Journal of general internal medicine
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Few patient engagement tools incorporate the complex patient experiences, contexts, and workflows that limit depression treatment implementation. ⋯ We provide an example of leveraging UCD to design/adapt a real-world, patient experience and workflow-aligned patient activation tool in diverse populations.
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Exploring Clinical Lessons Learned by Experienced Hospitalists from Diagnostic Errors and Successes.
Diagnostic errors cause significant patient harm. The clinician's ultimate goal is to achieve diagnostic excellence in order to serve patients safely. This can be accomplished by learning from both errors and successes in patient care. However, the extent to which clinicians grow and navigate diagnostic errors and successes in patient care is poorly understood. Clinically experienced hospitalists, who have cared for numerous acutely ill patients, should have great insights from their successes and mistakes to inform others striving for excellence in patient care. ⋯ The study identifies key lessons learned from the errors and successes encountered in patient care by clinically experienced hospitalists. These findings may prove helpful for individuals and groups that are authentically committed to moving along the continuum from diagnostic competence towards excellence.
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Whether variation in Medicaid reimbursement fees influenced the impacts of the Medicaid expansions is not well understood. ⋯ Medicaid's fee structure should be considered as a factor influencing large-scale coverage expansions.