and the setting. This fact Read more… Alert
On May 25, 2020, I published the first episode of The Podcast by KevinMD. The idea was simple: give a microphone to the many who intersect with our health care system but are rarely heard from. The show has since grown into something I did not fully anticipate. As of today, there are 2,288 episodes, Read more… The Podc
When burns or traumatic injuries change the appearance or function of the body, patients often face decisions while they are still processing pain, fear, and uncertainty. Reconstructive surgery may help restore movement, protect damaged tissue, improve wound healing, or address changes in appearance. It is not a single
The job of a CEO requires a lot of public speaking: on Zoom calls, at podiums, in board meetings. Pretty much every day you’re delivering some kind of address or talking points. My role as CEO is no different; the only difference is that my speech or presentation might get interrupted by the “beep-beep-beep” of Read mo
An old man at my pharmacy window digs into his coat and hands me a piece of paper. It is soft at the folds, the way paper gets when it has been carried around for a while. He smooths it flat on the counter. “Do you have this?” he asks. It isn’t a prescription. There Read more… Patients ask for antibiotics because they
Every nurse who has ever called you at two in the morning remembers how you answered. You remember almost none of them. That asymmetry runs the hospital at night. The caller carries every response forward: the sigh, the pause, the question that was really a verdict. By the time the phone rings again, they have Read mor
An article can be accurate the day it’s published and misleading by the time you read it. Nothing about the text changes. The evidence underneath it does. That’s the part search engines and social feeds don’t tell you. A page looks current (clean design, working links, top of the search results) while its core recommen
I’ll never forget the moment when I knew I was going to have to make a big transition. After more than a decade of navigating what had become an ongoing tension between work and life, I remember running the numbers one evening and realizing something had to give. My overhead and schedule pressures became impossible Rea
At a recent health care conference, a panel of leaders gathered to talk about financial resilience. The framing was intentionally designed. The question wasn’t “How do we save money?” It was “how to deliver the right care, at the right time, in the way that is most meaningful, so that outcomes change, health improves,
She wanted treatment. She understood why she needed it. But when it came to the intimate part of her care, she struggled to continue. The patient had survived sexual assault. Now, years later, medically necessary treatment required her to expose her body, tolerate intimate examination, and surrender some degree of phys
Sepsis remains one of the most time-critical diagnoses an emergency physician can miss. Every hour that antibiotic administration is delayed after the onset of septic shock has been linked to rising mortality, yet the very tools designed to flag sepsis early, the quick Sequential Organ Failure Assessment (qSOFA) foremo
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