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
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
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
Nearly two thirds of those who took part had witnessed bullying or harassment. More
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
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
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
On the surface, the American College of Cardiology/American Heart Association guidelines for treating hypertension seemed straightforward. More
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
In the mountains of North Carolina, black women are fighting a national health care crisis by helping each other have healthier pregnancies. More
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
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
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
We remember Louise Lown, social worker, peace activist, and beloved wife of Bernard Lown, who passed away on Friday. More
"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
How usable are electronic health records, compared to other types of technology we use every day? More
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
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
A 2019 study of more than 2,100 U.S. mothers found that 1 in 6 reported “mistreatment” during childbirth, including being ignored, threatened or berated, or losing their autonomy. Women of color were even more likely to report such experiences. It can be hard for parents to speak up after a difficult childbirth. But a small number of health care providers and others are beginning to encourage them to speak up — and to provide feedback about their experiences. In some cases, the process is helping give parents closure, and may even bring about change. In other cases, looking forward may prove better than looking back. More
A recent study shows the impact of asking "Do you want everything done?" for critically ill patients and their family members. More