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Medical management

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03-06-2013 | Mental health | Article

Health service barriers delay psychosis treatment

The nature of first contact with the mental health services impacts on how fast patients receive treatment for psychosis, say UK researchers.

25-04-2013 | Pharmacology | Article

Drug alerts have variable impact on prescribing habits

Direct communication with healthcare professionals, in the form of so-called “Dear doctor” letters, can be effective in reducing inappropriate and unsafe use of medicines, Dutch scientists believe.

25-04-2013 | Internal medicine | Article

Geriatric focus cuts hospital costs

An Acute Care for Elders unit with a focus on identifying and treating geriatric syndromes significantly reduces costs and 30-day readmissions for elderly patients, a study finds.

23-04-2013 | Medical management | Article

Relatively few doctors get a majority of patient complaints

A minority of doctors in Australia elicited a disproportionate number of patient complaints, a study reports in

Quality and Safety in Health Care


23-04-2013 | Neurology | Article

Warning over US neurologist shortage

Neurologists are urging the US Congress to undertake policy changes that will encourage more medical residents to specialize in neurology to ensure patient access to care.

18-04-2013 | Internal medicine | Article

Cost awareness fosters prudent test ordering

A modest decrease in laboratory test ordering occurs when fee data are presented to providers, a study finds.

17-04-2013 | Surgery | Article

Happy patients no indicator of surgical quality

Patient satisfaction with their hospital stay does not inform on the quality of surgical care they received, US researchers warn.

16-04-2013 | Legal medicine | Article

Cancer patients and physicians support assisted dying program

A Death with Dignity program, in which physicians can assist cancer patients with a prognosis of less than 6 months to end their lives, has been well-accepted by patients and their families, and received growing support from the physicians involved.

16-04-2013 | Hospitalist | Article

Some US hospitals may face disincentive to reduce postsurgical complications

The occurrence of postsurgical complications is associated with a higher hospital contribution margin for Medicare and private insurance beneficiaries but a lower one for patients who are covered by Medicaid or self-pay, show the results of a US study.

09-04-2013 | Cardiology | Article

Rural critical access hospitals falling behind in performance

Medicare beneficiaries who receive inpatient care at critical access hospitals in rural communities have higher 30-day mortality rates for acute myocardial infarction, congestive heart failure, and pneumonia than patients who visit other acute care hospitals, a study finds.

08-04-2013 | Hospice medicine | Article

Nurses ‘should be involved in decision-making at end of life’

Dutch researchers recommend that nurses should be more involved in decision making concerning patients who receive continuous palliative sedation at the end of life.

02-04-2013 | Surgery | Article

Pediatric surgery study methodology ‘inconsistent’

Research addressing the influence of surgeon or hospital experience on the outcome of children’s surgery significantly varies in methodology and definition, a review suggests.

26-03-2013 | General practice | Article

Routine planning results in patients' preferred place of death

Conducting advanced care planning during the last year of life is not only feasible but results in three-quarters of patients dying in their preferred location, show UK study results.

26-03-2013 | Internal medicine | Article

Simple model predicts hospital readmission

A simple prediction model can identify patients at increased risk for readmission to hospital before they are discharged, potentially highlighting those who need more intensive transitional care, say scientists.

25-03-2013 | Emergency medicine | Article

Understaffing for intensive care infants has infection consequences

Nurse understaffing relative to national guidelines is associated with higher rates of infection among very-low-birthweight infants in US neonatal intensive care units, a study shows.

19-03-2013 | Emergency medicine | Article

Presenting symptoms belie ED discharge diagnoses

Presenting symptoms among patients in the emergency department do not differ between those who need hospital treatment and those who could have been treated in primary care, a study in JAMA shows.

19-03-2013 | Surgery | Article

Integrated delivery system benefits do not extend to inpatient surgery

US integrated delivery systems do not improve the quality of inpatient surgical care, research shows.

14-03-2013 | Surgery | Article

Australian GPs told to shake up colorectal cancer referral system

General practitioners should take a more defined and systematic approach to the management of colorectal cancer, say Australian researchers who found that their involvement in the referral pathway was associated with poorer care.

14-03-2013 | Surgery | Article

Hospital volume impacts survival in advanced HNSCC

Higher hospital volume is associated with better survival in patients with advanced head and neck squamous cell carcinoma, an analysis of US data suggests.

14-03-2013 | General practice | Article

Primary and specialist care comparable for obstructive sleep apnea

Primary care management of obstructive sleep apnea is comparable to that provided in a specialist sleep center, with possible lower costs, study findings show.