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Speak-up and just culture, clinical communication, aging in place and home safety, fall detection, remote caregiving, AI in clinical care, and health-tech adoption. 19 articles, newest first.
Featured
9 min read
Voice assistants, automated lighting, smart locks, video calling and radar-based fall detection can keep a veteran living independently. Getting that technology into the home is a clinical job, a procurement job and a human one.
9 min read
Video cameras can help an older parent stay home longer and safer, but only when the family decides, out loud and in advance, what the cameras are for and what they are not for.
8 min read
After 35 years as a physical therapist, that old commercial line brings back faces. Why pendant alarms so often fail, and how micro-Doppler radar, Wi-Fi sensing, and LiDAR are letting the home itself notice a fall.
6 min read
Before anyone raises a concern, they quietly ask two questions: Is it safe? and Is it worth it? A poster answers neither. A look at the research behind speak-up culture, the four quadrants of voice and silence, and why the answer is the only thing leaders actually control.
5 min read
Quality of care is proportional to the quality of your questions, multiplied by how often you ask, raised to the power of the integrity of your answers. A walk through the equation — and why honest answers are the exponent that amplifies everything else.
3 min read
The same device can enable compassion or extinguish it, and the difference is never settled in the silicon. Six questions — for leaders, clinicians, students, prescribers, and builders — about where moral responsibility for technology actually sits.
9 min read
Independence does not leave through the front door with a suitcase. It slips out through a hundred small exits. A home safety professional on why you cannot subtract your way to safety, and how to negotiate risk without shrinking a person's life.
10 min read
If you have been in a clinical setting recently, you have probably heard a colleague mention OpenEvidence. Perhaps you have seen a resident pull it up on their phone during rounds, or a colleague reference it when discus
11 min read
In 1999, the Institute of Medicine published a report that shook American healthcare to its foundation. To Err Is Human estimated that between 44,000 and 98,000 people die in U.S. hospitals each year from preventable med
13 min read
In my last post, Why Health Technology Adoption Is So Complex I talk about "actionable intelligence at the moment it matters."
12 min read
Is it a Pandora's Box or the solution we've been waiting for?
15 min read
In 1989, I was working on my Master's thesis studying postural changes in people with Parkinson's disease. I had a problem: I needed to quantify those changes reliably. Digital photography did not exist. So I installed a
11 min read
When a large language model tells a physician that a drug interaction is safe when it isn't, or fabricates a clinical study that doesn't exist, we call it a hallucination. The term itself reveals our confusion about what
12 min read
For over a decade, my primary occupation was to keep veterans safe in their homes. It was an honor and a privilege to defend their freedom to stay in their home safely and with dignity as time and circumstances presented
9 min read
You are working with a founder of a health-tech company. They feel that their idea will change the world and benefit patients. You don't disagree. Your job is to help this founder, this company, and this idea succeed. So
12 min read
The conversation about technology adoption in healthcare often defaults to a familiar narrative: older patients resist technology while younger ones embrace it. This oversimplification, while containing a kernel of truth
5 min read
Effective January 1, 2026
3 min read
Why PT Students Should Learn SBAR: Speaking the Language of Healthcare
3 min read
Stephen Shedletzky's book Speak-Up Culture delves into the importance of creating environments where individuals feel safe and empowered to voice their thoughts, concerns, and ideas. The book explores how leaders can fos...
