This randomized trial compares the risk of wrong-patient orders in an electronic health record (EHR) configuration allowing 1 vs up to 4 concurrently open patient records.
This cohort study assesses the association between unrecognized obstructive sleep apnea (OSA) and 30-day risk of cardiovascular complications (myocardial injury, cardiac death, heart failure, thromboembolism, atrial fibrillation, and stroke) among adults undergoing major noncardiac surgery.
This study examines prices and sales of sweetened beverages before and after implementation of a excise tax in Philadelphia, intended to reduce unhealthful drink consumption, and compares it with sales in Baltimore, which did not institute the same tax.
This study examined the association between RCT findings supporting or rejecting the trials’ experimental hypotheses and postpublication metrics reflecting scientific and public interest; namely, citations, Altimetric scores, and views.
This Viewpoint reviews the sources of distrust between clinicians and the leadership of health systems they practice in, and proposes principles by which trust might be rebuilt, including competent leadership that is visible, available, and responsive; transparency and honesty in communication; and articulation of a shared mission backed by the behavior of leaders at times of stress or crisis.
As part of a JAMA series on reestablishing trust in medicine, Don Berwick and colleagues review the clinical, financial, and emotional costs to physicians of regulatory burdens, and propose ways to better balance audit and trust including requirements for policy makers to experience the daily lives of clinicians, precertification systems that reduce the burden on the majority of trustworthy professionals, and payment reforms that reward value.
In the wake of the suicides of 2 students who survived the 2018 Parkland, Florida, mass shooting, this Viewpoint reviews evidence about the long-term adverse psychological effects of mass shootings on survivors and their families and communities, and proposes that changes in mental health service delivery may be necessary, with the ultimate goal of promoting a sense of safety and of self- and community efficacy, connectedness, and hope over a sustained period for communities exposed to gun violence.
This Viewpoint reviews the ways health insurers are incentivizing the purchase of wearable health devices and using them to reward healthy behaviors, and discusses the potential benefits (eg, increased physical activity, improved coordination of care) and adverse consequences (eg, increased health disparities, accuracy and privacy of digital health data) of the trend.
In this narrative medicine essay, an infection diseases physician unconvinced of a stroke diagnosis listened to his own heart beat and accurately diagnosed mitral valve prolapse and reminds physicians to consider other possibilities when the symptoms don’t line up with the diagnosis.
This narrative review summarizes the management strategies for diabetes before, during, and after pregnancy, focusing on optimization of glycemic control, nonteratogenic medication regimens, and careful attention to comorbid conditions to mitigate maternal and neonatal risks.
This Genomics and Precision Health article explains the use and interpretation of polygenic risk scores for determining disease risk and emphasizes the gap between widespread availability of direct-to-consumer (DTC) genetic testing and the near absence of evidence validating the scores in clinical populations and demonstrating associations with the ability to improve clinical outcomes via interventions.
This JAMA Clinical Guidelines Synopsis summarizes the 2018 American College of Gastroenterology (ACG) guideline on management of Crohn disease in adults.
In this Medical News article, experts discuss how various arts program can help medical students see people with dementia in a positive new light.
This Medical News feature explains how 3 disparate types of animals help researchers make medical discoveries.
This JAMA Patient Page describes the symptoms and treatment of rib fractures.
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