Another fun flipped chalk talk on the OHSU IM Residency wards - this time on pulmonary hypertension - awesome #meded active learning, highlighting some fantastic resident educators and bright OHSU School of Medicine students!

very proud of our team for this work highlighting the role of ehrs in cases of diagnostic error. ⁦Raj Ratwani, PhD⁩ ⁦OHSU Pulmonary, Allergy & Critical Care⁩ jamanetwork.com/journals/jaman…

Why does a proprietary sepsis model “work” at some hospitals but not others?

Is it generalizability? Measurement? Intervention? Patient population? Margin for improvement? Resource constraints?

Working with a team led by Pat Lyons, we looked at a 9-hospital network.

A story.

Another fun #FlippedChalkTalk on hyper/hyponatremia with OHSU School of Medicine students and OHSU IM Residency Drs. White and Nerness showing us their take on these common inpatient problems - definitely a highlight of an awesome week! Ref’d: 1. jamanetwork.com/journals/jama/… 2. nejm.org/doi/full/10.10…

A graphic produced by Elise Motalli to help you think about how systems thinking may be integrated with design thinking. Event coming up to discuss this topic & more generally systemic design: bit.ly/40Oh3ZH
Join the event in-person in London here bit.ly/3Y0iZw9

Really appreciating this image by ѕυнα ѕelçυĸ about shifting from linear to systems thinking.

So relevant to implementing in complex systems!

#ImpSci #ImpPractice #SystemsThinking #ComplexSystems

If we want continuous improvement, we have to build an 'improvement infrastructure': improvement routines & practices embedded into the everyday practice of our leaders & teams. More learning from the NHS-VMI partnership from Dr Nicola Burgess: bit.ly/3Zb2a1V #LeadingQI

#AHRQ 's 10 Diagnostic Safety Centers of Excellence, including BCMHouston, OHSU News & @Hopkins_Medicine, will help us develop systems, measures & new technology solutions to improve quality & safety in diagnosis. #ehr ahrq.gov/patient-safety…

Overcoming the ‘self-limiting’ nature of QI (bit.ly/3UGjOsE): can we improve the quality of patient care while caring for staff? Rebecca Lawton & Eric Thomas’s recommendations are summarised in the infographic👇 bit.ly/3SfoX94

Oct 1 marks my 6 years of being in academia.

These years have had many memorable moments punctuated by frustrations and failures.

Knowing these 6 concepts of academia earlier would have saved me a lot of frustration.

#medtwitter #academictwitter #academicphysicianlife

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Read our first ‘Grand rounds in methodology’ article on the four critical decision points in statistical process control evaluations of quality improvement initiatives. bit.ly/3RPGsgu

Proud of this #meded team effort to sustainably ⬆️surrogate decision maker documentation for hospitalized adults OHSU School of Medicine - 🔑s: admission standard work, just-in-time training, note templates, & an EHR alert (after standards are in place) to catch fallouts rb.gy/qh4j1e

Proud to work with these two amazing leaders on multiple ⁦⁦⁦OHSU SoMedicine⁩ quality initiatives - seen here are Scott Sherry and Sam Conovitz representing the OHSU Sepsis Improvement Team for #SepsisAwareness month ⁦Sepsis Alliance⁩ sepsis.org/get-involved/s…

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If your hospital/clinic uses EPIC, and you don't know the command 'Control + E'...

...then you may be missing out on a major productivity hack.

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1/5
Peter D. Sullivan and I need help with a patient. Never seen anything like it.

In short, there is severe hepatic protein synthesis dysfunction in the absence of cirrhosis, 60 y/o M.

Hepatologists, geneticists, protein biochemists, others?

Please read on for details.

August 31st is #InternationalOverdoseAwareness day. For folks on campus OHSU SoMedicine next week, we invite you to come by our on-hill activities to raise awareness and #EndOverdose . For all, we invite you to learn more, carry #naloxone .
OHSU News
now.ohsu.edu/member/post/ca…

💡Communication teaching can happen through big and small moments in clinical practice. Leah Rosenberg and I unpack the “small moments” in this JGME article below.👇🏼

Dana-Farber News VitalTalk HMS Palliative Care MGH Palliative Care & Geriatric Medicine #hapc #hpm

meridian.allenpress.com/jgme/article/1…

How do you embed #healthequity into all your #qualityimprovement work? Ask these key questions. bit.ly/3udZVh6

Linelle Campbell, MD, MS @DrEricWei michellemorse Komal Bajaj MD, MS-HPEd #QITwitter