JAMA internal medicine
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JAMA internal medicine · Dec 2015
Multicenter StudyContamination of Health Care Personnel During Removal of Personal Protective Equipment.
Contamination of the skin and clothing of health care personnel during removal of personal protective equipment (PPE) contributes to dissemination of pathogens and places personnel at risk for infection. ⋯ Contamination of the skin and clothing of health care personnel occurs frequently during removal of contaminated gloves or gowns. Educational interventions that include practice with immediate visual feedback on skin and clothing contamination can significantly reduce the risk of contamination during removal of PPE.
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JAMA internal medicine · Dec 2015
Association of Financial Integration Between Physicians and Hospitals With Commercial Health Care Prices.
Financial integration between physicians and hospitals may help health care provider organizations meet the challenges of new payment models but also may enhance the bargaining power of provider organizations, leading to higher prices and spending in commercial health care markets. ⋯ Financial integration between physicians and hospitals has been associated with higher commercial prices and spending for outpatient care.
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JAMA internal medicine · Dec 2015
β-Blocker-Associated Risks in Patients With Uncomplicated Hypertension Undergoing Noncardiac Surgery.
Perioperative β-blocker strategies are important to reduce risks of adverse events. Effectiveness and safety may differ according to patients' baseline risk. ⋯ Antihypertensive treatment with a β-blocker may be associated with increased risks of perioperative MACEs and all-cause mortality in patients with uncomplicated hypertension.