Southern medical journal
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Southern medical journal · Oct 2015
Waiting in the Accident and Emergency Department: Exploring Problematic Experiences.
To investigate the relation between perceived waiting times and patients' overall ratings of accident and emergency departments (A&Es) and to explore which patients view waiting times as problematic. ⋯ Providing information before treatment, controlling the perception of pain, and managing perceived acuity not only reduced problematic experiences concerning perceived waiting time but also improved experienced quality of care.
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Southern medical journal · Oct 2015
Analysis of a Guideline-Derived Resident Educational Program on Inpatient Glycemic Control.
To determine the effects of a guideline-derived resident educational program on inpatient glycemic control and length of hospital stay (LOS). ⋯ Our resident educational program significantly increased the number of patients receiving guideline-based inpatient insulin therapy and was associated with a reduction in mean FSG and LOS. Rates of hypoglycemia showed a statistically significant increase, whereas rates of severe hypoglycemia did not. Larger multicenter studies with adjustment for potential confounders are needed to further assess the impact of educational interventions on inpatient glycemic control.
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Southern medical journal · Sep 2015
Primary Care Providers' Comfort Levels in Caring for Patients with Sickle Cell Disease.
The purpose of this study was to determine the comfort levels of primary care providers in caring for individuals with sickle cell disease (SCD) and determine factors that improved or lessened provider comfort. ⋯ The delivery of high-quality care to adults with SCD in primary care may be limited because of a lack of provider comfort in providing that care. Because provider reliance on knowledge gained from residency significantly affected the management of patients with SCD, it is essential that continuing medical education on SCD is readily available to ensure that providers are using current information and knowledge. In addition, as comfort increases with the number of patients with SCD in a provider's panel, it may be beneficial to identify a subset of primary care providers interested in SCD and refer patients to those providers.
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Southern medical journal · Sep 2015
Evaluating Violent Person Management Training for Medical Students in an Emergency Medicine Clerkship.
Violence is a significant problem facing healthcare workers in the United States, particularly in emergency departments (EDs). Education is key to providing a safe environment for workers to ensure their ability to recognize and respond to violent patients and visitors. We studied the effects of a video podcast-based violence education program aimed at improving medical students' knowledge and confidence in identifying and responding to violence. ⋯ An educational video podcast is an effective method to improve medical students' knowledge and confidence in responding to a potentially violent person or violent situation in the ED and may be useful in other healthcare settings.