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The Centers for Disease Control continues to reassess its infection control guidelines for pandemic influenza A H1N1, but has held to a controversial N95 respirator recommendation due to the possibility of airborne spread that would make standard surgical masks ineffective, said Michael Bell, MD, associate director for Infection Control in the CDC Division of Healthcare Quality Promotion.
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David Harlow, a health care lawyer and consultant, is the founder of The Harlow Group LLC and a "blawger" at http://healthblawg.typepad.com.
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Hospitalists, very simply, are physicians who provide hospital-based care exclusively, and it is increasingly the model used by institutions in order to have physicians on staff and on call at their institutions on a 24/7 basis.
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Physicians may be operating in burnout mode or suffering from other maladies related to distress and stress long before they are even aware of it, according to Michael K. Kearney, MD, one of the authors of a paper published in the Journal of the American Medical Association (JAMA) earlier this year titled "Self-care of Physicians Caring for Patient at the End of Life: "Being Connected A Key to My Survival."
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About 12 years ago, Cynda Hylton Rushton, PhD, RN, FAAN, and others at Johns Hopkins set about to examine the issue of nurse self-care and the quality of care being delivered in pediatric palliative care.
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Due to the altruistic nature of most health care providers, members of the giving professions often put their own needs last, often to the detriment of themselves, their colleagues and their personal lives and sometimes their patients.
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Seeking to give a voice to the patients served by its various institutions, Harvard has established the Harvard Community Ethics Committee with one distinct mission: To contribute to ethical decision-making. Now, those decisions are being made with input from members of the community.
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With the recognition by hospitalists that improvements needed to be made in transitions in care, primarily focusing on the discharge process to prevent readmissions, the Society of Hospital Medicine has set out to make those improvements.
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A new plan for admitting patients from the ED at Johns Hopkins Bayview Medical Center in Baltimore jointly developed by an ED physician and a hospitalist, decreased ED throughput for admitted patients 98 minutes (from 458 minutes to 360 minutes) from the same period a year earlier, despite an 8.8% increase in the ED census.
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It took Nancy Sikorski, RN, BA, nearly four months of research, telephone calls, and e-mails to bring together some of the RN clinical documentation improvement specialists in northern Illinois for a meeting.
