BACKGROUND New resident work-hour restrictions are expected to result in further increases in the number of handoffs between inpatient care providers, a known risk factor for poor outcomes. Strategies for improving the accuracy and efficiency of provider sign-outs are needed. OBJECTIVE To develop and test a judgment-based scale for conveying the risk of clinical deterioration. DESIGN Prospe...

BACKGROUND Research on resident workloads has focused primarily on the quantity of hours worked, rather than the content of those hours or the variability among residents. We hypothesize that there are statistically significant variations in resident workloads and better understanding of workload intensity could improve resident education. METHODS The Stanford Children's Health research datab...

purpose: e is a commonly use letter for illiterates or those who could not read english to measure visual acuity. the e chart is the mainly used charts in iran. however, they do not have the standards. they are in different format, fixed for 6 meter test, with or without lighting, with unequal number of letters in each line and different contrasts. as a result, there is an essential need for a ...

We describe the electrophysiological findings on visual pathway examination in a 54-year-old female patient who suffered loss of acuity without cause clinical examination. The picture followed case Severe Pneumonia Secondary to Coronavirus 2 (SARS-CoV-2) infection that required admission Intensive Care Unit (ICU) for High-Flow Nasal Oxygen Therapy (HFO).

BACKGROUND As the demands on the emergency medicine (EM) system continue to increase, improvements in the organization of work and the access to timely clinical and system information will be required for providers to manage their workload in a safe and efficient manner. Information technology (IT) solutions are beginning to find their place in the emergency department (ED) and it is time to be...

BACKGROUND Hospitals are constantly being challenged to provide high-quality care despite ageing populations, diminishing resources, and budgetary restraints. While the costs of care depend on the patients' needs, it is not clear which patient characteristics are associated with the demand for care and inherent costs. The aim of this study was to ascertain which patient-related characteristics ...

Nystagmus intensities at various gaze angles were studied both preoperatively and postoperatively, using accurate ocular motility recordings, in three cases of congenital nystagmus. In addition to shifting the nystagmus null, the surgery broadened the null region and resulted in an overall reduction in nystagmus intensity at all gaze angles. Surgical rotation also resulted in improved visual ac...

BACKGROUND Nursing aides provide most of the labor-intensive activities of daily living (ADL) care to nursing home (NH) residents. Currently, most NHs do not determine nurse aide staffing requirements based on the time to provide ADL care for their unique resident population. The lack of an objective method to determine nurse aide staffing requirements suggests that many NHs could be understaff...

Purpose: Here, we report a case of benign concentric annular macular dystrophy associated with visual field defect.Case summary: A 34-year-old woman presented defect that was not accompanied by deterioration in acuity. The patient’s best-corrected acuity 1.25 both eyes. No signs anterior chamber inflammation were observed, and fundoscopy showed hypopigmentation at the fovea Annular hyperfluores...

OBJECTIVE We examined whether clinical acuity changed in children and youth with repeated emergency department (ED) visits for mental illness. A secondary, exploratory objective was to examine characteristics associated with clinical acuity. METHOD We conducted a four-year historical cohort study reviewing data from 1,033 ED presentations by 474 patients (≤17 years) for mood disorders, neurot...