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With the media currently focused on vaccine shortages, the emergency physician must be prepared to rationally and scientifically explain diagnostic and therapeutic approaches in children with influenza. The author of this article prepares the ED physician to confidently face the 2004-2005 influenza season.
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Teaching/learning packets engender culture change
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With at least eight California hospitals closed in 2004 and more closings expected before years end, the nations quality managers could not be blamed for hoping that this time the adage that Everything starts in California does not prove true.
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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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In a move widely welcomed by health care quality professionals, the Joint Commission on Accreditation of Healthcare Organi-zations (JCAHO) and the Centers for Medicare & Medicaid Services (CMS) have signed an agreement to completely align current and future common Hospital Quality Measures in their condition-specific measure sets.
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A medication safety improvement initiative at Heartland Health in St. Joseph, MO, employed a structure centered around PASTE plus teams and four key subprocesses to achieve significant process improvement and earn the Missouri Team Quality Award.
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A new planning guide funded by the Agency for Healthcare Research and Quality (AHRQ) is designed to help communities nationwide make sure that all Americans have needed drugs and vaccines in the event of a natural epidemic or bioterrorist attack.