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One of the great challenges in the whole world of quality and patient safety is learning to take advantage of the richness of clinical cases, says Robert M. Wachter, MD, professor and associate chairman in the department of medicine at the University of California, San Francisco (UCSF) and chief of the medical service at UCSF Medical Center.
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The sign over your emergency departments (ED) door may say emergency, but the people who walk in may not necessarily be having one.
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The uninsured; The underinsured; Indigent patients; Undocumented workers.
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As health insurance costs escalate and employers provide a lower level of coverage for employees or cut out insurance benefits altogether, the number of workers with no health insurance is on the rise. Meanwhile, states are struggling with dwindling funds for Medicaid and are slashing benefits, and an unprecedented number of undocumented workers are seeking care in hospital emergency departments.
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Its a common observation when the discussion is about return-to-work plans: Every return to work plan is different because every employee/patient is different. But what about cases that are really different when the employee has been off work for five years or is returning after a traumatic injury that not only affected the employee, but also the co-workers who witnessed it?
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The first head-to-head comparison study of an ACE inhibitor and an angiotensin receptor blocker, to assess renoprotective effects in type 2 diabetes, has shown that the drugs are comparable in their benefit.
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Clinicians should become confident in management of constipation for numerous reasons, not the least of which is the sheer magnitude of its prevalence in the ambulatory setting.
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What sets one quality improvement program apart from all the others? To hear the staff at El Camino Hospital in Mountain View, CA, tell it, it's the unique relationship between the physicians and nurses.
