Revista médica de Chile
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Revista médica de Chile · Sep 2022
[Geographic sectorization of hospitalized patients to health care teams. Impact on teamwork and patient satisfaction].
Historically, the wards of hospitals were divided by services such as medicine, surgery and traumatology, among others. To optimize the use of beds, undifferentiated medical surgical services were implemented in different hospitals in the country. ⋯ Through some PlanStudy-Do-Act (PDSA) cycles of continuous improvement, more than 80% of the patients were quickly sectorized, however there were multiple threats during the project. Pre- and post-implementation surveys were conducted with nurses, internal medicine residents, and medical Staff, highlighting an improvement in multiple aspects concerning the quality of communication, interdisciplinary work, the time of visits, and satisfaction, among others.
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Revista médica de Chile · Sep 2022
[Bad news communication protocols in health. Limitations, challenges and proposals].
Bad news communication is a frequent and difficult task for health care professionals. There are valuable protocols that systematize this task through a series of steps. ⋯ An orientation by objectives is recommended, considering that communication of bad news is a contextual process that involves different actors, and that requires reflection and flexibility to determine the best course of action according to the circumstances of each particular case. The importance of affectionate attention for patients and their relatives is highlighted.
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Despite recent initiatives and efforts, gender inequality still exists in medicine and academia. There is a higher proportion of male authors in international scientific publications. ⋯ There are fewer female authors in scientific publications. Chile is one of the countries with a high rate of gender gap in the world. The underrepresentation of women in academia is an example of this.