Why burned-out doctors despise electronic health records
The systems were supposed to improve communication. But they’re really prioritizing insurance billing over patients. More
Few patients access their EHRs, but it’s not for lack of interest
Why do so few patients access their medical records electronically? It's not because they don't want to do so, write patient advocates in Health Affairs. More
The Real Epidemic: Not Burnout But ‘Moral Injury’ Of Doctors Unable To Do Right By Patients
The wellness of clinicians — the autonomy and latitude of practice that protect against moral injury — has a profound impact on everyone around them, and changes are essential to improving health care for all of us. More
“When They Restrain You They Ignore You”—What We Should Learn From the People We Restrain in Emergency Departments
Increasing numbers of people in the United States seek mental health care in emergency departments (EDs). From 2009 to 2015, mental health ED visits increased for pediatric and adult patients by 56.5% and 40.8%, respectively, and the ED length of stay among persons awaiting psychiatric hospitalization increased by 31.7%. More
Why I Said Nothing When My Med School Professor Made Racist Remarks
Nearly 1 in 3 residents reported gender-related abuse, physical abuse and/or verbal abuse. Nearly 17% reported racial discrimination, and 10.3% reported sexual harassment... More
Researchers facing ‘shocking’ levels of stress, survey reveals
Nearly two thirds of those who took part had witnessed bullying or harassment. More
Practices to Foster Physician Presence and Connection With Patients in the Clinical Encounter
This mixed-methods study identified 5 practices that have the potential to enhance physician presence and meaningful connection with patients in the clinical encounter. More
Giving Birth Where the Family Is
Canada’s government once pressured Inuit women to travel south to give birth. Now, they can have their babies at a hometown maternity clinic led by Inuit midwives. More
Electronic Health Records Creating A ‘New Era’ Of Health Care Fraud
The federal government funneled billions in subsidies to software vendors who overstated or deceived the government about what their products could do, according to whistleblowers. More
Bridging the Gap Between Where the Quality Metric Ends and Real Life Begins—A Trusting Relationship
On the surface, the American College of Cardiology/American Heart Association guidelines for treating hypertension seemed straightforward. More
‘We can help ourselves:’ Native women come together to confront high rates of maternal mortality
Too many Native women are dying due to complications from pregnancy and childbirth – deaths that should be preventable with the right intervention and care. More
The Secret to Saving the Lives of Black Mothers and Babies
In the mountains of North Carolina, black women are fighting a national health care crisis by helping each other have healthier pregnancies. More
Primary Care Physicians in U.S. Struggle More to Coordinate Care and Communicate with Other Providers But Offer Patients More Health IT Tools
Fewer than half of U.S. primary care providers receive information from specialists about changes to their patients’ care plans or medications, compared with at least seven of 10 in Norway, France, and New Zealand. Overall, U.S. physicians are among the most likely to offer health IT tools to better communicate with patients, but problems of interoperability have led to challenges. More
After A Freak Accident, A Doctor Finds Insight Into ‘Living Life And Facing Death’
As a palliative care physician at the University of California San Francisco's Cancer Center, Miller draws on his own experiences to help people with their physical, emotional and spiritual pain at the end of their lives. More
Burnout in Pediatric Residents: Three Years of National Survey Data
A majority of residents met burnout criteria. Several identified factors (eg, stress, sleepiness, medical errors, empathy, CCC, and self-compassion) suggest targets for interventions to reduce burnout in future studies. More
Remembering Louise Lown
We remember Louise Lown, social worker, peace activist, and beloved wife of Bernard Lown, who passed away on Friday. More
They Bring Medical Care To The Homeless And Build Relationships To Save Lives
"Street medicine" programs, like one in Atlanta, seek out people living in back alleys and under highways. The public health outreach improves patients' health and is cost-effective, hospitals find. More
EHRs get a failing grade for usability
How usable are electronic health records, compared to other types of technology we use every day? More
The power and paradox of caregiving
Caregiving involves significant time and emotional work, yet much of this work is invisible. In his new book, The Soul of Care, Dr. Arthur Kleinman shares his story of caring for his wife, Joan, who was diagnosed with early-onset Alzheimer's Disease. More
Bringing caregivers into the conversation
Health care systems are not always built to accommodate caregivers into the care team, but including caregivers into the conversation can provide essential information to clinicians about the patient's health. More