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How Mental Health & SUD Bias Impact ED Physical Care

Physician's Weekly

Patients with documented mental illness or substance use disorders (SUDs) continue to encounter a mixed—sometimes starkly divergent—quality of emergency department (ED) care when they present with chest pain, abdominal pain, or other non‑psychiatric complaints, according to a patient‑interview study published in Health Services Research.

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Using technology to reclaim our time

Today's Hospitalist

Since the mid-1990s, our capacity for innovation has never stopped as hospitalists navigate a complex landscape of acute illnesses, interprofessional collaborations and the imperative to provide efficient, high-quality care. Metrics for assessing physician activity using electronic health record log data. Healthcare (Basel).

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You don’t need X-Rays in a child with bronchiolitis, croup, asthma, or first time wheezing

PEMBlog

Numerous studies have found that radiographs performed in these clinical conditions rarely reveal information necessitating a change in ED management despite high CXR utilization and wide variation in both children’s specialty hospitals and general EDs. But it’s just a CXR right?

Asthma 52
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Disparities in Post-COVID Conditions among Persons with Disabilities: Findings from Primary Care Patients, 2019-2022 [COVID-19]

Annals of Family Medicine

Context: Persons with disabilities were more likely to experience serious illness, death, and adverse consequences by the COVID-19 pandemic. Setting or Dataset: American Family Cohort, a data asset including electronic health records of 8 million patients from family practices across 50 US states.

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POLST Evidence and Update: Kelly Vranas, Abby Dotson, Karl Steinberg, and Scott Halpern

GeriPal

And we have Scott Halpern, who is Professor of Medical Ethics and Health Policy and Director of the Palliative and Advanced Illness Research Center or Payer Center at the University of Pennsylvania. And we were able, because of the way OHSU has the registry and POLST link had just been integrated into our electronic medical records.

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Who should get Palliative Care? Kate Courtright

GeriPal

We can’t possibly meet the needs of all people with newly diagnosed serious illness. She’s also a member of the PAIR Center, which stands for Palliative Advanced Illness Research Center. And bringing more palliative care to the living with serious illness instead of dying from serious illness population.

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Nudges for Prognosis and Comfort Care in the ICU: Kate Courtright, Scott Halpern, & Jaspal Singh

GeriPal

Prior podcasts on the ethics of nudging , and a different trial conducted by Kate and Scott in which the default for hospitalized seriously ill patients was to receive a palliative care consult. Participants were critically ill and intubated. P AI R stands for Palliative and Advanced Illness Research Center. What is sludge?