Got a letter of praise forwarded to the ER manager by the Patient Advocate Office the other day … ZZZZZT! Wha? Did he just say “praise” or did he say “complaint” … [re-read … no it says “praise”]. Staggering! Furthermore it came from a patient encounter that I had in paeds ER. Hmm … I thought about posting a screen-capture of the letter, but it’s honestly embarrassing to receive such praise [and I’ve …

I was at a great conference on Emergency Medicine in San Francisco. My wife and I went to a diner for breakfast. While there I was struck by how efficient the whole experience was. I think that things that made this experience really efficient were: Enough space so we didn’t wait in line Menu’s already on table Menu itself was stuff that they were really good at  and relatively simple to create – …

I came across this posting from one of my fav blogs  [here’s the original link]. It made me think about stewardship. What is stewardship and why is it important? So I did a quick lit search and came across an article from PubMed. The article talks about how to start good stewardship regarding antibiotics in the ER. In fact most of the literature seems to centre around antimicrobial stewardship. I was reflecting on …