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Like most cardiac surgeons, William Fiser, MD, of Little Rock, AR, occasionally cut or nicked his hand during delicate procedures. He did not use blunt suture needles or double gloves. He did not routinely order blood tests on himself or his patients after blood exposures.
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Youve brought in safer needle devices and reduced your needlesticks. Do you declare success? What more should you do?
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A Six Sigma project is not just another QI initiative, says Richard Beaver, vice president of quality for Heritage Valley Health System, which includes Sewickley (PA) Valley Hospital, Heritage Valley Hospital, 49 physician offices, the Moon Surgery Center, and 14 community satellite facilities.
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How do you ensure a successful hospitalist program? You find the right physicians, incentivize them the right way, and give them the tools they need to meet their goals, says Ron Greeno, MD, FCCP, chief medical officer for Cogent Healthcare in Los Angeles. Its our formula for success.
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When the National Institutes of Health (NIH) recently became the target of intense public criticism and scrutiny over potential conflicts of interest (COI) among NIH directors and staff and clinical trials, it became apparent to the research world that this is an issue that could be a problem for any institution. The best prevention strategy is to be proactive by having policies, procedures, and possibly a special committee that reviews COIs, experts say.
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Part I of this two-part series on stroke covered the differential diagnosis, risk factors, and prevention of stroke. This second and final part in the series will focus on the physical examination, laboratory investigations, imaging, and treatment of stroke.
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The ending to a highly charged political year that brought a few ups and many downs to AIDS funding and policy still leaves a major question unresolved: How can AIDS groups convince the public and legislators the domestic epidemic remains potent?
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Researchers studying condom use among men enlisted in the U.S. Navy found that strategies promoting condom use in foreign parts appear to be working effectively, although more intervention efforts are needed in home ports. Condom use with steady partners varied from 7% to 13%; condom use with casual partners at home varied from 39% to 46%; and condom use with casual partners in a foreign port varied from 52% to 69%.