A new conceptual model, the Burnout Dyad, recognizes that patients can also experience burnout, affecting clinical relationships and care quality. The model identifies patient factors as playing a role in provider burnout and proposes a collaborative approach to managing both patient and provider burnout.
A study suggests that total hip replacement may contribute to sacral insufficiency fracture (SIF), a type of pelvic stress fracture. SIF is more likely to occur on the side opposite from previous THA, and bone loss leading to SIF begins within the first postoperative year following THA.
A special article in JPHMP presents a pathway for public health departments and practitioners to incorporate law into efforts to advance equity in health outcomes. The article highlights the illustrative case of Coal Run, where residents filed a civil rights complaint and ultimately received water services after decades of denial.
A study published in the ASAIO Journal reports that critically ill patients with COVID-19 can safely be transported for ECMO therapy without increased risk of transmitting COVID-19 to ECMO transport team members. The researchers found zero instances of transport team members contracting COVID-19 within 21 days after transport.
A massive multi-site study reveals that incontinence and IAD are associated with significantly higher healthcare costs, longer hospital stays and poorer patient outcomes. Incontinent patients have a 4.7 times greater risk of sacral pressure injuries compared to continent patients.
The WOCN Society and medical organizations outline key principles for stoma site selection and marking. A properly placed stoma site can improve quality of life and reduce complications, while individualized consideration is necessary for optimal results.
The article discusses the importance of addressing identity problems in clinical practice, which can help patients develop a stable sense of self and overcome symptoms. Psychiatrist John R. Peteet reviews four common types of identity problems, including diffusion, distortion, threatened identity, and difficulty integrating identity.
A study of Black Veterans hospitalized for common conditions confirms adjusted mortality rates are lower for Black compared to White Veterans. However, higher adjusted mortality rates among Hispanic Veterans were identified, partially explained by a large proportion receiving care outside the continental United States.
The new standards define key content and processes for accrediting graduate programs in HQS, including 13 competency statements and 4 foundational domains. Accreditation will provide a framework for teaching and training excellence, supporting continuous improvement and culture change in healthcare systems.
A study published in Journal for Healthcare Quality found that good performance on quality measures doesn't necessarily lead to improved symptoms and patient self-reported outcomes. The researchers suggest adding direct measures of patient improvement, such as symptom assessments, to enhance the current quality assessment framework.
A new study published in Clinical Journal of Sport Medicine found that playing high school football is not associated with an increased risk of suicidal ideation or depression in young adulthood. In contrast, mental health difficulties in adolescence were strongly related to suicidality in young adulthood.
A survey study found that nearly 1 in 18 US nurses (5.5%) considered suicide within the past year, with burnout and depression symptoms being independent risk factors for suicidal ideation.
A recent study suggests that infants conceived through in vitro fertilization (IVF) may be at a higher risk of developing craniosynostosis, a type of skull deformity. The four percent prevalence rate among IVF-conceived infants is considerably higher than the estimated one case per 1,800 to 2,200 births. Further studies are needed to c...
A study published in Urology Practice found that online patient decision aids for common urologic conditions are often of poor readability and quality, failing to meet recommended standards. The researchers recommend simplifying language and ensuring thoroughness to improve the effectiveness of these tools.
New guidelines aim to standardize interpretation of MRI scans in patients with pelvic floor disorders, promoting shared understanding among professionals. The consensus statement provides definitions and templates for diagnosing conditions such as incontinence, constipation, and prolapse.
A study published in PAIN found that weather-related factors can affect pain tolerance, particularly for cold-induced pain. Temperature, barometric pressure, and humidity were associated with changes in pain tolerance tests, suggesting a dynamic and non-linear relationship between weather and pain.
A study analyzing 6,775 patients with low-risk prostate cancer found that cancer-related factors such as tumor grade and size are key risk factors for conversion to active treatment. The study also found that higher Gleason grade, PSA level, tumor stage, and number of positive biopsy cores are related to shorter conversion times.
A new study suggests that same-day discharge for high-risk patients undergoing hip and knee replacement surgery is safe and feasible. The research found no increase in complications or adverse outcomes with same-day discharge compared to inpatient surgery.
A national study compares three state laws aimed at increasing hospital nurse staffing: mandated staffing ratios, staffing committees, and public reporting. The study found that staffing mandates lead to a significant increase in RN staffing, while alternative approaches have little impact on hospital nursing levels.
A study finds that health system executives' subjective assessments of performance often differ from objective clinical quality measures. The researchers identified three levers for achieving high performance: organizational structure, governance, and staff engagement.
Adults with a history of traumatic brain injury are at increased risk of using and misusing prescription opioids, with nearly 52% increased risk for use and over 65% increased risk for misuse. The findings support the 'Perfect Storm' hypothesis, suggesting that TBI increases vulnerability to pain and opioid risks.
A study of over 800 physician assistants found that burnout symptoms have a stronger impact on PA professional outcomes than depression, with 34% meeting burnout criteria and 80% reporting at least one medical error during their careers.
A population-based study found that nearly half of men with low-risk prostate cancer transitioned from active surveillance to definitive treatment within five years after diagnosis. The study, published in The Journal of Urology, analyzed data from 8,541 men and identified factors associated with the likelihood of transition, including...
Two studies report substantial reductions in COVID-19 infections and deaths among vaccinated organ transplant patients, with a lower risk of breakthrough infections compared to the general population. Vaccination is considered critically important for this high-risk group.
A systematic review of medical research found that ketamine and esketamine do not have significant deleterious neurocognitive effects in treatment-resistant depression. Some cognitive functions even improved after repeated infusions.
A new case report describes a 28-year-old COVID-19 patient who developed orbital cellulitis due to sinusitis, which spread to the area around the eye. Early surgical intervention prevented vision-threatening complications, emphasizing the importance of prompt treatment for severe cases.
The ASCCP Task Force supports the ACS's 2020 cervical cancer screening guidelines, which recommend primary HPV testing. During the transition to primary HPV screening, the Task Force endorses any cervical cancer screening approach, including co-testing and cervical cytology alone.
The American Board of Urology has outlined processes to promote diversity, equity, and inclusion in its leadership structures. The report highlights the need for continuous efforts to improve representation, particularly in terms of gender and racial/ethnic diversity.
The study highlights three key themes in transitional care research: delineating function versus form of interventions, evaluating implementation processes, and engaging stakeholders. These findings aim to improve decision-making and patient-centered outcomes, despite challenges in comparing results between studies.
Women with recurrent urinary tract infections (UTIs) experience fear and frustration due to the risks associated with repeated antibiotic use. The study highlights the need for patient-centered research to address gaps in current UTI treatment algorithms, focusing on non-antibiotic options for prevention.
Multimodal analgesia combines different techniques and medications to optimize pain management while minimizing opioid use and risks. Recent studies have shown that multimodal analgesia can improve pain scores and side effects compared to opioid-based regimens.
Three major national nursing organizations issued position statements on racism, addressing six key themes. Most schools of nursing also released statements, but varying degrees of alignment with national statements were observed.
A recent study published in the Journal of Head Trauma Rehabilitation found that two-thirds of patients with traumatic brain injury (TBI) remain married to their spouse 10 years after the injury. The study analyzed data from 1,423 patients and found that marital stability was higher for those who were older, female, and had no problema...
Selected abstracts from the 2020 Vizient Connections Education Summit explore interventions to address health equity and reduce patient length of stay. An intervention framework was developed to identify events related to biases, while a statistical dashboard uses data to optimize resource allocation and track progress.
Researchers used convolutional neural networks to analyze facial photos before and after facelift surgery in 50 patients. The AI algorithms recognized a 4.3-year reduction in age, which correlated with patient satisfaction scores, averaging 75 for facial appearance and over 80 for quality of life.
The Carmat Total Artificial Heart (CTAH) has shown promising results in its 'Auto-Mode' feature, which adjusts to changing patient needs. This allows for minimal device management changes and potentially improves quality of life for patients with end-stage heart failure.
A review published in Harvard Review of Psychiatry found that cannabis use by young people with ADHD does not appear to have additional adverse effects on brain development or functioning. However, the authors note a need for further research to clarify possible effects and consider factors such as potency and frequency of use.
A new study analyzing medical evidence on domestic mass shooters in the US finds that a majority of perpetrators have psychiatric disorders without treatment, increasing risk of violence. The researchers identified signs and symptoms of brain illness in 32 out of 35 perpetrators, with most having schizophrenia or other diagnoses.
A new type of penile traction therapy (PTT) device has been shown to increase penile length and preserve erectile function in men who have undergone prostate cancer surgery. The device, marketed under the brand name RestoreX, works by applying gentle, dynamic pressure to stretch and shape the penis.
A new study finds that plastic surgeons' apparent gender and ethnicity can influence patient perceptions of their competence. However, the findings suggest more favorable perceptions of surgeons of the same racial/ethnic group, which may be crucial for cosmetic surgery patients in the US.
Patients undergoing total hip arthroplasty (THA) show significant improvements in pain, function, and quality of life, as well as improved walking gait biomechanics. However, daily physical activity levels remain largely unchanged, with most patients engaging in only light physical activity.
Women with a history of weight cycling experience shorter sleep duration, poorer sleep quality, and increased risk of insomnia. The study also found that weight cycling is associated with an increased risk of obstructive sleep apnea, a serious health problem linked to heart disease and stroke.
A study published in The Journal of Bone & Joint Surgery found that total ankle replacement (TAA) provides better long-term function than ankle arthrodesis (AA) for patients with severe ankle arthritis. TAA resulted in improved patient-reported outcomes, including reduced pain and enhanced quality of life.
A systematic review and meta-analysis found that universal and selective interventions targeting young people can reduce the risk of most mental disorders. These interventions, such as psychoeducation and therapy, showed promise in preventing symptoms like ADHD, anxiety, and interpersonal violence.
A new benefit has been implemented, allowing eligible Veterans to receive urgent care from community providers. The study found that most Veterans who used the service lived within 30 minutes of a VA primary care site and had no copays for urgent care visits.
A study published in Spine Journal reveals that most pediatric spinal fractures occur in motor vehicle accidents where seatbelts are not used. The majority of these injuries (63%) occur in teenagers aged 15-17, who are at highest risk for MVA-related spinal fractures. Wearing a seatbelt significantly reduces the risk of death and spina...
Disparities in access to orthopaedic care via telemedicine were found to persist, particularly for Hispanic and Asian patients, as well as those with Medicaid coverage, compared to white patients, English speakers, and commercial insurance holders.
A study found patient satisfaction scores differed significantly among patients with different types of insurance coverage, with Medicare scoring the highest and Medicaid the lowest. The researchers call for further studies to explore the underlying reasons for this payor-specific bias.
During the COVID-19 pandemic, a hospital used its learning health system to adapt and update care processes, reducing hospital-acquired pressure injury incidence by 45%. The approach allowed for quick identification of gaps in patient care and implementation of improvements.
A new series in the Journal of Psychiatric Practice explores therapeutic risk management for violence, using a method called chain analysis. This approach identifies interventional strategies to disrupt the chain of reinforcement that leads to violent ideas and behaviors.