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Patient-safety issues raised by the critics of limits on resident duty hours have not materialized. But concerns about doctors-in-training spending less time with patients appear to be valid, according to two new studies in the Journal of General Internal Medicine.
The Accreditation Council for Graduate Medical Education set an 80-hour weekly work limit (averaged over four weeks) in 2003. Further limits, including restricting first-year residents to 16-hour shifts went into effect in 2011. The movement to limit resident work hours was originally driven by Sidney Zion, a journalist, prosecutor and novelist, whose 18-year-old daughter Libby died a few hours after being admitted to New York Hospital on the night of March 4, 1984. His fight led to New York state limiting residents to an 80-hour workweek and 24-hour shifts in 1989.
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A number of major medical specialty medical societies are preparing to release new lists of tests and procedures they deem to be unnecessary or potentially harmful, as the third installment of the American Board of Internal Medicine Foundation's “Choosing Wisely” campaign, the foundation announced Wednesday.
Beginning in September and continuing through March, more than 30 national specialty
physicians' groups will release lists of services they consider overused.
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There has been significant progress in getting health information technology systems to talk to one another, according to a new study on interoperability by HHS' Office of the National Coordinator for Health Information Technology.
The study, “Hospital Electronic Health Information Exchange Grew Substantially in 2008-12,” was published in the August issue of the policy journal Health Affairs. The report was written by five ONC staffers, including the lead author, Michael Furukawa, director of the ONC's Office of Economic Analysis, Evaluate and Modeling, and contributor Dr. Farzad Mostashari, the ONC chief.
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The findings of a new study published this week in BMJ Quality & Safety show the first evidence that electronic health records can play a role in reducing hospital readmissions of high-risk heart failure patients.
The study evaluated more than 1,700 adult inpatients diagnosed with heart failure, myocardial infarction and pneumonia over a two-year period at Parkland Memorial Hospital in Dallas. With the use of software developed to assess the patients on a daily basis at highest risk, researchers were able reduce the readmission rate of those studied by 26%.
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The for-profit assisted-living industry came under the harsh spotlight of PBS' “Frontline” investigators Tuesday night as the news program took Seattle-based Emeritus Corp. to task for a number of deaths and injuries involving residents with dementia at Emeritus facilities across the country.
Emeritus, which was founded in 1983 and has 483 facilities around the country, is the one of the country's biggest assisted-living operators.
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The latest is not always the greatest in medical treatments, according to a study posted on the Mayo Clinic Proceedings website. It reviewed the findings of more than 1,300 previously published reports on medical practices.
Clinical areas where current practice standards were contradicted by published studies include the drug aprotinin used in cardiac surgery, the use of hormone therapy for postmenopausal women, the use of pulmonary artery catheters, the recommended glycemic targets for diabetics, and the use of arthroscopic surgery of the knee for osteoarthritis.
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Mobile computing devices are becoming almost as much of an essential tool in U.S. physician practices as the exam table, according to a new survey.
Nearly 80% of 300 U.S. practicing physicians in primary care, family and internal medicine that were sampled and surveyed in April said they were using a smartphone in their “day-to-day practice.” Another 61% were using mobile tablets.
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Veteran investigative journalist Kurt Eichenwald has an important and scathing commentary in the new issue of Vanity Fair on the issue of how new state restrictions in Texas and other states on centers providing abortion and other women's health services are likely to affect diagnosis and treatment of breast cancer patients.
What prompted Eichenwald to write the piece was that his wife, Theresa, a physician, recently was diagnosed with the disease, just a few weeks after discovering a breast lump. Eichenwald contrasts his wife's speedy diagnosis and treatment with the long delays faced by low-income and uninsured women associated with greater likelihood of death. He names and blames anti-abortion lawmakers in his home state of Texas for passing legislation that will shut down a number of centers where low-income and uninsured women receive screening and referrals for breast cancer.
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Hoven
A group of healthcare providers have recommended strategies to reduce five commonly overused and sometimes unnecessary medical treatments or interventions, such as the use of antibiotics for viral upper respiratory infections and early elective deliveries.
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