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Associations between tapering or discontinuing opioids and subsequent pain-related primary care visits [Pain management]

Annals of Family Medicine

Objective: To evaluate the associations between opioid dose tapers with continued opioid use and opioid tapers with discontinuation, and subsequent pain-related utilization primary care visits, ED encounters, and hospitalizations. 1.31) and hospitalizations (aIRR 0.74, 95% CI: 0.54-1.02).

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Impact of an Intensive Primary Care Service on Health Services Utilization in a High-Utilizer Patient Population [Health care services, delivery, and financing]

Annals of Family Medicine

Context: High-utilizer patient populations reflect poor health for those patients and high resource use for health systems. Few studies of high-utilization patient programs found improvements in the intervention groups compared to controls. Setting: Safety net hospital/clinic system in Fort Worth, Texas. 25% decrease], p=.02),

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From Crisis to Recovery: Evaluating the Evolution of Patient Care in Academic Medical Centers Through the COVID-19 Era [Big data]

Annals of Family Medicine

Context: The COVID pandemic disrupted global healthcare, impacting Academic Medical Centers (AMCs) in the United States, necessitating a comprehensive understanding of its effects on healthcare delivery and utilization. Study Design: This retrospective case series analysis utilizes Vizient’s clinical database data.

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How Mental Health & SUD Bias Impact ED Physical Care

Physician's Weekly

Hospital Consumer Assessment of Healthcare Providers, Systems, and Patient‑Experience scores —and word of mouth—suffer when bias is perceived, jeopardizing both reimbursement and community trust. Assuming that chest discomfort is “just anxiety” in a patient with a panic disorder can delay acute coronary syndrome work‑ups.

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Using technology to reclaim our time

Today's Hospitalist

OUR ENTIRE FIELD of hospital medicine grew out of the need to innovate to address the growing complexities of inpatient medicine. At its core, the technology utilizes sophisticated speech recognition to transcribe a conversation in the exam room or at the bedside. That’s the essence of ambient dictation. References: 1.

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Episode 148: Antiracism in Medicine Series Episode 4 – Dismantling Race-Based Medicine Part 2: Clinical Perspectives

The Clinical Problem Solvers

education, income, number of previous hospitalizations) that also lead to clinical outcomes, not only race-based stratification. Our esteemed publications should ensure that investigations that utilize racial variables follow these guidelines before being published. 2019 Jun 25;73(24):3234]. 2019;322(2):113-114.

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You don’t need to order comprehensive viral panels for most patients

PEMBlog

The Choosing Wisely Pediatric Emergency Medicine Recommendations The Choosing Wisely Campaign Toolkit Expert Contributors Olivia Ostrow, MD Hospital for Sick Children Toronto, Ontario, Canada olivia.ostrow@sickkids.ca The clinical utility of respiratory viral testing in hospitalized children: a meta-analysis. JAMA Pediatr.