Positive deviance is a bottom-up, rather than top-down, approach to solving seemingly intractable problems in an institution or a community. It's based on the observation that certain individuals or groups (positive deviants) have found better solutions to these problems than their peers have.
The question of “observation or inpatient” has perplexed hospital physicians for some time, but it's recently acquired greater financial significance. Recovery audit contractors paid by Medicare will be looking at hospitals' one-day admissions to determine whether patients were appropriately admitted or should have been under observation status.
The Medical University of South Carolina Medical Center in Charleston, S.C., developed a nurse-driven Web-based insulin infusion protocol to manage blood glucose in the intensive care unit, as well as in the rest of the hospital.
This issue features the results of our second annual Top Hospitalists competition. The 10 hospitalists in our cover feature, chosen by our editorial advisory board, are a varied group of professionals working in different ways to make the field of hospital medicine better. You may recognize some of the names and faces of our Top Ten, but we also hope that some will be new to you.
We all know the difficulty in functioning within a noisy hospital. But in hospitals we don't always have the option of suggesting that we move our discussion to a quiet coffee shop instead. Noise pollution in hospitals is an issue that confronts us all as hospital workers.
Our columnist outlines 10 possible sources of error.
Tracheal tubes, catheters, defibrillators recalled; lymphoma drug approved.