A Delicate Balance
نویسنده
چکیده
The Accreditation Council for Graduate Medical Education (ACGME) recognized the importance of housestaff in the provision of hospital care when it regulated housestaff duty hours to improve patient safety. ACGME intended to create a better balance between the management of resident fatigue and the continuity of patient care, but the shorter hours mandated by duty hour reform have created more frequent patient handoffs, which may interfere with the continuity of care.1–4 Concern about handoffs and recent work examining how outcomes vary in accordance with organizational factors such as the level of staffing on weekends have bought renewed attention to the issues of the effect of organizational factors in care delivery on outcomes and the efficiency of patient care.5,6 Two articles, one in Circulation and one in Circulation: Heart Failure, provide information about these concerns.
منابع مشابه
Air Quality and Climate Change: A Delicate Balance
A DELICATE BAL ANCE Climate change and air pollution are inextricably intertwined, so fighting one often produces gains against the other.
متن کاملBiologics Price Competition and Innovation Act: Striking a Delicate Balance Between Innovation and Accessibility
متن کامل
Why Solve the Hamiltonian Constraint in Numerical Relativity?
The indefinite sign of the Hamiltonian constraint means that solutions to Einstein’s equations must achieve a delicate balance—often among numerically large terms that nearly cancel. If numerical errors cause a violation of the Hamiltonian constraint, the failure of the delicate balance could lead to qualitatively wrong behavior rather than just decreased accuracy. This issue is different from ...
متن کاملThe delicate balance of melanoma immunotherapy
The strategy of immune modulation for the treatment of cancer is being refined with the introduction of multiple new therapeutic agents into the clinic. Melanoma is a disease where many of these agents have demonstrated efficacy. The mechanisms of action of these agents exploit the counter-regulatory mechanisms of the immune response. However, these agents are also associated with immune-relate...
متن کاملRelative Entropy in Hyperbolic Relaxation for Balance Laws
We present a general framework for the approximation of systems of hyperbolic balance laws. The novelty of the analysis lies in the construction of suitable relaxation systems and the derivation of a delicate estimate on the relative entropy. We provide a direct proof of convergence in the smooth regime for a wide class of physical systems. We present results for systems arising in materials sc...
متن کامل