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Emergency physicians' interventions may be cancelled by paramedics when they arrived first on site and faced a non-emergency situation.
At the same time, they strongly influence the main symptom that leads to a CHF-oriented diagnostic workup and is used to judge the course of disease and success of physicians' interventions.
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Prior to the intervention, all physicians (intervention and controls) received feedback about their patient survey results in one-on-one sessions with their physician site leader.
Fifty-eight percent of physicians (intervention, 50%; control, 64% and 200% of nursing and allied health care (intervention, 25%; control, 10%) referred patients on a weekly basis.
The pre-intervention patient sample from the 2005 survey administration ("baseline 1") included 651 patients across the 21 physicians (intervention and controls).
Eighty-eight percent of physicians (intervention, 81%; control, 94%) and 34% of nursing and allied health care (intervention, 35%; control, 29%) reported asking patients daily.
We obtained baseline and follow-up data on 95 physicians (intervention, n=48; control, n=47) and 1182 of their patients at baseline (intervention, n=715; control, n=467) and 945 diabetes patients at follow-up (intervention, n=479; control, n=466).
The rate of consensus was defined as the percentage of recommendations agreed upon by the ICU physicians (intervention period) or A-CdP (baseline period) and the ICU hospital pharmacist.
We randomly assigned 826 primary care physicians and their 31,715 patients to one of four trial arms no patient and no physician intervention, patient but no physician intervention, physician but no patient intervention, both patient and physician interventions.
Related ward physician interventions increased from 38% (9/24 events) to 89% (81/91 events) (p < 0.001).
We found a significant improvement in ward physician interventions to almost 90% of the events with an observed abnormal EWS.
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