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Primary care practitioners need to become genetically literate
Increasing availability of DNA based tests and demand by patients for genetic information and advice mean that primary care practitioners will need to become genetically literate. A paper in this week's BMJ discusses the implications of genetic advances for primary care. Currently, the most important elements for primary care are prediction of... view more... (2001-04-24)

Patients with chronic illness not benefiting from advances in care
Many patients with chronic diseases are not benefiting from advances in care because of a lack of financial and staff resources, inadequate information systems, and doctors' heavy workload, argue US researchers in this week's BMJ. They assessed the extent to which evidence-based chronic care management processes and computer based clinical... view more... (2002-10-22)

Primary-care research is not a lost cause (1004)
A Viewpoint in this week's issue of THE LANCET addresses the state of primary-care research worldwide. Primary care includes the medical services provided by general practitioners (family physicians) and internists, with the aims of providing patients with a broad range of health care over a period of time and coordinating the care the patient... view more... (2004-09-08)

Over a third of deaths after discharge from intensive care are preventable
Over a third of deaths after discharge from intensive care are preventable (Reduction in mortality after inappropriate early discharge from intensive care unit: logistic regression triage model) BMJ Volume 322, pp 1274-1276 Death after discharge from intensive care may be reduced by 39% if at risk patients were to stay in intensive care for... view more... (2001-05-23)

Introducing the patient safety series (pp 913, 970)
Health care providers, hospital administrators, and politicians face competing challenges to reduce clinical errors, control expenditure, increase access and throughput, and improve quality of care. The safe management of the acutely ill inpatient presents particular difficulties. In the first of five Lancet articles on this topic, Julian Bion and... view more... (2004-03-17)

Day-care services could be option for pregnancy complications (pp 1089, 1104)
Research from Australia in this week's issue of THE LANCET highlights how day-care services could offer some benefits over hospital admission for women with pregnancy complications. Day care is increasingly being used for complications of pregnancy, despite little evidence that it is effective. Deborah Turnbull from the University of Adelaide,... view more... (2004-03-31)

UK should introduce a no-fault compensation system
It is time for the UK to introduce a no-fault compensation system in dealing with clinical negligence, argues a senior doctor in this week’s BMJ.   view more (2003-05-07)

Specialist information for emergency care staff now a mouse click away
A one-stop information shop for emergency care staff managed by the Emergency Medicine Research Group at the University of Warwick - the National electronic Library for Health (NeLH) is now on line, the NHS Information Authority announced this week.   view more (2001-11-28)

Insufficient evidence for depression screening in primary care
The latest issue of Effective Health Care focuses on strategies to improve the recognition and management of depression in primary care. Depression is one of the most common reasons for consultation in general practice and is a condition that can be effectively treated. And yet depression often goes unrecognised in up to 50% of attending... view more... (2002-10-11)

Program reduces hospitalizations and costs for nursing home residents with pneumonia
A program that includes having chest x-rays performed in the nursing home reduced the number of nursing home residents hospitalized because of pneumonia and other lower respiratory tract infections.   view more (2006-06-07)

Americans must consider cost and effectiveness when comparing and choosing medical interventions
The American College of Physicians (ACP) proposed today a means to improve physician and patient access to and use of information about clinical and cost-effectiveness when comparing medical products, procedures and services.   view more (2008-05-16)

Study Compares Clinical Diagnoses and Autopsy Diagnoses in ICU Deaths
Comparing clinical diagnoses with autopsy findings for patients who died in intensive care units (ICUs) provides information about underlying missed diagnoses, according to an article in the February 23 issue of The Archives of Internal Medicine, one of the JAMA/Archives journals. According to the article, autopsy rates have decreased worldwide.... view more... (2004-02-18)

American College of Physicians recommends flu vaccination for health-care workers
The American College of Physicians (ACP) recommends that an annual influenza vaccine should be required for every health care worker with direct patient care activities.   view more (2007-10-04)

Patients prefer care from a nurse practitioner than from a doctor
Patients are more satisfied with care from a nurse practitioner than from a doctor, finds a study in this week’s BMJ.   view more (2002-04-03)

Less than half of medical students understand health care system
Less than half of graduating medical students in the U.S. say they received adequate training in understanding health care systems and the economics of practicing medicine.   view more (2009-10-01)

Genetic testing?
Frequently, autopsy becomes the principal diagnostic tool when macro and microscopic analyses provide a conclusive diagnosis in cardiomyopathies.   view more (2008-09-02)

Where's the Science? The Sorry State of Psychotherapy
The prevalence of mental health disorders in this country has nearly doubled in the past 20 years. Who is treating all of these patients?   view more (2009-10-05)

Patients unaware of risks and purpose of research even after informed consent
As many as two-thirds of critically ill patients who consented to take part in a clinical trial do not remember the purpose and risks of the research shortly after.   view more (2006-12-08)

Delirium could be prevented in a third of cases
At least one third of cases of delirium could be prevented if better systems of care were in place according to a doctor in today's BMJ.   view more (2007-04-20)

Pre-school care-givers
In the study, 16 care-givers, who completed the Foundation Course offered by the Irish Pre-school Playgroups Association, were compared to 17 care-givers who did not attend the course. The trained care-givers had higher levels of sensitivity towards the children they looked after. Children attending the centres where the care-givers trained, also... view more... (1999-08-23)
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