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Editor’s Notes - March 2016

Brian Sharp, MD, FACEP

I am excited to bring you the next edition of the QIPS newsletter. Many of you were able to join us on the QIPS all section call, which took place on January 19th. “The Clinician Perspective on Sepsis Care: Early Management Bundle for Severe Sepsis/Septic Shock (SEP-1)” was led by Robert Furno, MD, MPH, MBA, FACEP, Chief Medical Officer for the Upper Midwest Region of the Centers for Medicare and Medicaid Services (CMS) and was rich with pearls that we can all use in achieving compliance with these complex quality measures. If you were not able to make it, I encourage you to listen and have linked it here.

The articles in this newsletter include unique perspectives on quality issues—ranging from difficult to personal to those common to us all. I encourage other readers to share your perspectives with the rest of the section as we can learn so much from each other and our experiences.

  • Jeff Pothof MD, FACEP shares a recent experience negotiating the controversy surrounding sepsis care. Defining best practice can get messy when it is increasingly difficult to define the disease.
  • David L. Meyers MD, FACEP gives further insight into the outstanding work done in in the IOM’s recent report on diagnostic error. In the second of a two part series, he walks us through the committees 8 recommendations.
  • Jamie Santistevan, MD provides us with some key summary points of the SEP-1 measure. This very nicely reinforces the content that was covered in January’s all section webinar (linked above).
  • Susan Nedza MD, MBA, FACEP recounts a recent hospital experience that she had as the family member of a patient. The unique perspective that she experienced and provides to us on quality work in medicine will make you think.
  • Chris Stahmer, MD, Jeff Pepin, MD, and Brooke Moungey MD investigate the history of epinephrine use in the ED and the potential for error with its use.
  • Kerry Gardner, MD, MPH, FACEP details a recent difficult case that she was presented with on a site visit. Unfortunately, the dilemma encountered is something that many of us have likely been faced with in recent months.


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