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Providing assistance for physician impairment and rehabilitation is addressed in a position statement issued by the American College of Physicians and published online June 4 in the Annals of Internal Medicine.

ACP Issues Position on Response to Physician Impairment

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Rehabilitated doctors should be reintegrated into practice as long as patient safety not compromised
High costs are associated with physician turnover and reduced clinical hours attributed to burnout

High Costs Associated With Physician Burnout in U.S.

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Nationally, about $4.6 billion in costs are related to physician turnover, reduced clinical hours
There is a looming critical shortage of pediatric nurse practitioners

Pediatric Nurse Practitioner Shortage Looming

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White paper calls for research on practice and policy to support maximizing contributions of PNPs
A classification system has been developed for categorizing cardiogenic shock; the consensus statement

Classification System Developed for Cardiogenic Shock

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System describes stages of cardiogenic shock from A, classified as at-risk, to E, representing extremis
Patients at high risk of opioid overdose rarely receive prescriptions for naloxone

Most Patients at High Risk of Opiate Overdose Do Not Receive Naloxone Rx

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Only 1.5 percent of high-risk patients are prescribed naloxone upon ED or inpatient discharge
In out-of-hospital cardiac arrest

Bystander Resuscitation Attempted Less Often for Women in Cardiac Arrest

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Women have half the chance of initial shockable rhythm, chances of survival to discharge compared with men
A closed intensive care unit (ICU) model

Closed ICU Model May Reduce Hospital-Acquired Infections

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Decline seen in CLABSI, CAUTI, VAP rates; no change in C. diff infection, MRSA blood infection rates
U.S. health care organizations lost nearly $454 million due to clinical drug diversion in 2018

Clinical Drug Diversion Costly to Health Care Organizations

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Report finds 47.2 million doses lost due to health care worker misuse and theft in 2018
Four distinct clinical phenotypes have been identified among patients with sepsis

Four Clinical Phenotypes Identified for Sepsis

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Phenotype distributions similar in derivation, validation cohorts; highest mortality for γ phenotype
Improvements in systems of care are necessary to implement advances in treatment and care of stroke patients

Guidance Issued for Systems of Care for Stroke Patients

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Recommendations support educational initiatives to increase awareness, need to seek emergency care