Physicians Answer More Clinical Questions and Change Clinical Decisions More Often with Synthesized Evdience: A Randomized Trial in Primary Care
By Brian S. Alper, M.D., M.S.P.H., et al.
*Conflict of Interest: Dr. Alper is the founding principal of Dynamic Medical Information Systems, LLC and the editor-in-chief of DynaMed.
VICTIMS OF MEDICAL ERRORS FEEL ANGER, MISTRUST AND RESIGNATION
In a qualitative study of 24 primary care patients who lived through a preventable medical problem, Elder and colleagues find that anger, mistrust and resignation are common. This analysis classifies patient responses into four categories: avoidance, accommodation, anticipation, and advocacy, each with different implications for subsequent health care.
How Experiencing Preventable Medical Problems Changed Patients' Interactions with Primary Health Care
By Nancy C. Elder, M.D., M.S.P.H., et al
DETECTING RISK AND PREVENTING SUICIDE AMONG DEPRESSED PATIENTS IN PRIMARY CARE
A pair of studies examines suicidal ideation among depressed patients. In an assessment of 405 patients with uncomplicated depression, Schulberg and colleagues find a low risk of suicide, which remains fairly stable through six months of follow-up. A randomized study by Nutting and colleagues shows brief training of primary care clinicians to improve depression care can double the rate of initial detection of suicidal ideation. <
Contact: Angela Sharma
American Academy of Family Physicians