Journal of general internal medicine
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Effective collaboration and teamwork is essential in providing safe and effective hospital care. Prior research reveals deficiencies in collaboration on medical teaching units. ⋯ SIDR had a positive effect on nurses' ratings of collaboration and teamwork on a medical teaching unit. Further study is required to assess the impact of SIDR on patient safety measures.
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At-risk drinking, excessive or potentially harmful alcohol use in combination with select comorbidities or medication use, affects about 10% of elderly adults and is associated with higher mortality. Yet, our knowledge is incomplete regarding the prevalence of different categories of at-risk drinking and their associations with patient demographics. ⋯ High-risk alcohol use was common among older adults in this large sample of primary care patients, and male Caucasians, those ages 60-64, and those with lower levels of education were most likely to have high-risk alcohol use of any type. Our findings could help physicians identify older patients at increased risk for problems from alcohol consumption.
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We present the case of a 77-year-old man who aspirated an extracted tooth during a dental procedure. This case is noteworthy because the aspiration of extracted teeth is quite rare.
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Medical errors often occur when patients move between care settings. Physicians generally receive little formal education on improving patient care transitions. ⋯ TICC represents a feasible and effective program to teach evidence-based transitional care.
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Race differences in the receipt of invasive cardiac procedures are well-documented but the etiology remains poorly understood. ⋯ Our results suggest that social contextual factors are related to the likelihood of receiving recommended care. In addition, accounting for these relationships attenuated the observed race disparities between Whites and Blacks/African Americans who were recommended to undergo cardiac catheterization by their physicians.