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April 16, 2014

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How Managerialists Turned Housestaff Training into a Zero-Sum Game: the Continuing Saga of the FIRST and iCompare Studies

A ongoing controversy about two controlled trials (FIRST and iCompare) meant to test the bizarre hypothesis that sleep depriving medical housestaff (that is, physicians in training) would improve health care provided new evidence that academic medicine has been captured by managerialists . Background: the Controversy about the FIRST and iCompare Housestaff Sleep Deprivation Trials In early December, 2015 we posted about two clinical trials, FIRST and iCompare, designed to test the hypothesis that increasing housestaff sleep deprivation would improve care continuity, and thus somehow improve housestaff their performance and their patients' outcomes. Not only did the studies' hypothesis seem strange, but the studies seemed to violate fundamental rules of research ethics. Study investigators proceeded without obtaining formal informed consent from their house staff or patient research subjects, and did not allow any research subjects to opt out without penalty (e.g., house

8 Benefits of balsam-pear for our body

8 Benefits of balsam-pear for our body | Benefits of balsam-pear . For some people eat balsam pear bitter-certainly be avoided, but not many people know the benefits of this plant. Vegetables contain lots of fiber, vitamins and minerals needed by the body. Eating vegetables every day is recommended by nutritionists, to keep the body healthy. But not everyone likes to be vegetables, especially in urban areas, and there is one vegetable that is usually avoided for consumption is pare. Where the bitter taste, makes these vegetables are not widely consumed. But from now on, you seem to have to start to eat this bitter vegetable. Because, bitter melon has a myriad of health benefits for the body. What are the benefits behind bitter melon? Here are eight pare the benefits you need to know that we have quoted from magforwoman: 1. Enhance immunity Pare is known to boost your immunity level very well. You can boil it in water, and then consume boiled water every day to fight vari

Reckless indifference to nurse's concerns about bad health IT results in showing her the door?

At numerous past posts I referred to hospital executives' reckless indifference to the concern of seasoned clinicians about bad health IT, such as at http://hcrenewal.blogspot.com/ 2013/07/rns-say-sutters-new- electronic-system.html and http://hcrenewal.blogspot.com/ 2013/11/another-survey-on- ehrs-affinity-medical.html and other posts. I now see a stunning story of the results of EHR iconoclasty and patient advocacy: CNO claims hospital forced her out after she raised concerns about EMR Becker's Hospital Review Written by Akanksha Jayanthi June 14, 2016 http://www.beckershospitalreview.com/legal-regulatory-issues/cno-claims-hospital-forced-her-out-after-she-raised-concerns-about-emr.html A former nursing executive at Sonoma West Medical Center in Sebastopol, Calif., has filed a lawsuit against the hospital, alleging she was fired after raising concerns the EMR was a threat to patient safety, reports The Press Democrat . Autumn AndRa, RN, was serving as CNO of the

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