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Patient Safety May Drop During Doc Rotations

Posted 1 day 10 hours ago by Drugs.com

TUESDAY, Dec. 6, 2016 – Hospitalized patients who are handed off by their original medical team to a new set of caregivers may ultimately face a higher risk of early death, new research warns. The finding does not apply to daily shift changes or new patients who see one doctor or nurse at admitting, and then another shortly thereafter. Rather, it centers on a standard hospital dynamic known as "rotations," in which teams of caregivers hold the fort for a defined amount of time, sometimes weeks, before turning their pool of patients over to a new team. Such a transition "occurs each month when a training physician [resident] switches clinical rotations by transferring the care of hospitalized patients, often up to 10 to 20 at a time, to an oncoming physician who has never met the patients," explained study author Dr. Joshua Denson. He is a fellow in the division of pulmonary sciences ... Read more

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911 Best Call for Heart Attack Victims in Rural Areas: Study

Posted 1 May 2015 by Drugs.com

FRIDAY, May 1, 2015 – Many rural residents with severe heart attacks drive or are driven to the hospital, but they have a better chance of survival if they call 911, a new study finds. Researchers looked at 774 people in rural Minnesota, North Dakota and South Dakota who suffered a severe type of heart attack in 2013 and 2014. Fifty-two percent of them arrived at the hospital in their own vehicles, rather than calling 911. The average time it took to get to the hospital was 38 minutes for patients who traveled in their own vehicles and 26 minutes for those brought by ambulance. The average time it took from arriving at the hospital to receiving heart artery-opening treatment was 57 minutes for those who traveled in their own vehicles and 42 minutes for those who arrived by ambulance. The study was published April 29 in the American Heart Association (AHA) journal Circulation: ... Read more

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Routine Heart Care Similar From Nurse Practitioners, Doctors: Study

Posted 1 May 2015 by Drugs.com

FRIDAY, May 1, 2015, – Many patients with chronic heart disease will receive the same quality of care from a nurse practitioner or physician assistant as they would from a doctor, a new study suggests. That's good news because the recent expansion of U.S. health coverage has many public health experts warning of a future with too few doctors for the patients on hand. "With the passage of the Affordable Care Act, we are looking at 34 million new patients entering the system with new coverage by 2016," said study lead author Dr. Salim Virani, an investigator with the Veterans Affairs (VA) Medical Center in Houston. "The estimates are that by 2020 we will have a shortfall of 45,000 primary care doctors and 45,000 specialists, rising to 130,000 doctors by 2025." This begs the question, he said, as to how the short-handed health care system will handle this influx of patients. Shortages of ... Read more

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