Journal of general internal medicine
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Abstract
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Abstract
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Randomized Controlled Trial Multicenter Study Pragmatic Clinical Trial
Aiming to Improve Readmissions Through InteGrated Hospital Transitions (AIRTIGHT): a Pragmatic Randomized Controlled Trial.
Despite years of intense focus, inpatient and observation readmission rates remain high and largely unchanged. Hospitals have little, robust evidence to guide the selection of interventions effective at reducing 30-day readmissions in real-world settings. ⋯ An intervention inclusive of contemporary recommendations does not reduce a high-risk population's 30-day readmission rate. The high crossover to usual care (74.8%) reflects the challenge of non-participation that is ubiquitous in the real-world implementation of population health interventions.
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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.