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Not Who, but Rather How: The Ideal Resuscitation Team Leader
There are approximately 292,000 adult in-hospital cardiac arrests in the United States annually, and survival rates remain low.1 Team leadership skills have been identified as a key area of focus for improving cardiac arrest outcomes, but these same guidelines do not define who the team leader should be.2,3 In current practice, the code team leader is often the health care professional with the most credentials, but outcomes based on this tradition had not been studied previously. In this issue of Mayo Clinic Proceedings: Innovations, Quality & Outcomes, Hejjaji et al4 report their study on the survival outcomes of adult patients with in-hospital cardiac arrest (IHCA) across hospital groups based on the credentials of the resuscitation team leader.A Helping Hand
As hospitals around the country and the world fill with coronavirus disease 2019 (COVID-19) patients, the workers within them are growing weary. Resources are scarce, personal protective equipment limited, beds full, and tempers frayed. Fatigue is etched on the faces of our colleagues and laced in the voices of our friends. Our communities go into lockdown, and the number of COVID-19 patients drops for a while. Then human nature kicks in and people rebel against the constraints, and cases begin to rise again.Trainee Well-Being: More Important Than Ever
Physician well-being is a major concern in modern medicine. The unacceptably high prevalence of distress among physicians is well documented, as are its drivers.1,2 These largely reside within the work environment, and include excessive workload, inefficient work processes, suboptimal work-home integration, lack of workplace control and autonomy, and loss of meaning from work. In short, burnout and other forms of distress result when job demands chronically exceed job resources.Asymptomatic Bacteriuria: For How Long Will We Keep Swimming Against The Current?
“The chains of habit are too weak to be felt until they are too strong to be broken.” —Samuel JohnsonNew Scope for the Stethoscope
Health care–associated infections have steadily increased over the last several decades. The annual cost of such infections is more than 25 billion dollars.1 While gloves and hand hygiene have prevented spreading of infections from physical contact, stethoscope still exists as a potential vector.2-4 There have been several articles which concluded that stethoscopes are known vectors of transmitting infections such as methicillin-resistant Staphylococcus aureus, vancomycin-resistant Enterococcus faecium, and various other micro-organisms that respond to only a narrow spectrum of antibiotics.Extreme Physical Activity May Increase Coronary Calcification, But Fitness Still Prevails
Considerable data have emphasized the powerful impact of sedentary behavior, physical inactivity, and low levels of physical activity (PA) that result in poor levels of cardiorespiratory fitness (CRF) on overall and cardiovascular health.1-5 In fact, low PA and CRF may be the greatest threat to health in the 21st century. Therefore, greater efforts are needed throughout the health care system and at the government level to promote PA that improves CRF and contributes to reduced cardiovascular disease (CVD) and total mortality worldwide.From Taking First Steps to Hitting Our Stride
This issue marks the beginning of the second year in the life of Mayo Clinic Proceedings: Innovations, Quality & Outcomes (MCP:IQ&O). This is a good time to reflect on what goals we have achieved, and what strategies might help us take the journal to the next level.Beyond Solo Interventions: Working Toward Medication Optimization
In spite of considerable improvements to health care delivery, health information technology, and the availability of new medicines, adverse drug events (defined as harm experienced by a patient as a result of exposure to a medication) persistently and detrimentally affect patient safety and quality of life, in addition to affordability and quality of care provided throughout the United States. Since the Agency for Healthcare Research and Quality reported more than a decade ago that roughly 770,000 injuries or deaths result annually from adverse drug events—as well as an estimated financial burden on US hospitals ranging between $1.6 and $5.6 billion annually—unfortunately, little has changed.
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