Vascular Access in the Elderly: Does One Size Fit All?
New article on vascular access in the elderly from American Journal of Nephrology
New article on vascular access in the elderly from American Journal of Nephrology
New article on evidence based approach to vascular access from Catheterization and Cardiovascular Interventions
A recent article by Daniel A. Lichtenstein published in the Korean Journal of Critical Care Medicine (Korean J Crit Care Med 2017; 32(1): 1-8.) on comparing the use of ultrasound (US) for assessment and diagnosis of pneumothorax and whether it is superior to computerized tomography (CT).
Find this article on Pubmed and Elsevier in the American Journal of Kidney Diseases
Cost-effectiveness Analysis of Vascular Access Referral Policies in CKD
#FOAMva #vascularaccess #FOAMed #FOAMcc
A colleague of mine recently posted a link to this article, but I also thought it was a pertinent read. I actually couldn’t agree more. Health departments need to collaborate with industry and clinician experts to improve health outcomes and patient safety. Time to get out of the silos and listen to experts that don’t always work within healthcare departments.
“The big public health problems that humanity faces today — including Alzheimer’s disease, cancer, and metabolic and infectious disease — will not be solved by either sector working in a silo. But the interface between the two has never been more tense. Legitimate concerns over conflict of interest that have resulted in overly extreme preventative policies are a central cause. It is time for all parties to revisit those policies and replace them with rules that recognize both true conflicts and true confluences of interest. They are essential to forging the strong collaborations that are worthy of society’s trust.”
Conflict-of-Interest Rules Are Holding Back Medical Breakthroughs
I just read a great article on leadership by Stephanie C. from the UK. She states that quality leadership skills are often sought after by many employers; they not only show that you have good interpersonal skills, they also show that you have the ability to co-ordinate, motivate and shape a team. She raises 3 points on what makes leadership skills important in the workplace – points that ring true in our specialty field of practice –
I often hear many vascular access clinicians say they want to change clinical practices within their institutions and facilities. I applaud their desire to make change for the better; for themselves, professionally; for their patients, to provide better care, and for their institution, to improve efficiencies, reduce complications and improve patient safety; however many of them are either frustrated or overwhelmed at the prospect of approaching senior administrators and high level clinicians who may be potential barriers to growth.
It is not with out the 3 elements that Stephanie describes above that change can be implemented. Things that need to be put in place to make these changes are some the following traits that leaders require to help them in their journey to facilitate change.
Vascular access specialists have an important role to fulfil within healthcare as others do – however, they also crossover and service nearly all clinical specialties within the healthcare environment as vascular access is the most performed invasive procedure globally. If your a clinician who wants to lead change within your team or facility, develop these elements, grab the evidence, inject it into your passion to improve things, and strive forward, recruiting those who will assist you in the process. It is a tough challenge, but in the end the benefits will be much greater for all.
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