#JHMChat Transcript
Healthcare social media transcript of the #JHMChat hashtag.
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| Profile | Tweet |
|---|---|
 | J Hospital Medicine @JHospMedicine Thx for being here @KFowler_PSEP! #jhmchat starts NOW! https://t.co/haaKJiugro |
| J Hospital Medicine @JHospMedicine RT @vineet_chopra: Vineet Chopra clocking in #JHMChat |
 | Society of Hospital Medicine @SHMLive #JHMChat begins NOW! Join the conversation on lawsuits, defensive #medicine and resources utilization, then claim #CME: https://t.co/iYEYzaBa06 @JHospMedicine @ABIMFoundation @CostsofCare https://t.co/IS8scho5Fx |
| J Hospital Medicine @JHospMedicine tonight on #JHMChat we are pleased to welcome the authors of this paper on perceptions of resources spent on defensive medicine & history of being sued https://t.co/zsJRrX3HYe @sanjaysaint @vineet_chopra @KFowler_PSEP and @allenkachalia |
| J Hospital Medicine @JHospMedicine Welcome to #JHMChat, I am your moderator @FutureDocs please introduce yourself. T1 up in a moment... |
| J Hospital Medicine @JHospMedicine Tonight's #visualabstract for #JHMChat brought to you by @WrayCharles https://t.co/NjBGiNlt4L |
| J Hospital Medicine @JHospMedicine tonight on #JHMChat we are pleased to welcome the authors of this paper on perceptions of resources spent on... https://t.co/LTDj4FDJ58 |
| J Hospital Medicine @JHospMedicine @vineet_chopra Thx for being here and promo @vineet_chopra #JHMChat |
 | Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @JHospMedicine: tonight on #JHMChat we are pleased to welcome the authors of this paper on perceptions of resources spent on defensive m… |
| J Hospital Medicine @JHospMedicine RT @SHMLive: #JHMChat begins NOW! Join the conversation on lawsuits, defensive #medicine and resources utilization, then claim #CME: https:… |
 | Vineet Chopra @vineet_chopra RT @JHospMedicine: Welcome to #JHMChat, I am your moderator @FutureDocs please introduce yourself. T1 up in a moment... |
 | Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: Welcome to #JHMChat, I am your moderator @FutureDocs please introduce yourself. T1 up in a moment... |
 | Sanjay Saint @sanjaysaint Looking forward to #JHMChat tonight! |
 | Tony Breu @tony_breu Tony Breu here from VA Boston. Wife at 40.17 weeks so if I leave abruptly, you'll know why... #soontobedadagain #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: Tonight's #visualabstract for #JHMChat brought to you by @WrayCharles https://t.co/NjBGiNlt4L |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: tonight on #JHMChat we are pleased to welcome the authors of this paper on perceptions of resources spent on defensive m… |
| Vinny Arora MD MAPP @FutureDocs RT @SHMLive: #JHMChat begins NOW! Join the conversation on lawsuits, defensive #medicine and resources utilization, then claim #CME: https:… |
 | Rebecca Jaffe @RJmdphilly @tony_breu that is very precise to the hour calculation... #JHMChat |
| J Hospital Medicine @JHospMedicine Congrats to one of our loyal #JHMChat participants @tony_breu https://t.co/QODpbRfvNA |
| Tony Breu @tony_breu @RJmdphilly Yeah, once you're past the due date, the clock really starts running #JHMChat |
| J Hospital Medicine @JHospMedicine Thank you for doing another #JHMChat @sanjaysaint ! https://t.co/9iJ6eXqZZt |
 | Grace Farris MD @gracefarris Grace Farris in NYC #JHMChat https://t.co/wcMuFmIfSd |
| Grace Farris MD @gracefarris RT @JHospMedicine: Thank you for doing another #JHMChat @sanjaysaint ! https://t.co/9iJ6eXqZZt |
| J Hospital Medicine @JHospMedicine T1 The authors discovered that hospitalists perceived 37.5% of healthcare costs are due to defensive medicine, which is much higher than previous estimates ~2% of all healthcare spending. What is driving the difference btwn perception & reality? #JHMChat |
| J Hospital Medicine @JHospMedicine So lucky to have @gracefarris in the #JHMChat room again! https://t.co/T2vxkDNpZJ |
| Rebecca Jaffe @RJmdphilly I can't match @tony_breu 's entrance. Rebecca Jaffe from Philly. #nomorebabies #JHMChat |
 | Allen Kachalia @allenkachalia Happy to join right now! #jhmchat |
| J Hospital Medicine @JHospMedicine We still welcome you as a loyal participant #JHMChat !@RJmdphilly https://t.co/bkTOdedjWF |
 | Lonika Sood, MD, MHPE @sood_lonika lonika sood from green bay, wi #jhmchat |
| J Hospital Medicine @JHospMedicine Thanks for joining #JHMChat @allenkachalia as an author expert- looking forward to discussion! https://t.co/RR7y3YZMGB |
| Tony Breu @tony_breu It's not just about being sued. It's about looking "bad" in front of patients, colleagues, the world. #JHMChat https://t.co/NiPdRH1nxC |
| Grace Farris MD @gracefarris @RJmdphilly @tony_breu 😂 #JHMChat |
| Rebecca Jaffe @RJmdphilly RT @JHospMedicine: T1 The authors discovered that hospitalists perceived 37.5% of healthcare costs are due to defensive medicine, which is… |
| Lonika Sood, MD, MHPE @sood_lonika @JHospMedicine A1: misperceptions of what providers are sued for, bad experiences that are heard from colleagues, stories... #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @RJmdphilly: I can't match @tony_breu 's entrance. Rebecca Jaffe from Philly. #nomorebabies #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: T1 The authors discovered that hospitalists perceived 37.5% of healthcare costs are due to defensive medicine, which is… |
| Vinny Arora MD MAPP @FutureDocs RT @sood_lonika: @JHospMedicine A1: misperceptions of what providers are sued for, bad experiences that are heard from colleagues, stories.… |
| Grace Farris MD @gracefarris Agree #JHMChat https://t.co/alm5tlsiLI |
| J Hospital Medicine @JHospMedicine RT @sood_lonika: @JHospMedicine A1: misperceptions of what providers are sued for, bad experiences that are heard from colleagues, stories.… |
| Tony Breu @tony_breu Even though I'm a VA employee - and therefore "less at risk", I practice similarly to when I was at two non-VA hospitals. #JHMChat |
| J Hospital Medicine @JHospMedicine RT @tony_breu: It's not just about being sued. It's about looking "bad" in front of patients, colleagues, the world. #JHMChat https://t.co/… |
| Vineet Chopra @vineet_chopra A1 Also fear of being wrong. “What if I miss that dx? What if I get sued?” #jhmchat |
| Grace Farris MD @gracefarris Also thinking addl testing gives more answers #JHMChat https://t.co/wE53KtDEm5 |
| Lonika Sood, MD, MHPE @sood_lonika T1: discomfort with wait and watch; shorter LOS; metrics #jhmchat |
| J Hospital Medicine @JHospMedicine @sood_lonika Welcome to #JHMChat! |
| Society of Hospital Medicine @SHMLive T1 is live! Join in for tonight's #JHMChat https://t.co/zb8sTtyVcY |
 | Benjamin P. Geisler @ben_geisler Ben Geisler from Boston #jhmchat |
| J Hospital Medicine @JHospMedicine RT @SHMLive: T1 is live! Join in for tonight's #JHMChat https://t.co/zb8sTtyVcY |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @JHospMedicine: T1 The authors discovered that hospitalists perceived 37.5% of healthcare costs are due to defensive medicine, which is… |
| J Hospital Medicine @JHospMedicine RT @vineet_chopra: A1 Also fear of being wrong. “What if I miss that dx? What if I get sued?” #jhmchat |
| Tony Breu @tony_breu @gracefarris True. I am defensive against uncertainty. #JHMChat |
| Society of Hospital Medicine @SHMLive Don't forget to claim #CME after tonight's #JHMChat: https://t.co/1tAKL3PWln |
| Benjamin P. Geisler @ben_geisler RT @gracefarris: Grace Farris in NYC #JHMChat https://t.co/wcMuFmIfSd |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @vineet_chopra: A1 Also fear of being wrong. “What if I miss that dx? What if I get sued?” #jhmchat |
| J Hospital Medicine @JHospMedicine Foreshadow to T2 #jhmchat https://t.co/CMIQfpX2AV |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @SHMLive: Don't forget to claim #CME after tonight's #JHMChat: https://t.co/1tAKL3PWln |
| J Hospital Medicine @JHospMedicine RT @SHMLive: Don't forget to claim #CME after tonight's #JHMChat: https://t.co/1tAKL3PWln |
 | Charlie M. Wray @WrayCharles Checking in for tonight’s #jhmchat (while I attempt to corral and feed 2 toddlers). I’m definitely practicing defensive parenting tonight... |
| J Hospital Medicine @JHospMedicine @ben_geisler Great to have you at #jhmchat |
| Rebecca Jaffe @RJmdphilly Definition of "defensive"? Defensive in legal context (preventing litigation) or defensive in a clinical context (fear of being wrong, missing zebra, missing badness). #JHMChat https://t.co/8utLidNhJ3 |
| Tony Breu @tony_breu @JHospMedicine Well, we're now at 40.21 weeks so I may jump ahead at times. #JHMChat |
| Vineet Chopra @vineet_chopra A1 What about payouts? Often, patients equate testing and probing with higher quality of care. Lack of same - the opposite. #jhmchat |
| Rebecca Jaffe @RJmdphilly @gracefarris fear of ambiguity #JHMChat |
| Vineet Chopra @vineet_chopra RT @tony_breu: @gracefarris True. I am defensive against uncertainty. #JHMChat |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @vineet_chopra: A1 What about payouts? Often, patients equate testing and probing with higher quality of care. Lack of same - the opposi… |
| J Hospital Medicine @JHospMedicine @tony_breu I like it - super powers on #JHMChat |
 | Nonie S. Arora @nonie_arora RT @JHospMedicine: T1 The authors discovered that hospitalists perceived 37.5% of healthcare costs are due to defensive medicine, which is… |
| J Hospital Medicine @JHospMedicine RT @vineet_chopra: A1 What about payouts? Often, patients equate testing and probing with higher quality of care. Lack of same - the opposi… |
| Sanjay Saint @sanjaysaint T1 Likely this is - in part - overestimation by the physicians but it also reflects they feel the medical care provided is unnecessary #JHMChat https://t.co/8PCJCwvnDN |
| Tony Breu @tony_breu @RJmdphilly Study uses: "when doctors order tests, procedures, or visits, or avoid certain high-risk patients or procedures, primarily (but not necessarily) because of concern about malpractice liability.” #JHMChat |
| Vineet Chopra @vineet_chopra @RJmdphilly All of the above. #JHMChat |
| J Hospital Medicine @JHospMedicine RT @RJmdphilly: Definition of "defensive"? Defensive in legal context (preventing litigation) or defensive in a clinical context (fear of b… |
| J Hospital Medicine @JHospMedicine RT @sanjaysaint: T1 Likely this is - in part - overestimation by the physicians but it also reflects they feel the medical care provided is… |
 | mithil @drmithil1 RT @RJmdphilly: Definition of "defensive"? Defensive in legal context (preventing litigation) or defensive in a clinical context (fear of b… |
| J Hospital Medicine @JHospMedicine RT @tony_breu: @RJmdphilly Study uses: "when doctors order tests, procedures, or visits, or avoid certain high-risk patients or procedures,… |
| Lonika Sood, MD, MHPE @sood_lonika @vineet_chopra A!: i think expectations are also fed in my the healthcare system/ social media... case in point- resuscitation = good care; not resuscitating=suboptimal care #JHMChat |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @sanjaysaint: T1 Likely this is - in part - overestimation by the physicians but it also reflects they feel the medical care provided is… |
 | Elliot Tapper @ebtapper RT @sanjaysaint: T1 Likely this is - in part - overestimation by the physicians but it also reflects they feel the medical care provided is… |
| Vinny Arora MD MAPP @FutureDocs RT @sanjaysaint: T1 Likely this is - in part - overestimation by the physicians but it also reflects they feel the medical care provided is… |
| Rebecca Jaffe @RJmdphilly RT @sanjaysaint: T1 Likely this is - in part - overestimation by the physicians but it also reflects they feel the medical care provided is… |
| Vinny Arora MD MAPP @FutureDocs I think it’s a combo of both that feeds each other #JHMChat https://t.co/Ew0NBXuYZ0 |
| Vineet Chopra @vineet_chopra For many patients, tests are reassuring. Lack of tests are unnerving. #jhmchat |
| Vinny Arora MD MAPP @FutureDocs @WrayCharles -Miracle my daughter is asleep but running #JHMChat from rocking chair (quietly) https://t.co/Hu8doMfOm1 |
| Tony Breu @tony_breu @RJmdphilly Of these, I'd rank my own types as: 1. Order extra tests 2. Order extra consults 3. Order extra procedures 4. Avoid high risk procedures 5. Avoid high risk patients (can't really do this at VA). #JHMChat |
| J Hospital Medicine @JHospMedicine RT @vineet_chopra: For many patients, tests are reassuring. Lack of tests are unnerving. #jhmchat |
| Vineet Chopra @vineet_chopra RT @tony_breu: @RJmdphilly Of these, I'd rank my own types as: 1. Order extra tests 2. Order extra consults 3. Order extra procedures 4. A… |
| Benjamin P. Geisler @ben_geisler A1: training determines high cost/low value vs low/cost/high value behavior, at least in the first decade. being risk-averse might play a role/anchoring? #JHMChat |
| Lonika Sood, MD, MHPE @sood_lonika @tony_breu @RJmdphilly extra consults=extra tests=extra procedures.... #JHMChat |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @tony_breu: @RJmdphilly Of these, I'd rank my own types as: 1. Order extra tests 2. Order extra consults 3. Order extra procedures 4. A… |
| J Hospital Medicine @JHospMedicine RT @tony_breu: @RJmdphilly Of these, I'd rank my own types as: 1. Order extra tests 2. Order extra consults 3. Order extra procedures 4. A… |
| Rebecca Jaffe @RJmdphilly @tony_breu oops forgot to tag #JHMChat |
| Grace Farris MD @gracefarris This. #JHMChat https://t.co/dxjHCU6Yq7 |
| Tony Breu @tony_breu @sood_lonika @RJmdphilly Very true. Often that first "extra" (consult) leads to a lot of downstream defense. #JHMChat |
| Vinny Arora MD MAPP @FutureDocs @WrayCharles Fortunately #JHMChat is not a video chat ! |
| Grace Farris MD @gracefarris What! #JHMChat 🙏 https://t.co/v8ft0jyj6p |
| Benjamin P. Geisler @ben_geisler @tony_breu consults is an important point: who else gets large laundry list of tests from newly minted subspecialty fellows? #JHMChat |
| Sanjay Saint @sanjaysaint T1 I also think the #chagrin factor plays a role. There is more 'chagrin' for not doing something (e.g., CT to r/o PE) and we miss something like a PE compared to doing something unnecessary (e.g., CT example above) and pt develops AKI from contrast #JHMChat https://t.co/8PCJCwvnDN |
| Lonika Sood, MD, MHPE @sood_lonika @tony_breu @RJmdphilly or offence :( #JHMChat |
| Grace Farris MD @gracefarris Yes #JHMChat https://t.co/cRnQzZf0yv |
| J Hospital Medicine @JHospMedicine RT @sanjaysaint: T1 I also think the #chagrin factor plays a role. There is more 'chagrin' for not doing something (e.g., CT to r/o PE) and… |
| J Hospital Medicine @JHospMedicine RT @sood_lonika: @tony_breu @RJmdphilly extra consults=extra tests=extra procedures.... #JHMChat |
| J Hospital Medicine @JHospMedicine RT @tony_breu: @sood_lonika @RJmdphilly Very true. Often that first "extra" (consult) leads to a lot of downstream defense. #JHMChat |
| Tony Breu @tony_breu @ben_geisler And I often feel uncomfortable not adhering to recommendations. This is often where defense comes in. "Dr. Breu, can you explain why you didn't get the MRI when Dr. Smith - A SPECIALIST - recommended one?" #JHMChat |
| Grace Farris MD @gracefarris Thanks, PESIT #JHMChat https://t.co/giBU4kyrRC |
 | Chris Petrilli @PetrilliMD T1 - @Pahwa @HiValueCarolina i think defensive isn’t always “inappropriate”. Wells score can be 1.5 or 4.5 depending on “judgment” so they might interpret that as defensive when that’s how score was designed = more CTs #jhmchat |
| J Hospital Medicine @JHospMedicine T2 up in a moment #JHMchat |
| Lonika Sood, MD, MHPE @sood_lonika @ben_geisler @tony_breu same with seasoned attendings... inpatient PET scans, gastric emptying studies 🙄 #JHMChat |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @sanjaysaint: T1 I also think the #chagrin factor plays a role. There is more 'chagrin' for not doing something (e.g., CT to r/o PE) and… |
| Rebecca Jaffe @RJmdphilly RT @tony_breu: @ben_geisler And I often feel uncomfortable not adhering to recommendations. This is often where defense comes in. "Dr. Br… |
| Vineet Chopra @vineet_chopra RT @tony_breu: @ben_geisler And I often feel uncomfortable not adhering to recommendations. This is often where defense comes in. "Dr. Br… |
| Grace Farris MD @gracefarris A1. Hard to explain this concept #JHMChat https://t.co/eof6oPTQrd |
| Lonika Sood, MD, MHPE @sood_lonika @tony_breu @ben_geisler because they came in with a GI bleed!!! and have had that headache for 5 months!! 😬 #JHMChat |
| Benjamin P. Geisler @ben_geisler except they might not be a specialist yet.. #JHMChat https://t.co/ODRIfYjPI6 |
| J Hospital Medicine @JHospMedicine T2 Being a VA doctor, more years in practice AND being a non-Hispanic white male were associated lower estimates of resources spent on defensive medicine. What are some explanations for these findings? #JHMChat |
| Grace Farris MD @gracefarris RT @tony_breu: @ben_geisler And I often feel uncomfortable not adhering to recommendations. This is often where defense comes in. "Dr. Br… |
| Tony Breu @tony_breu @gracefarris I thought z-packs were the oldest treatment on the books... #JHMChat |
| Vineet Chopra @vineet_chopra @sood_lonika @ben_geisler @tony_breu While the opiates flow, of course. #JHMChat |
| Rebecca Jaffe @RJmdphilly @sood_lonika @ben_geisler @tony_breu agree - I don't think it is a youth thing. Different lesions perhaps in fellow over ordering and attending over ordering. #JHMChat |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @JHospMedicine: T2 Being a VA doctor, more years in practice AND being a non-Hispanic white male were associated lower estimates of reso… |
| Grace Farris MD @gracefarris @tony_breu @ben_geisler Neuro asking for folate and ammonia levels 🙄 #JHMChat |
| Sanjay Saint @sanjaysaint T1 Case report to get a #neuro consult without a recommendation of at least of the following tests: MRI, LP, EEG, or EMG/NCS :-) #JHMChat https://t.co/9aLgKu4FD9 |
| Rebecca Jaffe @RJmdphilly @gracefarris tell that to your LOS #JHMChat |
| Lonika Sood, MD, MHPE @sood_lonika @gracefarris cost for 24 hours hospitalisation >>> that additional test to rule out zebra? #JHMChat |
| Benjamin P. Geisler @ben_geisler #JHMChat: is "shotgun testing" always less costly compared to sequential testing though? depending on the case, the length of stay might be shorter. |
 | Andrew Admon @ajadmon RT @PetrilliMD: T1 - @Pahwa @HiValueCarolina i think defensive isn’t always “inappropriate”. Wells score can be 1.5 or 4.5 depending on “j… |
| Tony Breu @tony_breu @gracefarris @ben_geisler Paging @ebtapper #JHMChat |
| Charlie M. Wray @WrayCharles RT @sanjaysaint: T1 I also think the #chagrin factor plays a role. There is more 'chagrin' for not doing something (e.g., CT to r/o PE) and… |
| Vineet Chopra @vineet_chopra A2 That’s easy: wisdom. Wisdom to choose the VA (where no one wants to sue the federal government) and wisdom from being more comfortable in practice. #JHMChat |
| Grace Farris MD @gracefarris They don’t involve an atomizer #JHMChat https://t.co/gApaIlXF5E |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: T2 Being a VA doctor, more years in practice AND being a non-Hispanic white male were associated lower estimates of reso… |
| Rebecca Jaffe @RJmdphilly RT @JHospMedicine: T2 Being a VA doctor, more years in practice AND being a non-Hispanic white male were associated lower estimates of reso… |
| Vinny Arora MD MAPP @FutureDocs RT @vineet_chopra: A2 That’s easy: wisdom. Wisdom to choose the VA (where no one wants to sue the federal government) and wisdom from being… |
 | Michael Sinha MD, JD, MPH @DrSinhaEsq RT @JHospMedicine: Tonight's #visualabstract for #JHMChat brought to you by @WrayCharles https://t.co/NjBGiNlt4L |
| Grace Farris MD @gracefarris 😹 #JHMChat https://t.co/PH1X4iEcx5 |
| J Hospital Medicine @JHospMedicine RT @vineet_chopra: A2 That’s easy: wisdom. Wisdom to choose the VA (where no one wants to sue the federal government) and wisdom from being… |
| Rebecca Jaffe @RJmdphilly @gracefarris @tony_breu @ben_geisler #twdfnr @TWDFNR #JHMChat |
| Tony Breu @tony_breu YES. Best decision I've made in my clinical career was joining VA. Not just about federal tort claims act, but it's still nice. #JHMChat https://t.co/06wTRz7xr3 |
| J Hospital Medicine @JHospMedicine RT @sood_lonika: @gracefarris cost for 24 hours hospitalisation >>> that additional test to rule out zebra? #JHMChat |
| Michael Sinha MD, JD, MPH @DrSinhaEsq RT @gracefarris: Grace Farris in NYC #JHMChat https://t.co/wcMuFmIfSd |
| Benjamin P. Geisler @ben_geisler z-pack for viral URI #JHMChat https://t.co/5AyeVjgriM |
| Vineet Chopra @vineet_chopra RT @tony_breu: YES. Best decision I've made in my clinical career was joining VA. Not just about federal tort claims act, but it's still ni… |
| Society of Hospital Medicine @SHMLive RT @JHospMedicine: T2 Being a VA doctor, more years in practice AND being a non-Hispanic white male were associated lower estimates of reso… |
| Lonika Sood, MD, MHPE @sood_lonika A2: white males because of perception that they are more trusted?? I am a non hispanic non white non male, and it takes me a while to build trust with patients c/w my white male colleagues.. #jhmchat |
| Rebecca Jaffe @RJmdphilly @sanjaysaint or a rec to check a UA and replete K and magically everything will get better #delirium #JHMChat |
| J Hospital Medicine @JHospMedicine Brilliant #JHMChat @costsofcare @ABIMFoundation @WolfsonD https://t.co/zGL5N3iJIS |
| J Hospital Medicine @JHospMedicine RT @sood_lonika: A2: white males because of perception that they are more trusted?? I am a non hispanic non white non male, and it takes me… |
| Vineet Chopra @vineet_chopra RT @sood_lonika: A2: white males because of perception that they are more trusted?? I am a non hispanic non white non male, and it takes me… |
| J Hospital Medicine @JHospMedicine RT @tony_breu: YES. Best decision I've made in my clinical career was joining VA. Not just about federal tort claims act, but it's still ni… |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: Brilliant #JHMChat @costsofcare @ABIMFoundation @WolfsonD https://t.co/zGL5N3iJIS |
| Michael Sinha MD, JD, MPH @DrSinhaEsq RT @gracefarris: A1. Hard to explain this concept #JHMChat https://t.co/eof6oPTQrd |
| Grace Farris MD @gracefarris Sigh. #JHMChat https://t.co/7NShJLO9U4 |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @sood_lonika: A2: white males because of perception that they are more trusted?? I am a non hispanic non white non male, and it takes me… |
| Rebecca Jaffe @RJmdphilly RT @sood_lonika: A2: white males because of perception that they are more trusted?? I am a non hispanic non white non male, and it takes me… |
 | Karen Fowler @kfowler_psep @JHospMedicine T2: Part of the VA piece is the population. Veterans are very loyal. #JHMChat |
| Benjamin P. Geisler @ben_geisler A2: VA most def. For the other result: no Bonferroni correction??? #JHMChat https://t.co/SuWBCJbkpj |
| Vineet Chopra @vineet_chopra A2 When I practiced in the South, being a non white non Hispanic male and being a physician was seen as a huge asset. In the words of a kind Arkansan, “You must’ve overdone all kinds of odds to practice” Indeed. #JHMChat |
 | Teresa Chan @TChanMD RT @sood_lonika: A2: white males because of perception that they are more trusted?? I am a non hispanic non white non male, and it takes me… |
| Vinny Arora MD MAPP @FutureDocs Yet found the white male paradox in this article fascinating bc males were more likely to be sued #JHMChat https://t.co/rh2RRPrMu2 |
| Tony Breu @tony_breu I was surprised that more years in practice was associated with LESS defense, given the clear increase in risk of prior lawsuit with years in practice. #JHMChat https://t.co/PbRm675U0r |
| Grace Farris MD @gracefarris Not sure can someone mansplain this? Maybe there could be a #manel on it? #JHMChat https://t.co/utiPovtvME |
| Elliot Tapper @ebtapper @gracefarris @tony_breu @ben_geisler It is universal. Where did the laundry lists of “non directed” tests come from? Neuro, liver, rheum, ID.... has anyone been sued for not ordering an ANA in a hospitalized patient? A ceruloplasmin in an 80 with ischemic hepatitis? #jhmchat |
| Lonika Sood, MD, MHPE @sood_lonika @FutureDocs i misunderstood then... 😬 #JHMChat |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @vineet_chopra: A2 When I practiced in the South, being a non white non Hispanic male and being a physician was seen as a huge asset. In… |
| Sanjay Saint @sanjaysaint T2 VA affiliation may reduce perceived risk because VA environments tend to be less litigious. A patient population that is poorer, older, sicker, and with more mental illness may also contribute. VA’s form of enterprise liability shelters its physicians too #JHMChat https://t.co/13lY0YpKy6 |
| Rebecca Jaffe @RJmdphilly this i think it runs deeper too. If non-hispanic white males self report less defensive medicine, it feels like it isn't all about patient trust, but self trust. Cultural permission to have self confidence? #JHMChat https://t.co/8y5wY6WuZj |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @FutureDocs: Yet found the white male paradox in this article fascinating bc males were more likely to be sued #JHMChat https://t.co/rh2… |
 | Daniel Wolfson @WolfsonD #JHMChat https://t.co/7XNmeVYv0h |
| J Hospital Medicine @JHospMedicine Seems like an issue for Hospitalists vs specialists. Thoughts? #JHMChat https://t.co/vSOyRdKnkh |
| Sanjay Saint @sanjaysaint T2 The “white male effect” is likely at work in reducing those hospitalists’ perception of risk, though it is particularly interesting in this case, since that group is 2.5 times more likely to report having been sued! #JHMChat https://t.co/13lY0YpKy6 |
| J Hospital Medicine @JHospMedicine RT @WolfsonD: #JHMChat https://t.co/7XNmeVYv0h |
| J Hospital Medicine @JHospMedicine RT @sanjaysaint: T2 VA affiliation may reduce perceived risk because VA environments tend to be less litigious. A patient population that i… |
| J Hospital Medicine @JHospMedicine RT @ebtapper: @gracefarris @tony_breu @ben_geisler It is universal. Where did the laundry lists of “non directed” tests come from? Neuro, l… |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @sanjaysaint: T2 VA affiliation may reduce perceived risk because VA environments tend to be less litigious. A patient population that i… |
| Rebecca Jaffe @RJmdphilly @FutureDocs now that's just irony #JHMChat |
| Michael Sinha MD, JD, MPH @DrSinhaEsq RT @gracefarris: Not sure can someone mansplain this? Maybe there could be a #manel on it? #JHMChat https://t.co/utiPovtvME |
| Grace Farris MD @gracefarris RT @WolfsonD: #JHMChat https://t.co/7XNmeVYv0h |
| Vineet Chopra @vineet_chopra @JHospMedicine With the lawyers in the middle of course. #JHMChat |
| Tony Breu @tony_breu RT @FutureDocs: Yet found the white male paradox in this article fascinating bc males were more likely to be sued #JHMChat https://t.co/rh2… |
| Chris Petrilli @PetrilliMD T2: VA docs may feel less “waste” because of essential single payer system for large majority of patients so “inpatient expedited workups” not otherwise indicated are accepted. #jhmchat |
| J Hospital Medicine @JHospMedicine RT @sanjaysaint: T2 The “white male effect” is likely at work in reducing those hospitalists’ perception of risk, though it is particularly… |
| Lonika Sood, MD, MHPE @sood_lonika @JHospMedicine yet we seem to feel more strongly about cost of care than specialists (have not heard other specialties discuss HVC) #JHMChat |
| J Hospital Medicine @JHospMedicine RT @KFowler_PSEP: @JHospMedicine T2: Part of the VA piece is the population. Veterans are very loyal. #JHMChat |
| Rebecca Jaffe @RJmdphilly @tony_breu though is that a cumulative rate/ Risk per year likely the same? #JHMChat |
| Rebecca Jaffe @RJmdphilly RT @gracefarris: Not sure can someone mansplain this? Maybe there could be a #manel on it? #JHMChat https://t.co/utiPovtvME |
| Tony Breu @tony_breu @PetrilliMD This is a good point. I've order inpatient PET scans, something I could never do in civilian hospital. Not for defense, but instead to save someone from an 8 hour drive. #JHMChat |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @sanjaysaint: T2 The “white male effect” is likely at work in reducing those hospitalists’ perception of risk, though it is particularly… |
 | Ranjeet Sinha @sinhachild RT @JHospMedicine: Brilliant #JHMChat @costsofcare @ABIMFoundation @WolfsonD https://t.co/zGL5N3iJIS |
| Grace Farris MD @gracefarris Yes. Also a lot of pressure from hosp staff (CM, admin) to follow specialist recs, esp if you are a youngish woman in medicine #JHMChat https://t.co/yOJGDLSiGt |
 | Faysal Tahiri M.D @faycaltahirimd2 RT @JHospMedicine: T1 The authors discovered that hospitalists perceived 37.5% of healthcare costs are due to defensive medicine, which is… |
| Vineet Chopra @vineet_chopra At #VA, its about mission. Not margin. Doing the right thing - even if the right thing is to do nothing - understood as good practice. Not sure this translates outside #VHA. #JHMChat |
| Vinny Arora MD MAPP @FutureDocs I have seen radiology take up appropriateness @PamelaJohnsonMD #JHMChat and many others in #choosingwisely but something different about consults https://t.co/quuPP9yv7W |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @vineet_chopra: At #VA, its about mission. Not margin. Doing the right thing - even if the right thing is to do nothing - understood as… |
| Rebecca Jaffe @RJmdphilly RT @WolfsonD: #JHMChat https://t.co/7XNmeVYv0h |
| Vinny Arora MD MAPP @FutureDocs RT @gracefarris: Yes. Also a lot of pressure from hosp staff (CM, admin) to follow specialist recs, esp if you are a youngish woman in medi… |
| Michael Sinha MD, JD, MPH @DrSinhaEsq RT @RJmdphilly: this i think it runs deeper too. If non-hispanic white males self report less defensive medicine, it feels like it isn't al… |
| Vinny Arora MD MAPP @FutureDocs RT @PetrilliMD: T2: VA docs may feel less “waste” because of essential single payer system for large majority of patients so “inpatient exp… |
| Vinny Arora MD MAPP @FutureDocs RT @WolfsonD: #JHMChat https://t.co/7XNmeVYv0h |
| Daniel Wolfson @WolfsonD #JHMChat Payment mechanisms overstated influence - as much overuse at KP. Imprinting behaviors in medical school & residency - long-lasting effects. Read Blind Spots to learn about imprinting at young ages. https://t.co/T5p020vMta |
| J Hospital Medicine @JHospMedicine RT @vineet_chopra: At #VA, its about mission. Not margin. Doing the right thing - even if the right thing is to do nothing - understood as… |
| J Hospital Medicine @JHospMedicine RT @gracefarris: Yes. Also a lot of pressure from hosp staff (CM, admin) to follow specialist recs, esp if you are a youngish woman in medi… |
| J Hospital Medicine @JHospMedicine RT @PetrilliMD: T2: VA docs may feel less “waste” because of essential single payer system for large majority of patients so “inpatient exp… |
| J Hospital Medicine @JHospMedicine RT @WolfsonD: #JHMChat Payment mechanisms overstated influence - as much overuse at KP. Imprinting behaviors in medical school & residency… |
| Ranjeet Sinha @sinhachild RT @PetrilliMD: T2: VA docs may feel less “waste” because of essential single payer system for large majority of patients so “inpatient exp… |
| Karen Fowler @kfowler_psep @ben_geisler The P-Values are from a multivariable regression so no Bonferroni correction needed.#JHMChat |
| J Hospital Medicine @JHospMedicine T3 up in a minute ...#JHMChat welcome to those just joining! |
| Rebecca Jaffe @RJmdphilly @tony_breu @PetrilliMD complex. we get asked to do same by consultants, but no easy way to do so quickly, so it adds to LOS and cost eaten depending on patient's coverage. So even if it isn't defensive, a lot harder to do this workup inpatient in non-VA systems. #JHMChat |
 | Doctivist @jbcowartmd RT @sanjaysaint: T1 Case report to get a #neuro consult without a recommendation of at least of the following tests: MRI, LP, EEG, or EMG/N… |
| J Hospital Medicine @JHospMedicine Thx for clarification #JHMChat https://t.co/t9J9cXeNpm |
| J Hospital Medicine @JHospMedicine T3 #JHMChat Over a quarter of hospitalists reported having been sued at least once for medical malpractice. For those in practice for at least 20 years, more than half (55%) had been sued at least once. How can we reduce this risk? |
| J Hospital Medicine @JHospMedicine T3 #JHMChat Over a quarter of hospitalists reported having been sued at least once for medical malpractice. For... https://t.co/r6pa1xPZ2m |
| J Hospital Medicine @JHospMedicine Thx for clarification #JHMChat https://t.co/t9J9cXeNpm https://t.co/Wv0ddxpq4z |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @JHospMedicine: T3 #JHMChat Over a quarter of hospitalists reported having been sued at least once for medical malpractice. For those in… |
| Chris Petrilli @PetrilliMD @WolfsonD #JHMChat. Well in the VA these are just perceptions. The VA is one of the most efficient systems in the US. #mostVAnewsisfakenews |
| Rebecca Jaffe @RJmdphilly @vineet_chopra feeling a lot of #FOMO about working at the VA right now. Trying to remember the forlorn feeling of 2am uncrustables so I don't get ahead of myself. #JHMChat |
| Sanjay Saint @sanjaysaint T2 The other aspect of being at the #VA is the clear sense of a shared mission for the employees: nurses, docs, food services, etc. People don't generally work at the VA for the money or prestige. It is the sense of giving back to those who risked their lives for us. #JHMChat https://t.co/13lY0YpKy6 |
| Vinny Arora MD MAPP @FutureDocs So...The opposite of imposter syndrome #jhmchat https://t.co/BhARc8eDGF |
| Vinny Arora MD MAPP @FutureDocs RT @RJmdphilly: @vineet_chopra feeling a lot of #FOMO about working at the VA right now. Trying to remember the forlorn feeling of 2am unc… |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @sanjaysaint: T2 The other aspect of being at the #VA is the clear sense of a shared mission for the employees: nurses, docs, food servi… |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: T3 #JHMChat Over a quarter of hospitalists reported having been sued at least once for medical malpractice. For those in… |
| Tony Breu @tony_breu I wonder if anyone in the chat has any experience with apology and resolution programs. These seem like a good model. #JHMChat https://t.co/RPEjeA9iN8 |
| Rebecca Jaffe @RJmdphilly RT @FutureDocs: So...The opposite of imposter syndrome #jhmchat https://t.co/BhARc8eDGF |
| Chris Petrilli @PetrilliMD RT @sanjaysaint: T2 The other aspect of being at the #VA is the clear sense of a shared mission for the employees: nurses, docs, food servi… |
| Allen Kachalia @allenkachalia A3: Well, one great way to reduce risk is to improve quality and safety of care. #jhmchat |
| Benjamin P. Geisler @ben_geisler so much agree with @Wolfson's #JHMChat answer. there was this study that looked at high cost/low value-region graduates moving to low cost/high value regions... https://t.co/RxFwK3L3CS |
| Tony Breu @tony_breu RT @sanjaysaint: T2 The other aspect of being at the #VA is the clear sense of a shared mission for the employees: nurses, docs, food servi… |
| Vinny Arora MD MAPP @FutureDocs RT @allenkachalia: A3: Well, one great way to reduce risk is to improve quality and safety of care. #jhmchat |
| Rebecca Jaffe @RJmdphilly @FutureDocs @PamelaJohnsonMD not sure I agree completely - GI recs for out patient c scopes, Cards attending saying "if healthy enough for a stress it can be outpatient." #GoodApples in all fields #JHMChat |
| J Hospital Medicine @JHospMedicine RT @ben_geisler: so much agree with @Wolfson's #JHMChat answer. there was this study that looked at high cost/low value-region graduates mo… |
| J Hospital Medicine @JHospMedicine RT @allenkachalia: A3: Well, one great way to reduce risk is to improve quality and safety of care. #jhmchat |
| Benjamin P. Geisler @ben_geisler that is terrible #JHMChat https://t.co/OprQzcro9T |
| Allen Kachalia @allenkachalia A3: And when harm does occur, we're increasingly seeing how open and honest communication is the way to go #jhmchat |
| Doctivist @jbcowartmd RT @sanjaysaint: T2 The other aspect of being at the #VA is the clear sense of a shared mission for the employees: nurses, docs, food servi… |
| Benjamin P. Geisler @ben_geisler haha.. plenty of IP PET scans in civilian hospitals #JHMChat https://t.co/DMCH4Pw1Tr |
| J Hospital Medicine @JHospMedicine Any of our authors comment ? #jhmchat @allenkachalia @KFowler_PSEP @vineet_chopra @sanjaysaint https://t.co/2XMpgCC8YI |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @allenkachalia: A3: And when harm does occur, we're increasingly seeing how open and honest communication is the way to go #jhmchat |
| J Hospital Medicine @JHospMedicine RT @sanjaysaint: T2 The other aspect of being at the #VA is the clear sense of a shared mission for the employees: nurses, docs, food servi… |
| Rebecca Jaffe @RJmdphilly @WolfsonD Great David Asch paper on this #JHMChat. |
| Tony Breu @tony_breu And it "works", right? #JHMChat https://t.co/cuoCGpVc9q |
| Daniel Wolfson @WolfsonD RT @sanjaysaint: T2 The other aspect of being at the #VA is the clear sense of a shared mission for the employees: nurses, docs, food servi… |
| J Hospital Medicine @JHospMedicine RT @allenkachalia: A3: And when harm does occur, we're increasingly seeing how open and honest communication is the way to go #jhmchat |
| Tony Breu @tony_breu @ben_geisler Not where I worked. #JHMChat |
| Benjamin P. Geisler @ben_geisler an outpatient procedure (say, a nuke) might still be low-value test, depending on if there's no good indication #JHMChat https://t.co/QzJ2V4zM8z |
 | Mary Drago @mkgdaz RT @JHospMedicine: T1 The authors discovered that hospitalists perceived 37.5% of healthcare costs are due to defensive medicine, which is… |
| J Hospital Medicine @JHospMedicine Thx for joining #JHMChat @karynbaum https://t.co/vVGakmBlYq |
| Lonika Sood, MD, MHPE @sood_lonika T3: support a thorough mentoring process... have risk/legal talk to staff on several occasions to advise processes #jhmchat |
| Rebecca Jaffe @RJmdphilly RT @JHospMedicine: T3 #JHMChat Over a quarter of hospitalists reported having been sued at least once for medical malpractice. For those in… |
| Grace Farris MD @gracefarris Sorry, late w T2 #JHMChat https://t.co/aC5Rbmogvz |
| Vineet Chopra @vineet_chopra @tony_breu Indeed. @allenkachalia was involved with the original work and can also speak to this. But overall, reduced malpractice allegations and claims over time. Also empowered docs to focus on doing the right thing. And saying sorry when it didn’t go as planned. #JHMChat |
| Michael Sinha MD, JD, MPH @DrSinhaEsq A3: To err is human, but communication is KEY. Patients often sue to get information about what happened! Go to the bedside and be honest. If you are still compiling the facts, investigate and REPORT BACK to the patient or the family! #JHMChat https://t.co/5orybjaqP2 |
| Michael Sinha MD, JD, MPH @DrSinhaEsq RT @JHospMedicine: T3 #JHMChat Over a quarter of hospitalists reported having been sued at least once for medical malpractice. For those in… |
| Grace Farris MD @gracefarris Same #JHMChat https://t.co/vPPpOPzQLJ |
| Michael Sinha MD, JD, MPH @DrSinhaEsq RT @gracefarris: Sorry, late w T2 #JHMChat https://t.co/aC5Rbmogvz |
| Vinny Arora MD MAPP @FutureDocs @sood_lonika So meta i love it #jhmchat |
| Lonika Sood, MD, MHPE @sood_lonika @RJmdphilly @FutureDocs @PamelaJohnsonMD absolutely... these are so much more appreciated .. #JHMChat |
| Grace Farris MD @gracefarris RT @WolfsonD: #JHMChat Payment mechanisms overstated influence - as much overuse at KP. Imprinting behaviors in medical school & residency… |
| Vinny Arora MD MAPP @FutureDocs RT @gracefarris: Sorry, late w T2 #JHMChat https://t.co/aC5Rbmogvz |
| Sanjay Saint @sanjaysaint 1/ Invest in systems approaches to reduce error 2/ Lower the power distance (hierarchy) so people feel comfortable speaking up when things are wrong 3/ Explain things well to pts & families (and do so while being at eye level) 4/ Listen to what the nurses are saying #JHMChat https://t.co/mLJLLQz5zh |
| Daniel Wolfson @WolfsonD #JHMChat The antidote of defensive medicine is partnerships with patients, active listening, defined options & trusting relationships- I am always here for you. https://t.co/uH7HY4hwLl |
| J Hospital Medicine @JHospMedicine RT @sanjaysaint: 1/ Invest in systems approaches to reduce error 2/ Lower the power distance (hierarchy) so people feel comfortable speakin… |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @sanjaysaint: 1/ Invest in systems approaches to reduce error 2/ Lower the power distance (hierarchy) so people feel comfortable speakin… |
| Allen Kachalia @allenkachalia @vineet_chopra @tony_breu Yes, this program worked well at Michigan from a claims perspective...Others have implemented programs like this (now called Communication and Resolution Programs). #JHMChat |
| Rebecca Jaffe @RJmdphilly @ben_geisler literally never been allowed to no matter how hard I have tried. (for good reasons I swear!) #JHMChat |
| J Hospital Medicine @JHospMedicine RT @WolfsonD: #JHMChat The antidote of defensive medicine is partnerships with patients, active listening, defined options & trusting relat… |
| Vineet Chopra @vineet_chopra Nice overview of some of the work done by our chief legal officer https://t.co/Fkb0Cuqz59 #JHMChat |
| Benjamin P. Geisler @ben_geisler agree! also, non-disclosure of errors (either driven by hospital policy or personal misjudgement) and lack of apologies might drive up (non-normally distributed?) litigation rates #JHMchat https://t.co/QH2TupPhMz |
| Allen Kachalia @allenkachalia @DrSinhaEsq That's spot on! #JHMChat |
| J Hospital Medicine @JHospMedicine RT @DrSinhaEsq: A3: To err is human, but communication is KEY. Patients often sue to get information about what happened! Go to the bedside… |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @vineet_chopra: Nice overview of some of the work done by our chief legal officer https://t.co/Fkb0Cuqz59 #JHMChat |
| J Hospital Medicine @JHospMedicine RT @vineet_chopra: @tony_breu Indeed. @allenkachalia was involved with the original work and can also speak to this. But overall, reduced m… |
| Tony Breu @tony_breu I'm going to flip these and put #4 first: Listen to what the nurses are saying! #JHMChat https://t.co/UlA3AlBXdZ |
| J Hospital Medicine @JHospMedicine You def don’t need to say sorry for this one:) #JHMChat brilliance from our resident artist @gracefarris https://t.co/qU33DdxNyN |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @JHospMedicine: You def don’t need to say sorry for this one:) #JHMChat brilliance from our resident artist @gracefarris https://t.co/qU… |
| Doctivist @jbcowartmd RT @sanjaysaint: 1/ Invest in systems approaches to reduce error 2/ Lower the power distance (hierarchy) so people feel comfortable speakin… |
| J Hospital Medicine @JHospMedicine RT @ben_geisler: agree! also, non-disclosure of errors (either driven by hospital policy or personal misjudgement) and lack of apologies mi… |
| Doctivist @jbcowartmd RT @DrSinhaEsq: A3: To err is human, but communication is KEY. Patients often sue to get information about what happened! Go to the bedside… |
| Rebecca Jaffe @RJmdphilly @ben_geisler Sure, everything can be useless sometimes. But many things are more useless, or harmful to individuals or systems, if done at the wrong time. #JHMChat |
| J Hospital Medicine @JHospMedicine RT @vineet_chopra: Nice overview of some of the work done by our chief legal officer https://t.co/Fkb0Cuqz59 #JHMChat |
| J Hospital Medicine @JHospMedicine RT @allenkachalia: @vineet_chopra @tony_breu Yes, this program worked well at Michigan from a claims perspective...Others have implemented… |
| Vineet Chopra @vineet_chopra @allenkachalia @DrSinhaEsq Worth mentioning that this runs counter to almost every instinct when something goes wrong. Takes a moment of #mindfulness and #presence within a system of support to get it right. #JHMChat |
| J Hospital Medicine @JHospMedicine T4 The discussion states "Reducing defensive medicine requires decreasing physician fears of liability and related reporting." How can we reduce fear among physicians? #JHMChat |
| Sanjay Saint @sanjaysaint T3 #JHMChat Liability Claims and Costs Before and After Implementation of a Medical Error Disc... | Ann Intern Med | ACP | https://t.co/Qo8IDgLrgN |
| Michael Sinha MD, JD, MPH @DrSinhaEsq Bingo. #JHMChat https://t.co/eimFs3U0nG |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @sanjaysaint: T3 #JHMChat Liability Claims and Costs Before and After Implementation of a Medical Error Disc... | Ann Intern Med | ACP |… |
| Benjamin P. Geisler @ben_geisler that one caught my eye as well! #JHMChat https://t.co/DTsZF7A4ZE |
| Vinny Arora MD MAPP @FutureDocs RT @DrSinhaEsq: Bingo. #JHMChat https://t.co/eimFs3U0nG |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: T4 The discussion states "Reducing defensive medicine requires decreasing physician fears of liability and related repor… |
| Vinny Arora MD MAPP @FutureDocs RT @vineet_chopra: @allenkachalia @DrSinhaEsq Worth mentioning that this runs counter to almost every instinct when something goes wrong. T… |
| Vinny Arora MD MAPP @FutureDocs RT @tony_breu: I'm going to flip these and put #4 first: Listen to what the nurses are saying! #JHMChat https://t.co/UlA3AlBXdZ |
| Vinny Arora MD MAPP @FutureDocs RT @WolfsonD: #JHMChat The antidote of defensive medicine is partnerships with patients, active listening, defined options & trusting relat… |
| Allen Kachalia @allenkachalia @vineet_chopra Rick has done incredible work in not only building the program at Michigan, but also in teaching others around the world the best model! #JHMChat |
| Doctivist @jbcowartmd RT @JHospMedicine: T4 The discussion states "Reducing defensive medicine requires decreasing physician fears of liability and related repor… |
| Vineet Chopra @vineet_chopra RT @allenkachalia: @vineet_chopra Rick has done incredible work in not only building the program at Michigan, but also in teaching others a… |
| Michael Sinha MD, JD, MPH @DrSinhaEsq Communicate early and often. Be candid. #JHMChat https://t.co/HlcK75HbB3 |
| Society of Hospital Medicine @SHMLive RT @JHospMedicine: T4 The discussion states "Reducing defensive medicine requires decreasing physician fears of liability and related repor… |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @allenkachalia: @vineet_chopra Rick has done incredible work in not only building the program at Michigan, but also in teaching others a… |
| Lonika Sood, MD, MHPE @sood_lonika T4:having a legal mock m&m to discuss what is actually high risk and low risk.. stories carry forward much more than fact; talk to patients and nurses and staff #jhmchat |
| J Hospital Medicine @JHospMedicine RT @DrSinhaEsq: Communicate early and often. Be candid. #JHMChat https://t.co/HlcK75HbB3 |
| Michael Sinha MD, JD, MPH @DrSinhaEsq RT @vineet_chopra: @allenkachalia @DrSinhaEsq Worth mentioning that this runs counter to almost every instinct when something goes wrong. T… |
| Allen Kachalia @allenkachalia @vineet_chopra @DrSinhaEsq Yup--That is why we recommend hospitals set up programs to help clinicians and patients through the events. #JHMChat |
| Rebecca Jaffe @RJmdphilly @JHospMedicine would follow T3 and all the excellent responses with - how can hospitalist groups work with their administrations to create these programs, or change culture towards transparency, etc? #AskingForPhiladelphia #JHMChat |
 | Tina Hilmas @tina_hilmas RT @sanjaysaint: 1/ Invest in systems approaches to reduce error 2/ Lower the power distance (hierarchy) so people feel comfortable speakin… |
| Rebecca Jaffe @RJmdphilly @sood_lonika @FutureDocs Imposter syndrome in precontemplation phase #JHMChat |
| Vinny Arora MD MAPP @FutureDocs T4 key question: whether tort reform can reduce fear defensive Medicine? #JHMChat cc @allenkachalia |
| Michael Sinha MD, JD, MPH @DrSinhaEsq RT @tony_breu: I'm going to flip these and put #4 first: Listen to what the nurses are saying! #JHMChat https://t.co/UlA3AlBXdZ |
| Doctivist @jbcowartmd T4 We just started a QI-focused M&M conference aimed at discussing issues openly among the hospitalists and residents. I think teaching systems issues is a place to start. Rather than one person being personally liable, it is encouraging team thinking. #JHMChat |
| J Hospital Medicine @JHospMedicine RT @RJmdphilly: @JHospMedicine would follow T3 and all the excellent responses with - how can hospitalist groups work with their administra… |
| Doctivist @jbcowartmd RT @DrSinhaEsq: Communicate early and often. Be candid. #JHMChat https://t.co/HlcK75HbB3 |
| Doctivist @jbcowartmd RT @sood_lonika: T4:having a legal mock m&m to discuss what is actually high risk and low risk.. stories carry forward much more than fact;… |
| J Hospital Medicine @JHospMedicine RT @allenkachalia: @vineet_chopra @DrSinhaEsq Yup--That is why we recommend hospitals set up programs to help clinicians and patients throu… |
| J Hospital Medicine @JHospMedicine RT @sood_lonika: T4:having a legal mock m&m to discuss what is actually high risk and low risk.. stories carry forward much more than fact;… |
| J Hospital Medicine @JHospMedicine RT @allenkachalia: @vineet_chopra Rick has done incredible work in not only building the program at Michigan, but also in teaching others a… |
| J Hospital Medicine @JHospMedicine RT @ben_geisler: that one caught my eye as well! #JHMChat https://t.co/DTsZF7A4ZE |
| J Hospital Medicine @JHospMedicine RT @DrSinhaEsq: Bingo. #JHMChat https://t.co/eimFs3U0nG |
| J Hospital Medicine @JHospMedicine RT @sanjaysaint: T3 #JHMChat Liability Claims and Costs Before and After Implementation of a Medical Error Disc... | Ann Intern Med | ACP |… |
| Tony Breu @tony_breu There are a lot of things I fear about getting sued, but shame is at the top. Getting people to talk openly their experiences will help others cope with the possibility. #JHMChat https://t.co/tgvzFinrNF |
| J Hospital Medicine @JHospMedicine RT @vineet_chopra: @allenkachalia @DrSinhaEsq Worth mentioning that this runs counter to almost every instinct when something goes wrong. T… |
| J Hospital Medicine @JHospMedicine RT @tony_breu: There are a lot of things I fear about getting sued, but shame is at the top. Getting people to talk openly their experience… |
| Grace Farris MD @gracefarris T4 is mindfulnessa panacea? #JHMChat https://t.co/oPHlOs52gI |
| J Hospital Medicine @JHospMedicine RT @jbcowartmd: T4 We just started a QI-focused M&M conference aimed at discussing issues openly among the hospitalists and residents. I th… |
 | Karyn Baum (feeling boring today) @karynbaum @jbcowartmd Do you invite the other professions by any chance? #JHMChat |
| Grace Farris MD @gracefarris RT @tony_breu: There are a lot of things I fear about getting sued, but shame is at the top. Getting people to talk openly their experience… |
| Vinny Arora MD MAPP @FutureDocs RT @gracefarris: T4 is mindfulnessa panacea? #JHMChat https://t.co/oPHlOs52gI |
| Michael Sinha MD, JD, MPH @DrSinhaEsq See article by @MichelleM_Mello @allenkachalia & Dave Studdert in @nejm: https://t.co/pMNCM3N1mu #JHMChat https://t.co/V0egkj4x0F |
| Allen Kachalia @allenkachalia @FutureDocs A4: Great question, Vinny. Because it's hard to measure defensive medicine, it's hard to determine if tort reform has helped. That said, there is some data suggesting that caps can lower some types of defensive medicine. #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @tony_breu: There are a lot of things I fear about getting sued, but shame is at the top. Getting people to talk openly their experience… |
| Vinny Arora MD MAPP @FutureDocs RT @jbcowartmd: T4 We just started a QI-focused M&M conference aimed at discussing issues openly among the hospitalists and residents. I th… |
| Vinny Arora MD MAPP @FutureDocs RT @allenkachalia: @FutureDocs A4: Great question, Vinny. Because it's hard to measure defensive medicine, it's hard to determine if tort… |
| Sanjay Saint @sanjaysaint Error is inevitable in a field premised on the art of balancing probabilities. #JHMChat |
| J Hospital Medicine @JHospMedicine RT @allenkachalia: @FutureDocs A4: Great question, Vinny. Because it's hard to measure defensive medicine, it's hard to determine if tort… |
| J Hospital Medicine @JHospMedicine RT @DrSinhaEsq: See article by @MichelleM_Mello @allenkachalia & Dave Studdert in @nejm: https://t.co/pMNCM3N1mu #JHMChat https://t.co/V0eg… |
| J Hospital Medicine @JHospMedicine RT @gracefarris: T4 is mindfulnessa panacea? #JHMChat https://t.co/oPHlOs52gI |
| Allen Kachalia @allenkachalia @jbcowartmd Yup--The challenge is that our legal system does not always approach errors they way we do in safety today. #JHMChat |
| Michael Sinha MD, JD, MPH @DrSinhaEsq RT @sanjaysaint: Error is inevitable in a field premised on the art of balancing probabilities. #JHMChat |
| Charlie M. Wray @WrayCharles RT @sanjaysaint: Error is inevitable in a field premised on the art of balancing probabilities. #JHMChat |
| J Hospital Medicine @JHospMedicine RT @sanjaysaint: Error is inevitable in a field premised on the art of balancing probabilities. #JHMChat |
| J Hospital Medicine @JHospMedicine RT @allenkachalia: @jbcowartmd Yup--The challenge is that our legal system does not always approach errors they way we do in safety today.… |
| Vineet Chopra @vineet_chopra RT @jbcowartmd: T4 We just started a QI-focused M&M conference aimed at discussing issues openly among the hospitalists and residents. I th… |
| Vineet Chopra @vineet_chopra RT @tony_breu: There are a lot of things I fear about getting sued, but shame is at the top. Getting people to talk openly their experience… |
| Rebecca Jaffe @RJmdphilly @FutureDocs @allenkachalia that was where my mind went too #JHMChat |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @sanjaysaint: Error is inevitable in a field premised on the art of balancing probabilities. #JHMChat |
 | Guilherme Barcellos @brhospitalist RT @RJmdphilly: Definition of "defensive"? Defensive in legal context (preventing litigation) or defensive in a clinical context (fear of b… |
| Guilherme Barcellos @brhospitalist RT @WrayCharles: Looking to join #JHMChat this Monday 2/26 at 9PM EST? Here's my quick take on the paper: https://t.co/YXYawQNlRG via @SHML… |
 | Pranjal Singh @pranjsingh RT @sanjaysaint: Error is inevitable in a field premised on the art of balancing probabilities. #JHMChat |
| Vineet Chopra @vineet_chopra RT @allenkachalia: @FutureDocs A4: Great question, Vinny. Because it's hard to measure defensive medicine, it's hard to determine if tort… |
| Vineet Chopra @vineet_chopra RT @sanjaysaint: Error is inevitable in a field premised on the art of balancing probabilities. #JHMChat |
| Society of Hospital Medicine @SHMLive Special thank you tonight's guest experts and our partners @ABIMFoundation & @CostsofCare! #JHMChat |
| J Hospital Medicine @JHospMedicine CT #JHMChat Please add closing thoughts on Perception Of Resources Spent On Defensive Medicine And History Of Being Sued Among Hospitalists https://t.co/zsJRrX3HYe |
| J Hospital Medicine @JHospMedicine CT #JHMChat Please add closing thoughts on Perception Of Resources Spent On Defensive Medicine And History Of... https://t.co/Zzp2xjEo5X |
| Rebecca Jaffe @RJmdphilly @tony_breu Hard to do! Whenever you are involved in a suit the first thing they say is Don't Talk to Anyone! And then you have to list all the people you ever talked to. that's pretty hard to circumvent #JHMChat |
| Tina Hilmas @tina_hilmas RT @sanjaysaint: Error is inevitable in a field premised on the art of balancing probabilities. #JHMChat |
| Charlie M. Wray @WrayCharles RT @JHospMedicine: You def don’t need to say sorry for this one:) #JHMChat brilliance from our resident artist @gracefarris https://t.co/qU… |
| J Hospital Medicine @JHospMedicine RT @SHMLive: Special thank you tonight's guest experts and our partners @ABIMFoundation & @CostsofCare! #JHMChat |
 | Jack Iwashyna @iwashyna RT @sanjaysaint: Error is inevitable in a field premised on the art of balancing probabilities. #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @RJmdphilly: @tony_breu Hard to do! Whenever you are involved in a suit the first thing they say is Don't Talk to Anyone! And then you h… |
| Vineet Chopra @vineet_chopra Instructive to see what happens in the airline industry when an error occurs. Thorough review by a non biased party. Determination of System vs Human origin. And a fix to make sure it never happens again. I tire of #avaiationanalogies but this.... #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: CT #JHMChat Please add closing thoughts on Perception Of Resources Spent On Defensive Medicine And History Of Being Sued… |
| Vinny Arora MD MAPP @FutureDocs RT @SHMLive: Special thank you tonight's guest experts and our partners @ABIMFoundation & @CostsofCare! #JHMChat |
| Doctivist @jbcowartmd RT @sanjaysaint: Error is inevitable in a field premised on the art of balancing probabilities. #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @allenkachalia: @jbcowartmd Yup--The challenge is that our legal system does not always approach errors they way we do in safety today.… |
| Vinny Arora MD MAPP @FutureDocs RT @sanjaysaint: Error is inevitable in a field premised on the art of balancing probabilities. #JHMChat |
| Doctivist @jbcowartmd RT @DrSinhaEsq: See article by @MichelleM_Mello @allenkachalia & Dave Studdert in @nejm: https://t.co/pMNCM3N1mu #JHMChat https://t.co/V0eg… |
| Doctivist @jbcowartmd RT @vineet_chopra: Instructive to see what happens in the airline industry when an error occurs. Thorough review by a non biased party. Det… |
| Tony Breu @tony_breu @RJmdphilly But, just acknowledging to others (including junior hospitalists) that a great doctor might go through - and get out the other side - is important. Don't need specifics of the case. #JHMChat |
| Vineet Chopra @vineet_chopra Not so at #Michigan. One of the first things we do here is talk to family. Very hard to do so (esp if you messed up). But powerful and cathartic to say “I’m Sorry.” #JHMChat https://t.co/cVig5yejlF |
| Vinny Arora MD MAPP @FutureDocs RT @vineet_chopra: Instructive to see what happens in the airline industry when an error occurs. Thorough review by a non biased party. Det… |
| Sanjay Saint @sanjaysaint CT If sued, speak to your clinical mentor. S/he has very likely been there before. #JHMChat https://t.co/Dqm7blADf2 |
| Grace Farris MD @gracefarris RT @tony_breu: @RJmdphilly But, just acknowledging to others (including junior hospitalists) that a great doctor might go through - and get… |
| Doctivist @jbcowartmd RT @SHMLive: Special thank you tonight's guest experts and our partners @ABIMFoundation & @CostsofCare! #JHMChat |
| J Hospital Medicine @JHospMedicine RT @sanjaysaint: CT If sued, speak to your clinical mentor. S/he has very likely been there before. #JHMChat https://t.co/Dqm7blADf2 |
| Lonika Sood, MD, MHPE @sood_lonika also need to be responsive to burn out and perception of legal action #jhmchat |
| Rebecca Jaffe @RJmdphilly RT @sanjaysaint: Error is inevitable in a field premised on the art of balancing probabilities. #JHMChat |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @vineet_chopra: Not so at #Michigan. One of the first things we do here is talk to family. Very hard to do so (esp if you messed up). Bu… |
| J Hospital Medicine @JHospMedicine RT @vineet_chopra: Not so at #Michigan. One of the first things we do here is talk to family. Very hard to do so (esp if you messed up). Bu… |
| Vineet Chopra @vineet_chopra One of my favorite teachers used to say “It’s not if, but when you get named...” #JHMChat https://t.co/jDxYE1mHec |
| Doctivist @jbcowartmd RT @sanjaysaint: CT If sued, speak to your clinical mentor. S/he has very likely been there before. #JHMChat https://t.co/Dqm7blADf2 |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @sanjaysaint: CT If sued, speak to your clinical mentor. S/he has very likely been there before. #JHMChat https://t.co/Dqm7blADf2 |
| J Hospital Medicine @JHospMedicine RT @tony_breu: @RJmdphilly But, just acknowledging to others (including junior hospitalists) that a great doctor might go through - and get… |
| J Hospital Medicine @JHospMedicine RT @vineet_chopra: Instructive to see what happens in the airline industry when an error occurs. Thorough review by a non biased party. Det… |
| Michael Sinha MD, JD, MPH @DrSinhaEsq Who is "they" in this scenario? The lawyers? #JHMChat https://t.co/g5urP70gQ1 |
| Lonika Sood, MD, MHPE @sood_lonika thank you for a great chat!! #jhmchat |
| J Hospital Medicine @JHospMedicine We didn’t even have time to do burnout second victim discussion. Alas #jhmchat is sometimes too short! https://t.co/RFBvPvoRYb |
| Doctivist @jbcowartmd CT: sometimes the standard of care is blurry. In that setting, easier to “just order the test.” It is ok to stop and think first. #JHMChat |
| J Hospital Medicine @JHospMedicine RT @sood_lonika: thank you for a great chat!! #jhmchat |
| Michael Sinha MD, JD, MPH @DrSinhaEsq RT @vineet_chopra: Not so at #Michigan. One of the first things we do here is talk to family. Very hard to do so (esp if you messed up). Bu… |
| Doctivist @jbcowartmd RT @sood_lonika: also need to be responsive to burn out and perception of legal action #jhmchat |
| J Hospital Medicine @JHospMedicine RT @jbcowartmd: CT: sometimes the standard of care is blurry. In that setting, easier to “just order the test.” It is ok to stop and think… |
| Vineet Chopra @vineet_chopra CT If you’re named in a claim, remember you’re not alone. You’re also no worse a physician. Get help / many others have been there before you. #JHMChat |
| Tony Breu @tony_breu RT @vineet_chopra: CT If you’re named in a claim, remember you’re not alone. You’re also no worse a physician. Get help / many others have… |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @vineet_chopra: CT If you’re named in a claim, remember you’re not alone. You’re also no worse a physician. Get help / many others have… |
| Grace Farris MD @gracefarris Thanks for hosting another fun chat @FutureDocs @WrayCharles @CostsofCare @JHospMedicine #JHMChat |
| J Hospital Medicine @JHospMedicine Dont forget to claim your #CME here after #JHMChat https://t.co/ZuELpIwwXO |
| J Hospital Medicine @JHospMedicine Thank you to our partners @SHMLive @CostsofCare and @ABIMFoundation for supporting #JHMChat! |
| J Hospital Medicine @JHospMedicine Special thanks to our authors for their expertise on perceptions of resource use related to defensive medicine during #JHMChat @sanjaysaint @allenkachalia @KFowler_PSEP @vineet_chopra |
| J Hospital Medicine @JHospMedicine Dont forget to claim your #CME here after #JHMChat https://t.co/ZuELpIwwXO https://t.co/TAf1dY0uTe |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @JHospMedicine: Special thanks to our authors for their expertise on perceptions of resource use related to defensive medicine during #J… |
| Rebecca Jaffe @RJmdphilly RT @gracefarris: Thanks for hosting another fun chat @FutureDocs @WrayCharles @CostsofCare @JHospMedicine #JHMChat |
| Daniel Wolfson @WolfsonD #JHMChat Suspect self-reporting of defensive medicine by physicians- term is not as useful as what underlies the term. Better communication, better trusting relationships, better partnerships, tolerance of uncertainty, https://t.co/9W4mP0qNCW |
| J Hospital Medicine @JHospMedicine @gracefarris @FutureDocs @WrayCharles @CostsofCare Thx for all the art and your thoughts #JHMChat |
| Vineet Chopra @vineet_chopra @JHospMedicine That’ll need a #JHMChat all to itself... |
| Benjamin P. Geisler @ben_geisler Again, a wonderful #jhmchat. I believe, defensive medicine can be an excuse and is often more the result of what region you trained in (or if you practice at the VA!). |
| Chris Petrilli @PetrilliMD RT @sanjaysaint: Error is inevitable in a field premised on the art of balancing probabilities. #JHMChat |
| J Hospital Medicine @JHospMedicine RT @vineet_chopra: @JHospMedicine That’ll need a #JHMChat all to itself... |
| Chris Petrilli @PetrilliMD RT @sanjaysaint: 1/ Invest in systems approaches to reduce error 2/ Lower the power distance (hierarchy) so people feel comfortable speakin… |
| Michael Sinha MD, JD, MPH @DrSinhaEsq @gracefarris @FutureDocs @WrayCharles @CostsofCare @JHospMedicine Thanks for the great illustrations, @gracefarris! #JHMChat |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @DrSinhaEsq: @gracefarris @FutureDocs @WrayCharles @CostsofCare @JHospMedicine Thanks for the great illustrations, @gracefarris! #JHMChat |
| Grace Farris MD @gracefarris RT @JHospMedicine: @gracefarris @FutureDocs @WrayCharles @CostsofCare Thx for all the art and your thoughts #JHMChat |
| Doctivist @jbcowartmd RT @ben_geisler: Again, a wonderful #jhmchat. I believe, defensive medicine can be an excuse and is often more the result of what region yo… |
| Doctivist @jbcowartmd RT @WolfsonD: #JHMChat Suspect self-reporting of defensive medicine by physicians- term is not as useful as what underlies the term. Better… |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: Special thanks to our authors for their expertise on perceptions of resource use related to defensive medicine during #J… |
| Benjamin P. Geisler @ben_geisler RT @gracefarris: T4 is mindfulnessa panacea? #JHMChat https://t.co/oPHlOs52gI |
| Grace Farris MD @gracefarris Anytime! #JHMChat https://t.co/2pwOXQy9EM |
| Vinny Arora MD MAPP @FutureDocs RT @JHospMedicine: Dont forget to claim your #CME here after #JHMChat https://t.co/ZuELpIwwXO |
| Vinny Arora MD MAPP @FutureDocs RT @gracefarris: Thanks for hosting another fun chat @FutureDocs @WrayCharles @CostsofCare @JHospMedicine #JHMChat |
| Benjamin P. Geisler @ben_geisler RT @tony_breu: There are a lot of things I fear about getting sued, but shame is at the top. Getting people to talk openly their experience… |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA RT @JHospMedicine: Dont forget to claim your #CME here after #JHMChat https://t.co/ZuELpIwwXO |
| Doctivist @jbcowartmd RT @vineet_chopra: CT If you’re named in a claim, remember you’re not alone. You’re also no worse a physician. Get help / many others have… |
| Doctivist @jbcowartmd RT @JHospMedicine: We didn’t even have time to do burnout second victim discussion. Alas #jhmchat is sometimes too short! https://t.co/RFBv… |
| Doctivist @jbcowartmd RT @vineet_chopra: One of my favorite teachers used to say “It’s not if, but when you get named...” #JHMChat https://t.co/jDxYE1mHec |
| Vinny Arora MD MAPP @FutureDocs I gotta say I do feel better right after this #JHMChat thx everyone! |
| Vinny Arora MD MAPP @FutureDocs RT @ben_geisler: Again, a wonderful #jhmchat. I believe, defensive medicine can be an excuse and is often more the result of what region yo… |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA Great #JHMChat tonight! Be sure to follow that hashtag to see the details. Come visit us, too, for many your source for #ptsafety papers! https://t.co/CKuwyVmv8h |
| J Hospital Medicine @JHospMedicine RT @ben_geisler: Again, a wonderful #jhmchat. I believe, defensive medicine can be an excuse and is often more the result of what region yo… |
| John Rother @jrother47 RT @WolfsonD: #JHMChat Payment mechanisms overstated influence - as much overuse at KP. Imprinting behaviors in medical school & residency… |
| J Hospital Medicine @JHospMedicine RT @JHospMedicine: Special thanks to our authors for their expertise on perceptions of resource use related to defensive medicine during #J… |
| J Hospital Medicine @JHospMedicine RT @JHospMedicine: Thank you to our partners @SHMLive @CostsofCare and @ABIMFoundation for supporting #JHMChat! |
| J Hospital Medicine @JHospMedicine RT @JHospMedicine: Dont forget to claim your #CME here after #JHMChat https://t.co/ZuELpIwwXO |
| Rebecca Jaffe @RJmdphilly Late CT 1) there is a difference btwn defensive (law suit) & defensive (clinical reasoning) 2) we should all be so lucky as to work in VA, 3) constructive relationship w consults might dec overuse, 4) preventing litigation requires teamwork w admin/risk & policy advocacy #JHMChat |
| J Hospital Medicine @JHospMedicine RT @gracefarris: Thanks for hosting another fun chat @FutureDocs @WrayCharles @CostsofCare @JHospMedicine #JHMChat |
| Vinny Arora MD MAPP @FutureDocs RT @RJmdphilly: Late CT 1) there is a difference btwn defensive (law suit) & defensive (clinical reasoning) 2) we should all be so lucky as… |
| Patient Safety Enhancement Program (UMVA) @PSEPUMVA Great #JHMChat tonight! Be sure to follow that hashtag to see the details. Let us be your source for #ptsafety papers! https://t.co/CKuwyVmv8h |
| Vineet Chopra @vineet_chopra RT @PSEPUMVA: Great #JHMChat tonight! Be sure to follow that hashtag to see the details. Let us be your source for #ptsafety papers! htt… |
| Michael Sinha MD, JD, MPH @DrSinhaEsq RT @allenkachalia: @vineet_chopra @DrSinhaEsq Yup--That is why we recommend hospitals set up programs to help clinicians and patients throu… |
 | Gretchen Diemer @gretchendiemer RT @sanjaysaint: Error is inevitable in a field premised on the art of balancing probabilities. #JHMChat |
 | Shannon McNamara, MD @ShannonOMac RT @tony_breu: There are a lot of things I fear about getting sued, but shame is at the top. Getting people to talk openly their experience… |
| Doctivist @jbcowartmd RT @PSEPUMVA: Great #JHMChat tonight! Be sure to follow that hashtag to see the details. Let us be your source for #ptsafety papers! htt… |
| Doctivist @jbcowartmd RT @RJmdphilly: Late CT 1) there is a difference btwn defensive (law suit) & defensive (clinical reasoning) 2) we should all be so lucky as… |
| Shannon McNamara, MD @ShannonOMac RT @sanjaysaint: Error is inevitable in a field premised on the art of balancing probabilities. #JHMChat |
| Shannon McNamara, MD @ShannonOMac RT @jbcowartmd: T4 We just started a QI-focused M&M conference aimed at discussing issues openly among the hospitalists and residents. I th… |
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