News Sicurezza del paziente e gestione del rischio

Enterovirus D68 (EV-D68) causes respiratory illnesses such as pneumonia, and has been reported to cause acute flaccid myelitis. Enterovirus A71 (EV-A71) is known to cause cardiopulmonary failure due to brainstem encephalitis, but there have been few reports of these conditions being associated with EV-D68. Outbreaks of EV-D68 infection have occurred... Leggi di più
Pubblicato il 15-11-2019
Fonte: BMJ CASE REPORTS - recent articles
By Yogo, N., Imamura, T., Muto, Y., Hirai, K.
The Andrew Herxheimer memorial lecture at the 2019 Paris general assembly of the International Society of Drug Bulletins, delivered by Alan Cassels (Communications Director, Therapeutics Initiative, University of British Columbia) and Dee Mangin (Professor of Family Medicine at McMaster University), focused on the burden of overprescribing. Both speakers provided a... Leggi di più
Pubblicato il 14-11-2019
Fonte: DRUG AND THERAPEUTIC BULLETIN - online first
By Cave, J. A.
No abstract available... Leggi di più
Pubblicato il 14-11-2019
Fonte: MEDICAL CARE - current issue
Objectives: Our objectives were to assess rates of perceived stigma in health care (clinical) settings reported by racially diverse New York City residents and to examine if this perceived stigma is associated with poorer physical and mental health outcomes. Methods: We analyzed data from the 2016 New York City Community... Leggi di più
Pubblicato il 14-11-2019
Fonte: MEDICAL CARE - current issue
Background: General population surveys are increasingly offering broader response options for questions on sexual orientation—for example, not only gay or lesbian, but also “something else” (SE) and “don’t know” (DK). However, these additional response options are potentially confusing for those who may not know what the terms mean. Researchers studying... Leggi di più
Pubblicato il 14-11-2019
Fonte: MEDICAL CARE - current issue
Background: The occurrence of neonatal abstinence syndrome (NAS) mirrors the growing opioid epidemic in the United States. As Medicaid covers a majority of cases, the commercially insured population has largely been ignored for NAS risk. Objective: The objective of this study was to examine Medicaid and commercially insured mother-infant pairs... Leggi di più
Pubblicato il 14-11-2019
Fonte: MEDICAL CARE - current issue
Background: Patient experience data can be collected by sampling patients periodically (eg, patients with any visits over a 1-year period) or sampling visits continuously (eg, sampling any visit in a monthly interval). Continuous sampling likely yields a sample with more frequent and more recent visits, possibly affecting the comparability of... Leggi di più
Pubblicato il 14-11-2019
Fonte: MEDICAL CARE - current issue
Background: Minimally invasive hysterectomy for fibroids decreases recovery time and risk of postoperative complications compared with abdominal hysterectomy. Within Veterans Affair (VA), black women with uterine fibroids are less likely to receive a minimally invasive hysterectomy than white women. Objective: To quantify the contributions of patient, facility, temporal and geographic... Leggi di più
Pubblicato il 14-11-2019
Fonte: MEDICAL CARE - current issue
Background: Asian American Pacific Islander (AAPI) sexual and gender minorities (SGM) face unique challenges in mental health and accessing high-quality health care. Objective: The objective of this study was to identify barriers and facilitators for shared decision making (SDM) between AAPI SGM and providers, especially surrounding mental health. Research Design:... Leggi di più
Pubblicato il 14-11-2019
Fonte: MEDICAL CARE - current issue
Background: There is evidence suggesting higher rates of negative surgical outcomes for patients with lower socioeconomic status. Objective: The objective of this study was to evaluate the effects of different geographic measures of socioeconomic status and deprivation on surgical outcomes in the United States. Research Design: We extracted county-level, zip... Leggi di più
Pubblicato il 14-11-2019
Fonte: MEDICAL CARE - current issue
No abstract available... Leggi di più
Pubblicato il 14-11-2019
Fonte: MEDICAL CARE - current issue
Background: Despite the critical role that Emergency Medical Services (EMS) provides in the health care system, racial/ethnic treatment disparities in EMS remain relatively unexamined. Objective: To investigate racial/ethnic treatment disparities in pain assessment and pain medication administration in EMS. Research Design: A retrospective analysis was performed on 25,732 EMS encounters... Leggi di più
Pubblicato il 14-11-2019
Fonte: MEDICAL CARE - current issue
Importance: Hospitals that serve poorer populations have higher readmission rates. It is unknown whether these hospitals effectively lowered readmission rates in response to the Hospital Readmissions Reduction Program (HRRP). Objective: To compare pre-post differences in readmission rates among hospitals with different proportion of dual-eligible patients both generally and among the... Leggi di più
Pubblicato il 14-11-2019
Fonte: MEDICAL CARE - current issue
Background: Long-term nursing home residents have complex needs that often require services from acute care settings. The accountable care organization (ACO) model provides an opportunity to improve care by creating payment incentives for more coordinated, higher quality care. Objectives: To assess the extent of nursing home participation in ACOs, and... Leggi di più
Pubblicato il 14-11-2019
Fonte: MEDICAL CARE - current issue
Introduction: The Medicare Annual Wellness Visit (AWV) is a preventive care visit introduced in 2011 as part of the Affordable Care Act provided without cost to beneficiaries. The AWV is associated with higher preventive services utilization. Although AWV utilization increased during 2011–2013, utilization was lower among ethnoracial minority beneficiaries who... Leggi di più
Pubblicato il 14-11-2019
Fonte: MEDICAL CARE - current issue