Journal of general internal medicine
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Abstract
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Multicenter Study
Association of Back Pain with All-Cause and Cause-Specific Mortality Among Older Women: a Cohort Study.
The impact of back pain on disability in older women is well-understood, but the influence of back pain on mortality is unclear. ⋯ Frequent persistent back pain was associated with increased mortality in older women. Much of this association was mediated by disability.
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Multicenter Study
Test Result Management Practices of Canadian Internal Medicine Physicians and Trainees.
Missed test results are a cause of medical error. Few studies have explored test result management in the inpatient setting. ⋯ Canadian physicians report an array of problems managing test results in the inpatient setting. In the context of prior studies from the outpatient setting, our study suggests a need to develop interventions to prevent missed results and avoid potential patient harms.
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Multicenter Study
Lost in Transition: a Qualitative Study of Patients Discharged from Hospital to Skilled Nursing Facility.
This research aimed to understand the experiences of patients transitioning from hospitals to skilled nursing facilities (SNFs) by eliciting views from patients and hospital and skilled nursing facility staff. ⋯ Results indicate problematic transitions stemming from insufficient care coordination and failure to appropriately prepare patients and their family members. Previous research suggests that problematic or hurried transitions from hospital to SNF are associated with medication errors and unnecessary rehospitalizations. Interventions to improve transitions from hospital to SNF that include a focus on patients and families are needed.
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Multicenter Study
Eliciting the Patient's Agenda- Secondary Analysis of Recorded Clinical Encounters.
Eliciting patient concerns and listening carefully to them contributes to patient-centered care. Yet, clinicians often fail to elicit the patient's agenda and, when they do, they interrupt the patient's discourse. ⋯ Clinicians seldom elicit the patient's agenda; when they do, they interrupt patients sooner than previously reported. Physicians in specialty care elicited the patient's agenda less often compared to physicians in primary care. Failure to elicit the patient's agenda reduces the chance that clinicians will orient the priorities of a clinical encounter toward specific aspects that matter to each patient.