Subscribe: pubmed: 0003-4819
http://eutils.ncbi.nlm.nih.gov/entrez/eutils/erss.cgi?rss_guid=0hj3LazvFs_Vn_0JqlgU1hjJQb-mrzrvca4YkJE-l0N
Preview: pubmed: 0003-4819

pubmed: 0003-4819



NCBI: db=pubmed; Term=0003-4819



 



Annals Graphic Medicine - Anatomy of a Donut Hole.

Annals Graphic Medicine - Anatomy of a Donut Hole.

Ann Intern Med. 2017 Mar 28;:

Authors: Farris GE

PMID: 28346952 [PubMed - as supplied by publisher]




Professionalism Charter Provides Guidance to Health Care Organizations in These Troubled Times.

Professionalism Charter Provides Guidance to Health Care Organizations in These Troubled Times.

Ann Intern Med. 2017 Mar 28;:

Authors: Fleming DA, McDonald WJ

PMID: 28346951 [PubMed - as supplied by publisher]




A Tale of 2 Countries: How I Saw More Patients With More Joy in Internal Medicine Practice.

A Tale of 2 Countries: How I Saw More Patients With More Joy in Internal Medicine Practice.

Ann Intern Med. 2017 Mar 28;:

Authors: DeWitt DE

PMID: 28346950 [PubMed - as supplied by publisher]




Designing and Regulating Wisely: Removing Barriers to Joy in Practice.

Designing and Regulating Wisely: Removing Barriers to Joy in Practice.

Ann Intern Med. 2017 Mar 28;:

Authors: Sinsky CA

PMID: 28346949 [PubMed - as supplied by publisher]




Putting Patients First by Reducing Administrative Tasks in Health Care: A Position Paper of the American College of Physicians.

Putting Patients First by Reducing Administrative Tasks in Health Care: A Position Paper of the American College of Physicians.

Ann Intern Med. 2017 Mar 28;:

Authors: Erickson SM, Rockwern B, Koltov M, McLean R, Medical Practice and Quality Committee of the American College of Physicians

Abstract
This American College of Physicians (ACP) position paper, initiated and written by ACP's Medical Practice and Quality Committee and approved by the Board of Regents on 21 January 2017, reports policy recommendations to address the issue of administrative tasks to mitigate or eliminate their adverse effects on physicians, their patients, and the health care system as a whole. The paper outlines a cohesive framework for analyzing administrative tasks through several lenses to better understand any given task that a clinician and his or her staff may be required to perform. In addition, a scoping literature review and environmental scan were done to assess the effects on physician time, practice and system cost, and patient care due to the increase in administrative tasks. The findings from the scoping review, in addition to the framework, provide the backbone of detailed policy recommendations from the ACP to external stakeholders (such as payers, governmental oversight organizations, and vendors) regarding how any given administrative requirement, regulation, or program should be assessed, then potentially revised or removed entirely.

PMID: 28346948 [PubMed - as supplied by publisher]




Health and Public Policy to Facilitate Effective Prevention and Treatment of Substance Use Disorders Involving Illicit and Prescription Drugs: An American College of Physicians Position Paper.

Health and Public Policy to Facilitate Effective Prevention and Treatment of Substance Use Disorders Involving Illicit and Prescription Drugs: An American College of Physicians Position Paper.

Ann Intern Med. 2017 Mar 28;:

Authors: Crowley R, Kirschner N, Dunn AS, Bornstein SS, Health and Public Policy Committee of the American College of Physicians

Abstract
Substance use disorders involving illicit and prescription drugs are a serious public health issue. In the United States, millions of individuals need treatment for substance use disorders but few receive it. The rising number of drug overdose deaths and the changing legal status of marijuana pose new challenges. In this position paper, the American College of Physicians maintains that substance use disorder is a treatable chronic medical condition and offers recommendations on expanding treatment options, the legal status of marijuana, addressing the opioid epidemic, insurance coverage of substance use disorders treatment, education and workforce, and public health interventions.

PMID: 28346947 [PubMed - as supplied by publisher]




Association Between a Virtual Glucose Management Service and Glycemic Control in Hospitalized Adult Patients: An Observational Study.

Association Between a Virtual Glucose Management Service and Glycemic Control in Hospitalized Adult Patients: An Observational Study.

Ann Intern Med. 2017 Mar 28;:

Authors: Rushakoff RJ, Sullivan MM, MacMaster HW, Shah AD, Rajkomar A, Glidden DV, Kohn MA

Abstract
Background: Inpatient hyperglycemia is common and is linked to adverse patient outcomes. New methods to improve glycemic control are needed.
Objective: To determine whether a virtual glucose management service (vGMS) is associated with improved inpatient glycemic control.
Design: Cross-sectional analyses of three 12-month periods (pre-vGMS, transition, and vGMS) between 1 June 2012 and 31 May 2015.
Setting: 3 University of California, San Francisco, hospitals.
Patients: All nonobstetric adult inpatients who underwent point-of-care glucose testing.
Intervention: Hospitalized adult patients with 2 or more glucose values of 12.5 mmol/L or greater (≥225 mg/dL) (hyperglycemic) and/or a glucose level less than 3.9 mmol/L (<70 mg/dL) (hypoglycemic) in the previous 24 hours were identified using a daily glucose report. Based on review of the insulin/glucose chart in the electronic medical record, recommendations for insulin changes were entered in a vGMS note, which could be seen by all clinicians.
Measurements: Proportion of patient-days classified as hyperglycemic, hypoglycemic, and at-goal (all measurements ≥3.9 and ≤10 mmol/L [≥70 and ≤180 mg/dL] during the pre-vGMS, transition, and vGMS periods).
Results: The proportion of hyperglycemic patients decreased by 39%, from 6.6 per 100 patient-days in the pre-vGMS period to 4.0 per 100 patient-days in the vGMS period (difference, -2.5 [95% CI, -2.7 to -2.4]). The hypoglycemic proportion in the vGMS period was 36% lower than in the pre-vGMS period (difference, -0.28 [CI, -0.35 to -0.22]). Forty severe hypoglycemic events (<2.2 mmol/L [<40 mg/dL]) occurred during the pre-vGMS period compared with 15 during the vGMS period.
Limitation: Information was not collected on patients' concurrent illnesses and treatment or physicians' responses to the vGMS notes.
Conclusion: Implementation of the vGMS was associated with decreases in hyperglycemia and hypoglycemia.
Primary Funding Source: National Institutes of Health, the Wilsey Family Foundation, and the UCSF Clinical & Translational Science Institute.

PMID: 28346946 [PubMed - as supplied by publisher]




Virtual Glucose Management in the Hospital Setting.

Virtual Glucose Management in the Hospital Setting.

Ann Intern Med. 2017 Mar 28;:

Authors: Rayman G

PMID: 28346945 [PubMed - as supplied by publisher]