BACKGROUND: Although opioids are central to acute pain management, numerous studies have shown that many physicians prescribe them incorrectly, resulting in inadequate pain management and side effects. We assessed whether a case-based palliative medicine curriculum could improve medical house staff opioid prescribing practices.
While there are many recent advances in the state of pediatric emergency medicine internationally, there still exist many barriers to the improvement in its quality. Many of these obstacles are not specific to pediatric emergency medicine, but reflect overall disparities between the developing and developed worlds. One first step to overcoming pediatric emergency medicine practiced in isolation is a formal organization of the field of international pediatric emergency medicine.
Health care organizations have had to respond to the Coronavirus disease 2019 (COVID‐19) pandemic in unprecedented ways. In the United States, where health risk management is an established profession, health care risk managers (HRMs) contributed to the response by supporting organizations and frontline workers. HRMs advised administrative and clinical leadership on decisions and policies aimed at addressing the medico legal, ethical, and operational dilemmas raised by this public health emergency. This article describes these challenges from the perspective of a New York City (NYC) public hospital located in the “epicenter within the epicenter” of the pandemic and aims to provide practical guidance for HRMs on the front lines of this crisis.
Although Spanish is a major world language and increasingly common in North America, most instruments that measure quality of life (QOL) are written in English, limiting researchers’ ability to assess QOL in patients who speak only Spanish. In this article, we present a Spanish version of the McGill Quality of Life Questionnaire (MQOL), a validated instrument found particularly relevant for patients with life-threatening illness. A translation/ back-translation method, supplemented with review by a committee composed of lay persons and clinicians speaking Puerto Rican, Dominican, Mexican, Salvadoran, Ecuadorian, and Colombian Spanish, was used to achieve conceptual equivalence with the English version. Our initial review demonstrated face validity for the Spanish version of the MQOL. However, further testing is required to fully determine its psychometric properties and to provide a version that has been validated in use.
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