Silver Linings Playbook – Because we have used our own fear

Because we have used our own fear of serious harm to rebuild the health care system, we must not lose sight of the fact that more than 250,000 patients die each year from mistakes, making medical errors the third leading cause of death in the United States. There has always been an urgent need to improve the condition of our patients; now we have an unprecedented opportunity to accelerate change over slow and low-cost practices. Hospital care guidelines have become widespread, focusing on such thorough practices as increasing the use of telemedicine for hospitalized patients, reducing unnecessary blood sampling, carefully limiting imaging, reducing vital function control in stable patients, and switching to less frequent dosage intervals. Over the past decade, clinician-led initiatives such as Cost of Care and Choice as well as campaigns supported by professional associations such as the American College of Physicians, the Society for Hospital Medicine and the Academic Alliance for High Value Practices, have contributed to the wider adoption of best practices to promote an evidence-based and value-based approach to treatment. Increasingly, academic articles have argued that “doing what we do not do for no reason”, “making wise choices”: “Next steps” and “Less means more” encourage physicians to reduce the waste of practice without compromising service quality. The focus on the urgent transformation of health care – the application of the OVID-19 “recipe book” – should become our new benchmark. There are group activities aimed at reducing unnecessary night breaks, promoting a culture of sleep within the health system and encouraging “sleep-friendly environments” such as reducing vital functions at night and reducing doses of medication at night, but their use is delayed. The Coronavirus pandemic provides a unique opportunity to improve our health care system and learn how to rapidly implement best practices. With new regulatory flexibility, offering opportunities for innovative care services, restructuring the interaction between documentation and billing, with a focus on clinical decision making for regulated physical exams and review of routine systems, can significantly improve patient outcomes. Proper integration of telemedicine in the hospital could reduce waste of equipment for single patients, reduce unnecessary impact and improve efficiency and the ability to obtain appropriate expert advice while maintaining the doctor-patient relationship. Outpatient care quickly moved to “virtual visits” via videoconferencing, supported by the elimination of reimbursement restrictions under CMS and HIPAA rules. After “his” release from prison, Pat devoted himself to a new approach to life embodied in the Latin word “Excelsior” – “always on the rise”. “Encouraged by this new mantra, “he” tries to see the crisis as an opportunity or silver illumination.” Similarly, the American College of Radiology has tried a more rational approach to diagnostic imaging and pioneered clinical practice guidelines to better adapt research tasks to specific clinical problems, increasing efficiency and reducing waste. Founded by Dr. Kevin Fo in 2004, Kevin® com is a leading online platform where physicians, undergraduates, nurses, medical students, and patients share their views and stories. Healthcare systems quickly collect test “queues” that allow access to the necessary tests, minimizing coronavirus transmission.

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