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Hospital Medicine

What Rule Do We Comply With Least?

My vote goes to “translation.” The rule is that you must use a qualified medical interpreter for any interview or discussion with a patient who does not understand English. How is lack of understanding defined? It is...

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The ED’s Expanding Role in Hospital Admissions

Although research has focused heavily on increased use of EDs, little attention has been paid to the changing role that these facilities play in the entire healthcare system. In a study published in the New England Journal of...

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Uncertain Diagnosis or CT Scan Radiation?

It is so nice to be right. To summarize what I wrote 2 and 3 years ago, here and here—based on my experience, patients and families will accept the theoretical risk of a future cancer if it means they’ll get an accurate...

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Even More Problems With Patient Satisfaction Surveys

A paper in April’s JAMA Surgery journal noted that patient satisfaction ratings have very little to do with the quality of care provided by a hospital. The study analyzed data from 31 hospitals that participated in patient...

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