Journal of hospital medicine : an official publication of the Society of Hospital Medicine
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Efficacy of simulators in teaching central venous catheterization (CVC) in an internal medicine residency program is unknown. ⋯ Use of simulators in teaching CVC in an internal medicine residency program results in improved procedural performance, knowledge, and self-reported confidence. Improvement in knowledge and confidence was retained at 18 months.
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Institution of a rapid response team (RRT) improves patients' quality of death (QOD). ⋯ Institution of an RRT in our hospital had negligible impact on outcomes of patients whose goal was restorative care. Deployment of the RRT was associated with generally improved end-of-life pain management and psychosocial care.