in order to equip medical students with all the necessary skills in dealing with patients to provide optimal treatment, the need for the use of real patients in educational settings has become prominent. but all the required skills cannot be practiced on real patients due to patients’ safety and well-being. thus, the use of standardized patients (sps) or simulated patients (sips) as a substitut...

introduction: one of the most important indices of effectiveness and delivery quality of sanitary and medical services is patient satisfaction with hospital services. it is necessary that hospitals pay attention to patient's needs and ensure their satisfaction. therefore the current study was conducted with the aim of identifying the level of patient satisfaction with hospital services delivere...

With increasing demands for emergency medical services (EMS), many EMS jurisdictions are utilizing EMS provider-initiated nontransport policies as a method to offload potentially nonemergent patients from the EMS system. EMS provider determination of medical necessity, resulting in nontransport of patients, has the potential to avert unnecessary emergency department visits. However, EMS systems...

Controversy continues in the United States over the performance of percutaneous coronary intervention (PCI) at facilities without on-site cardiac surgery. After publication of the quantitative review by Keeley et al1 in 2003, the superiority of PCI over thrombolytic therapy for the treatment of ST-segment–elevation myocardial infarction (STEMI) was widely accepted. These findings further suppor...

BACKGROUND The purpose of this study was to determine the association between time to coronary artery bypass grafting (CABG) and mortality among patients admitted with non-ST elevation acute coronary syndrome (NSTEACS). Patients are increasingly being referred for CABG soon after NSTEACS, although few data exist to guide the optimal timing of bypass surgery. METHODS We identified a cohort of ...

Chest X-ray (CXR) is one of the most common radiological examinations for both nonemergent and emergent clinical indications, but human error or lack prioritization patients can hinder timely interpretation. Deep learning (DL) algorithms have proven to be useful in assessment various abnormalities including tuberculosis, lung parenchymal lesions, pneumothorax. The deep learning–based automatic ...

The emergency medical services (EMS) system plays a critical role in the U.S. health care safety net, performing over 16 million transports per year.1 Although often treated as publicly funded good, only two-thirds of EMS agencies are run by governments or municipal fire departments2 and many rely on volunteers. As result, recruitment retention personnel has become more difficult time, especial...

normal 0 false false false en-us x-none ar-sa microsoftinternetexplorer4 introduction: patients’ decision-making and legal capacity are major factors of informed consent considered as a basis of medical ethics. this study aimed to determine the undergoing surgery inpatients capacity to sign the consent form and admission clerks’ performance in taking the form in teaching hospitals in kashan. me...

patient-centered model of care (pcmc) is a philosophy and mindset that requires a high level of commitment and significant adjustments in organizational structures. the patient-centered care (pcc) concept is based upon communication and involvement of both patients and their families in the treatment options and the potential outcome, thus empowering the patient and family. the pcc is a quality...