American journal of medical quality : the official journal of the American College of Medical Quality
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Many early warning models for hospitalized patients use variables measured on admission to the hospital ward; few have been rigorously derived and validated. The objective was to create and validate a clinical deterioration prediction tool using routinely collected clinical and nursing measurements. ⋯ When applied to the validation cohort, the tool demonstrated fair concordance with actual outcomes. This tool created using routinely collected clinical measurements can serve as a very early warning system for hospitalized medical patients.
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Tensions have been rising between physicians and patients in China recently. More and more Chinese medical professionals are being hurt or even killed by patients. There are many complicated reasons for the frequent violence in Chinese hospitals; this guideline is not intended to solve the problem but attempts to provide a practical way to prevent and handle violence in the workplace. This guideline consists of 3 parts: violence prevention, violence handling, and postviolence management.
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Health care institutions are moving toward fully functional electronic medical records (EMRs) that promise improved documentation, safety, and quality of care. However, many hospitals do not yet use electronic documentation. Paper charting, including writing daily progress notes, is time-consuming and error prone. ⋯ Prepopulating data enhances provider efficiency. Interviews of key clinician leaders also suggest that the initiative is well accepted and that documentation quality is enhanced. The hybrid progress note improves documentation and provider efficiency, promotes quality care, and initiates the development of the forthcoming electronic progress note.