Tag Archives: quality care

The Frequency of Unnecessary Testing in Hospitalized Patients

Testing is an important part of medicine across all specialties and settings. As a result, the volume of testing is enormous, with an estimated 4-5 billion tests performed in the United States each year.1 Unnecessary laboratory testing and diagnostic imaging is believed to be common. Studies looking at testing of patients have found 40%-60% of tests […]

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doctor shaking hands with female patient

Coaching Patients Saves Lives and Money

The Coaching On Achieving Cardiovascular Health (COACH) Program has been proven to improve biomedical and lifestyle cardiovascular disease (CVD) risk factors. The objective of this study was to evaluate the long-term impact of The COACH Program on overall survival, hospital utilization, and costs from the perspective of a private health insurer (payor), in patients with […]

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Joseph S. Alpert

Do We Learn More from Our Mistakes than from Our Successes?

For years I have believed that you can learn more from your mistakes than from your successes. It is a dictum that I have quoted many times on rounds with residents and students. I tell them that I still remember the mistakes made as an intern, but the success stories have faded from my brain. […]

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Restoring the Art of Medicine

There was a time when physicians and laypersons frequently and comfortably referred to the “art of medicine,” but that was 45 years ago. Times have changed. Back then, as an eager and idealistic medical student, the expression puzzled me and discussions with my classmates and teachers about its deeper meaning left me unsatisfied. For the […]

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elder woman sick in bed with husband looking on

Advance Directives in Hospice Healthcare Providers: A Clinical Challenge

On a daily basis, healthcare providers, especially those dealing with terminally ill patients, such as hospice workers, witness how advance directives help ensure the wishes of patients. They also witness the deleterious consequences when patients fail to document the care they desire at their end of life. To the best of our knowledge there are […]

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