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A woman underwent surgery to remove her gallbladder. During the procedure, the surgeon noticed a hole in the patients intestine, which he immediately repaired. However, he completed the surgery without examining the rest of the intestine. After the procedure, the woman exhibited symptoms of an abdominal infection. Doctors reopened the womans abdomen and discovered a second perforation that had caused intestinal contents to leak into her abdominal cavity. Although they attempted to repair the hole, the delay had irreversibly exacerbated the womans condition and she died.
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To effectively manage patients care, providers need the most information possible. The question becomes, under HIPAA, whether managed care organizations can disclose patient information to all providers for any reason
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In the March 25 Federal Register, the Centers for Medicare & Medicaid Services published procedures for nonprivacy administrative simplification complaints under HIPAA, along with a description of the procedures the Department of Health and Human Services will follow in reviewing such complaints.
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Many small physician practices had gaps in three key areas as they attempted to meet the April 20 deadline for HIPAA security standards, according to Dallas-based MedSynergies.
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The Department of Health and Human Services (HHS) has published the third in a series of seven papers designed to provide guidance on the HIPAA security standards.
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Choudhry and colleagues sought to establish the relationship between quality of care with clinical experience by reviewing 62 articles that measured physician knowledge or quality of care as well as time since medical school graduation or age.
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A rigorous operative and pathologic protocol for RRSO increases the detection rate of occult ovarian malignancy in BRCA mutation carriers nearly seven-fold. If confirmed, this finding will alter postoperative management because additional staging, chemotherapy, and follow-up may be necessary in affected women.
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Conjugated equine estrogen alone and CEE + MPA increased the risk of urinary incontinence among continent women and worsened the characteristics of urinary incontinence among symptomatic women after 1 year.
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The accuracy of frozen section diagnosis for the assessment of the ovarian mass is good, with acceptable sensitivities for almost perfect specificities. Future studies on patient preferences for the different outcomes, as well as economic analysis, are needed for definite position of this diagnostic technique.
