Current Clinical Care News and Events

Current Clinical Care News and Events, Clinical Care News Articles.
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Improving discharge process key to reducing avoidable rehospitalizations, MU study finds
Throughout her career, Lori Popejoy provided hands-on clinical care in a variety of health care settings, from hospitals and nursing homes to community centers and home health care agencies. (2021-02-15)

New trial finds arthritis drug no better than standard care for severe covid-19
Adding the arthritis drug tocilizumab to standard care for patients in hospital with severe or critical covid-19 is no better than standard care alone in improving clinical outcomes at 15 days, finds a new trial published by The BMJ today. (2021-01-20)

Primary care plays key role in managing COVID-19 in three Asian cities
Despite having some of the densest living spaces and the highest number of international visitors, Hong Kong, Singapore, and Beijing have utilized their respective primary health care systems to keep their COVID-19 cases and deaths relatively low. (2021-01-12)

Fewer patient encounters drive decline in total primary care office visits
Despite seeing gains in insurance coverage for preventive health services under the Affordable Care Act, the US has seen a declining rate of primary care visits over the past fifteen years. Are fewer individuals seeing primary care physicians? (2021-01-12)

New study examines medical practice patterns over time
Variations in medical practice can have serious consequences for the quality, equity and cost of one's health care; however, it's unclear whether these disparities can be attributed to individual differences, from one doctor to another or to changes in your doctor's individual practice over time, perhaps in response to shifts in clinical guidelines or advancements in diagnostic technologists. (2021-01-12)

Patients don't receive recommended follow-up care after weight loss surgery
New research shows that patients don't receive the recommended follow-up care from their GPs after weight loss surgery - potentially leading to serious health consequences. (2020-12-16)

Poverty linked to higher risk of Covid-19 death, study suggests
People in the poorest areas are more likely to be affected by severe Covid-19 - and to die from the disease - than those in more affluent districts, according to a study of critical care units. (2020-12-15)

COVID-19 preprint data rapidly influenced critical care practice
In a new research letter published online in the American Thoracic Society's American Journal of Respiratory and Critical Care Medicine, researchers examine whether preprint data on the use of the corticosteroid dexamethasone influenced clinical practice in treating COVID-19 critical care patients throughout Australia. (2020-12-15)

Telemedicine needed to diagnose and treat dysphagia in COVID-19 patients, doctors say
COVID-19 and SARS-CoV-2, the virus behind the disease, have caused health care providers to change how they treat patients. Clinicians are now frequently using telemedicine to see their patients for routine checkups, saving office visits for emergencies. The same goes for rehabilitation. (2020-12-15)

Dartmouth-led research featured in national journal focused on health system performance
New findings published by Dartmouth researchers and featured in a special issue of Health Services Research, are helping to generate new insights and knowledge about the prevalence, roles, and impact of integrated health systems. (2020-12-15)

Point of Care testing can improve the detection and treatment of influenza
Southampton-led research has shown that implementing point-of-care testing in hospitals to diagnose influenza can lead to better treatment and faster recovery for patients. The researchers are now calling for routine use of these tests to become standard for patients admitted with acute respiratory symptoms during the influenza season. (2020-12-14)

From publication bias to lost in information
From publication bias to lost in information In BMJ Evidence-Based Medicine, IQWiG researchers call for a central, public and worldwide portal for clinical trials (2020-12-11)

Study evaluates new World Health Organization Labor Care Guide for maternity care providers
The World Health Organization developed the new Labor Care Guide to support clinicians in providing good quality, women-centered care during labor and childbirth. In a study published in Birth, researchers evaluated the usability, feasibility, and acceptability of the new Labor Care Guide for maternity care providers in six countries. (2020-11-20)

The EAR-PC study findings encourages screening for hearing loss in older adults
Hearing loss is the second most common disability in the United States and comes with it a higher risk for being diagnosed with significant health conditions, such as hypertension, diabetes, dementia and depression, as well as higher health care cost and use. The Early Auditory Referral-Primary Care (EAR-PC) study was designed to address the lack of data about hearing loss screening. (2020-11-10)

Six ways primary care "medical homes" are lowering health care spending
New analysis of 394 U.S. primary care practices identifies the aspects of care delivery that are associated with lower health care spending and lower utilization of emergency care and hospital admissions. (2020-11-10)

COVID-19: Call for millions spent on failing system to be diverted to local services
A group of doctors is calling on the government to divert the hundreds of millions of pounds being spent on the failing centralised privatised COVID-19 national test and trace service into local primary care, local NHS labs and local public health services. (2020-10-27)

Study reveals disparities in access to high-quality surgical care
Among U.S. patients diagnosed with breast, prostate, lung, or colorectal cancer from 2004 to 2016, those who were uninsured or had Medicare or Medicaid were less likely than privately insured patients to receive surgical care at high-volume hospitals. The findings are published in CANCER, a peer-reviewed journal of the American Cancer Society (ACS). (2020-10-21)

Nonverbal doctor-patient rapport relieved pain during acupuncture treatment
When 22 acupuncture clinicians and 23 patients seeking pain relief mirrored each other's facial expressions during acupuncture treatment, patients experienced less pain, according to a new study. Additionally, brain activity involved in representing the mental state of others, which is key for empathy and compassion, became more aligned after the doctor and (2020-10-21)

Hospital-based specialist palliative care may slightly improve patient experience and increase their chances of dying in their preferred place (measured by home death)
A Cochrane Review into the effectiveness of hospital-based specialist palliative care has found evidence that when compared to usual care, it may slightly improve patient satisfaction and depression, and increase the chances of patients dying in their preferred place (measured by home death). (2020-09-30)

Study suggests elderly care home outbreaks in England were caused by multiple indepedent infections and also within-home spread
New research presented at this week's ESCMID Congress on Coronavirus Disease (ECCVID, held online 23-25 September) shows that outbreaks of COVID-19 in elderly care homes were caused by multiple independent infections from outside, plus within care home spread. There is also evidence of transmission between residents and healthcare workers, including paramedics, possibily linking care home outbreaks to hospital outbreaks. (2020-09-23)

Study suggests link between decreasing viral load and proportion of COVID-19 patients needing intensive care
New research presented at this week's ESCMID Conference on Coronavirus Disease (ECCVID, online 23-25 September) suggests that, as lockdown took effect and case numbers dropped, the amount of virus patients were exposed to (viral load) fell, and this could be linked to lower proportions of patients requiring intensive care and dying. (2020-09-23)

Screening UK Biobank blood samples identifies thousands of undiagnosed cases of type 2 diabetes
A study of approximately 200,000 blood samples from the UK Biobank has identified more than 2,000 undiagnosed cases of type 2 diabetes. The study is presented at this year's Annual Meeting of the European Association for the Study of Diabetes (EASD). (2020-09-20)

Online tool informs recovery prospects for sepsis survivors
A doctor at Guy's and St Thomas', working with colleagues at the Intensive Care National Audit & Research Centre (ICNARC), has developed a tool to predict the risk of readmission to hospital or death in the first year after leaving hospital for adult survivors of sepsis. (2020-09-15)

Telehealth supports collaborative mental health care in the needs of rural patients
Traditionally, primary care clinics connect patients who have mental health care needs to specialists like psychiatrists in a collaborative care model. However, rural clinics often lack the workforce capacity to provide collaborative behavioral health services. In a new qualitative study, rural Washington primary care clinics adopted telehealth methods to connect remotely with specialists. The study found that telepsychiatric collaboration prepared primary care physicians and rural clinic staff to deliver high quality mental health care in underserved areas. (2020-09-15)

An effective way to increase capacity for mental health
Researchers at UW Medicine found that primary-care physicians and rural clinic staff felt more skilled in delivering mental health care if they used a model known as collaborative care. In the model, primary-care physicians retain primary responsibility to treat behavioral health disorders with the support of two team members: a care manager (e.g., social workers, therapists, nurses) and a consulting psychiatrist. (2020-09-15)

Systematic approach crucial for person-centred care
Systematic efforts and a clear structure are decisive factors in the transition to person-centred health care. A University of Gothenburg study, published in the scientific journal BMJ, reflects what is now a decade of experience and research in the field. (2020-09-10)

Veterans undergoing elective PCI at community hospitals may have increased chance of death compared to those treated at VA hospitals
Veterans who underwent elective percutaneous coronary intervention (PCI) for stable angina at a community facility were at a 33% increased hazard, or chance, of death compared to patients treated within the Veterans Affairs (VA) Healthcare System, according to an analysis of nearly 9,000 veterans published today in the Journal of the American College of Cardiology. (2020-08-24)

AACN Distinguished Research Lecturer explores her role as nurse scientist
In her role as the American Association of Critical-Care Nurses (AACN) 2020 Distinguished Research Lecturer, Karen Giuliano, a University of Massachusetts Amherst associate professor, has examined her ''unconventional journey'' from caring for patients at the bedside to challenging precedent in critical care to medical device design and innovation. (2020-08-17)

Decision support system within the EHR system can increase provider awareness of CKD
Chronic kidney disease (CKD) affects approximately 37 million U.S. adults and less than 25% are aware of their disease. CKD is readily identified with simple blood and urine tests that are often in a patient's health record yet providers usually do not diagnose the CKD and inform the patient. This study demonstrates that implementation of a decision support system within the electronic health records system can increase provider awareness of CKD. (2020-07-16)

Machine learning accurately predicts who's who in the health care workforce
Until recently, economists, policy makers and workforce experts have relied on outdated and inaccurate snapshots of the US physician workforce, making it especially difficult to predict the need and availability of health care services across the country. In this study, Wingrove et al examine how machine learning algorithms may allow for more real-time, accurate descriptions of the medical workforce. (2020-07-14)

The five phases of pandemic care for primary care
The authors present a roadmap for necessary primary care practice transformations to care for patients and communities during the COVID-19 pandemic. (2020-07-14)

What encourages--or impedes--primary care team collaboration through case management?
While multiple recent studies have provided evidence of the benefits of case management, primary care teams have struggled to implement and sustain its use in their clinical practices. In this systematic review, researchers examine barriers to case management, as well as factors facilitating its implementation. (2020-07-14)

About half of health care workers positive for COVID-19 by serology have no symptoms
The IVY Research Network has completed initial studies evaluating the epidemiology of COVID-19 in health care workers and patients. (2020-07-09)

Study shows better option for treatment of inoperable anal cancer
People with inoperable anal cancer treated with carboplatin-paclitaxel had fewer complications and lived longer than those who received another chemotherapy that has been more often administered. (2020-06-24)

CHOP study finds remote monitoring effectively detects seizures in at-risk newborns
A team of researchers from Children's Hospital of Philadelphia (CHOP) has demonstrated how to easily and effectively monitor for seizures in newborn infants, catching more instances than typical methods and improving the quality of care for infants in hospitals that lack the on-site resources to detect these seizures. (2020-06-22)

Health care workers at Rush invited to participate in national PCORnet study of hydroxychloroquine
Rush University Medical Center has opened enrollment for a new clinical trial investigating whether the drug hydroxychloroquine is better than a placebo in preventing COVID-19 infection in healthy people working in health care settings. (2020-06-11)

Mortality of mechanically ventilated COVID-19 patients is lower than previously reported reveals study in Critical Care Medicine
An online first study published in Critical Care Medicine indicates the actual mortality rate of adults with critical illness from COVID-19 is less than what was previously reported. (2020-06-04)

Further evidence does not support hydroxychloroquine for patients with COVID-19
The anti-inflammatory drug hydroxychloroquine does not significantly reduce admission to intensive care or death in patients hospitalized with pneumonia due to COVID-19, finds a study from France published by The BMJ today. (2020-05-14)

What we can learn from Singapore's COVID-19 containment response in primary care
Singapore, a global hub for international travel and business, was among the first countries affected by the COVID-19 pandemic. With its first confirmed COVID-19 case on Jan. 23, 2020, the country mounted aggressive public health and containment measures. The country's network of primary care clinics were at the front lines of these measures. In this new report, those physicians share their triage, containment and infection control measures -- including protocols they put in place to ensure the safety of health care workers. (2020-05-12)

Primary care practice transformation introduces different staff types
The Comprehensive Primary Care initiative was launched in 2012 by the CMS Innovation Center as a four-year multi-payer initiative designed to strengthen primary care. This study examines shifts in staffing patterns, from 2012 to 2016, at 461 primary care practices participating in the CPC transformation initiative with those at 358 non-CPC practices. (2020-05-12)

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