Neurosurgery clinics of North America
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Neurosurg. Clin. N. Am. · Apr 2015
ReviewThe role of neurosurgery journals in evidence-based neurosurgical care.
Neurosurgery journals have played an active role in improving the quality of the neurosurgical literature. This role has expanded to improve the quality of care by incorporating an evidence-based view of neurosurgery practice. ⋯ Peer review continues to be a core feature of neurosurgery publishing, with attendant ethical and procedural safeguards. Finally, neurosurgery journals have spearheaded innovative responses to cultural and technological changes, including initiatives to deliver high-quality research in electronic formats and support the education of future neurosurgery investigators.
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Neurosurgeons and hospitalists are turning to comanagement arrangements to address medical problems in surgical patients. Compared with traditional medical consultation, comanagement lets the hospitalist share authority and responsibility for patient care. It is associated with improved provider satisfaction and more efficient care, but impact on clinical outcomes is uncertain. Shared responsibility for patient care requires careful planning to avoid conflicts and fragmentation of care.