Virtual vs In-Person Education for Inhaler Use in Asthma, COPD
Hospitalized patients with asthma or COPD who received virtual inhaler use education via a tablet was as effective as in person education.
Practice Management Information Center
Patient Refusal of Observation Following Naloxone Resuscitation: An Ethical, Clinical Dilemma
Following resuscitation with naloxone, clinicians commonly recommend an observation period to monitor for rebound apnea and other symptoms. Patient refusal of this recommendation is common, although rarely discussed in the literature.
Identifying Differences in Rural, Urban Use of Postacute Care
Researchers sought to examine differences in the frequency, type, and duration of postacute care use among rural and urban Medicare beneficiaries.
Nurse Certification May Promote Evidence-Based Practice in ICU
Nurses certified in critical care also have higher perceived value of evidence-based practices.
Nurses Can Help Manage Drug Interactions in HIV/Hep C Treatment
Administration of simeprevir is more problematic with ART; sofosbuvir has fewest interactions with ART.
Medical Guidelines at Odds With Public Policy: Should There Be a Minimum Age for Gender Transition?
A highly publicized custody dispute in Texas has garnered attention from medical societies and policy makers alike.
Psychological Safety at Work Tied to Hospital Infection Prevention
Work culture of high psychological safety reported in about 38% of acute care hospitals.
Marginal Increase in PCP Access After ACA Medicaid Expansion
No change in emergency department utilization during 2014 to 2016 after expansion of Medicaid.
Physician Depression Symptoms Associated With Increased Risk for Medical Error
Results published in JAMA Network Open suggest that physicians with positive screening for depressive symptoms were at higher risk for making medical errors.
Patients Report Negative, Nonexistent Discussions About Weight Loss With Physicians
For patients who are overweight or obese, clinical visits are often characterized by negative interactions and dismissive advice.
Psychiatric Nurses Concentrated in Northeast, Leaving Shortages Elsewhere
Strategies to encourage better distribution of advanced practice psychiatric nurses to lower-resourced areas must be developed to address the workforce shortages.
Decreasing Proportion of Americans Has Source of Primary Care
Significant reductions among adults in their 30s, 40s, 50s; decrease for those with no comorbidities.
Teledermatology – Access to Specialized Care Via a Different Model
Teledermatology offers near-immediate access to specialty medicine for underserved populations. Robert Stavert, MD, MBA, describes the successful physician-to-physician model his team employs at a safety net healthcare system.
Review Identifies Current Diagnostic Methods, Pharmacologic, Nonpharmacologic Approaches to Dementia
Medical history, cognitive and physical examination, laboratory testing, and brain imaging can help identify causes of dementia, and several pharmacologic and nonpharmacologic approaches can help manage the disease.
Outcomes Worse for Rural Residents With Chronic Conditions
Higher preventable hospitalization and mortality rates partly due to reduced access to specialists.
Treating Depression in Primary Care: A Critical Overview
The researchers sought to address the large population receiving mental healthcare in primary care settings; many studies focus instead on patients in mental health services and psychiatric settings.
Burnout Rates Exceed 50% for Pediatric Residents
Stress, sleepiness, dissatisfaction with work-life balance, recent medical error linked to burnout risk.
Adopting a Whole-Food Plant-Based Diet is Beneficial for Providers, Patients
Researchers created an experiential education program for clinicians to learn about and follow a whole-food plant-based dietary pattern in order to better counsel their patients on this diet.
Starting Your Own Medical Practice? Avoid These 5 Common Mistakes
If you’re starting your own medical practice, be sure to avoid these 5 common pitfalls.
Antibiotics Often Prescribed Without Documented Indication
Of 130.5 million prescriptions in 2015, 18% had no documented indication.
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