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It has been more than 30 years since the Centers for Medicare & Medicaid Services (CMS) moved from using a chart review process to implementation of standardized measures as a way to determine the quality of care patients receive.
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Johns Hopkins researchers say they have uncovered an unintended consequence of the move in recent years to reduce the legend-arily long and onerous work hours of interns. Shorter work hours can increase the risks of patient handoff, they say.
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A study on 74,000 patients in 74 US intensive care units found that using antibacterial soaps and ointment on all intensive care patients can reduce infection with methicillin-resistant Staphylococcus aureus.
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Youve had that experience before: You say something innocuous and someone takes umbrage. You meant no harm. Indeed, you did not mean it the way they took it at all.
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If healthcare of the past was about how much you do, then healthcare of the future is about making sure you do it well and for a good price.
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The Affordable Care Act (ACA) will put more emphasis on both comparative effectiveness and cost-effectiveness, and this raises important ethical considerations, according to Gary E. Jones, PhD, JD, professor in the Philosophy Department at University of San Diego (CA).
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Some hospitals are now being required to inform living donors of the risks they face, fully evaluate their medical and psychological suitability, and track their health for years after donation.
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The use of bipolar disorder diagnoses for children whose primary symptoms were manifested by irritability, rather than the traditional cyclical mood symptoms of adult bipolar disorder, has been a major concern in child psychiatry in recent years, says Paul S. Appelbaum, MD, Dollard Professor of Psychiatry, Medicine, and Law and director of the Division of Law, Ethics, and Psychiatry at Columbia University College of Physicians & Surgeons in New York City.
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If a patient finds out her doctor prescribed a medication manufactured by a drug company he happens to have a lucrative consulting contract with, will she view this as an indication that he's prominent in his field or that he has "sold out" to the industry?
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There is still "a good deal of confusion" about what informed consent and shared decision-making really are, according to Howard Brody, MD, PhD, John P. McGovern Centennial Chair in Family Medicine and director of the Institute for the Medical Humanities at the University of Texas Medical Branch at Galveston.
