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A multifaceted intervention can improve hand hygiene compliance among emergency nurses and technicians

Intervention Improves Hand Hygiene Compliance in Nurses

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Emergency nurses, technicians participated in experiential learning activities
For patients discharged from the intensive care unit

Patient Status at ICU Discharge, Not Timing, Predicts Survival

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After adjustment for markers of illness severity at discharge, time of discharge does not predict survival
Fewer than half of all emergency department visits occur at the emergency department closest to a patient's home

CDC: Patients Frequently Choose ERs Further From Home

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Visits within metropolitan statistical areas less likely to occur at the ER closest to home
Minority patients are less actively involved in surgeon and hospital selection for breast cancer surgery

Minority Women Less Involved in Choices for Breast CA Surgery

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Black and Hispanic women with breast cancer less likely to select surgeon, hospital based on reputation
There is a lack of agreement among clinicians about who is responsible for specific roles in the medication reconciliation process

Lack of Agreement for Meds Reconciliation Responsibilities

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Lack of agreement among clinicians about specific roles and responsibilities in the process
There are no significant improvements in patient outcomes associated with face-to-face handoff of patients admitted to general medical services at a large academic tertiary referral hospital

Face-to-Face Handoff Doesn’t Improve Patient Outcomes

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Findings among patients admitted to general medical service at academic hospital
A handoff tool

Handoff Tool Alone Insufficient to Handle Nighttime Clinical Issues

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Tool used as information source by residents in 27.7 percent of nighttime clinical encounters
Management of pain is an important component in improving the quality of care in hospitals from a patient's perspective

Patients Say Pain Control Is Key to Quality of Care in Hospitals

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Patient-provider shared decision-making may improve pain outcomes
Measures of hospitalist physician continuity do not show a consistent or significant association with the incidence of adverse events

Hospitalist Continuity Doesn’t Appear to Greatly Affect AEs

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Hospitalist physician continuity by itself does not appear to affect the incidence of adverse events
The timeliness of outpatient follow-up after discharge matters most for patients with multiple chronic conditions and a greater than 20 percent baseline risk of readmission

Patients With Multiple Conditions Need Early Outpatient Follow-Up

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Benefits those discharged with multiple chronic conditions and greater risk of readmission