BACKGROUND Clinical practice often lags behind publication of evidence-based research and national consensus guidelines. OBJECTIVE To assess practice variability in the clinical management of acute respiratory distress syndrome (ARDS) and test an evidence-based, online clinician-education tool designed to improve intensive-care clinicians' understanding of current evidence about ARDS manageme...

imam ali (peace be upon him) told that physicians must have pietism and don’t abstain from guidance, advice and diligence. islam religion recognizes medicine as an allowable and necessary profession.  prophet mohammad (pbuh) and imams (pbuh) tell that sage physician status in their science, art and tasks like jurisconsult scientist status. more than one thousand years ago, abubakr rabei ebne ah...

Quality communication is a critical component in all aspects of public health and clinical care. The quality of the process of communication between the patient/family and the physician affects the quality of the patient/family-physician relationship, patient behavior, and health outcomes. Advances in communication and information technologies can enhance the quality of communication, not only ...

The extent to which physicians lead, own, and govern accountable care organizations (ACOs) is unknown. However, physicians' involvement in ACOs will influence how clinicians and patients perceive the ACO model, how effective these organizations are at improving quality and costs, and how future ACOs will be organized. From October 2012 to May 2013 we fielded the National Survey of Accountable C...

OBJECTIVE Off-label prescribing of medications, polypharmacy, and other questionable prescribing practices have led investigators to examine a large VA pharmacy database to determine if physician prescribing decisions appear reasonable. METHOD The current study addresses the question of physician prescribing of atypical antipsychotics in 34,925 veterans with schizophrenia, using a series of s...

BACKGROUND Rapid ultrasound in shock (RUSH) is the most recent emergency ultrasound protocol, designed to help clinicians better recognize distinctive shock etiologies in a shorter time frame. OBJECTIVES In this study, we evaluated the accuracy of the RUSH protocol, performed by an emergency physician or radiologist, in predicting the type of shock in critical patients. PATIENTS AND METHODS...

BACKGROUND The relationship between patient and physician is a complex interaction that includes multiple factors. The objective of this study was to explore Italian patients' preferences regarding physician appearance. METHODS A questionnaire was developed to survey patients in different medical and surgical settings; each subject was asked to choose one picture of either a male or female ph...

The association between the quantity of care that a physician or hospital provides and the quality of care that patients receive has been intensely investigated by clinicians and health services researchers. In the majority of the published data investigating this relationship, researchers have generally found that the higher the number of patients a physician or hospital treats with a specific...

OBJECTIVES To determine whether X-ray, computed tomography (CT), bone scan, and clinical impression accurately reflect the level of vertebral fracture in patients about to undergo vertebroplasty. DESIGN Retrospective observational study, utilizing patient inpatient notes, referral correspondence, and clinicians' private notes. SETTING Single center - all patients referred to one pain medici...

• Objective: To assess the extent to which the experiences of older patients vary according to type of primary care provider (ie, physician assistant [PA], nurse practitioner [NP], or physician). • Design: National, cross-sectional survey. • Participants: Medicare beneficiaries completing the 2000 and 2001 Medicare fee-for-service Consumer Assessment of Health Plans Survey who identified a prim...