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The physicians on duty had the freedom of choice to use one or other method guided by their clinical experience and judgement.
Do you find this to be normal?" A nurse wrote in her notes that the physicians on duty were "notified several times over course of shift" that Jahi was bleeding.
With this model, the physicians on duty do not have a regular time for family conferences.
We think that the very high corticosteroid starting dosages (>1 mg/kg body weight) which were chosen in some of the patients by the physicians on duty for the ophthalmologic aspect alone were too high.
The EDWIN score is defined as Σniti/Na BT-BA), where ni = number of patients in the ED in triage category i, ti = triage category, Na = number of attending physicians on duty, BT = number of treatment bays, and BA = number of admitted patients in the ED.
All of these patients had an induced delivery because of a severe clinical course indicated by the physicians on duty.
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Third, since the physicians from Kaizuka City Hospital are also involved in after-hour care at Izumisano City Hospital, the problem of overworked gynecologists and obstetricians in both hospitals will be mitigated to some extent by the adoption of a two-physicians-on-duty system.
However, physicians' on-call duties mostly take place during the night, and night shifts have been shown to be negatively related to employees' well-being and health, possibly due to sleep deprivation [ 42].
"I kick myself when I think about it now," Dr. Douglas Yoshia, the attending physician on duty when Ms. Huden showed up at the emergency room.
But there was no female physician on duty, and the patient, an observant Muslim, was reluctant to be examined by a male physician.
Recently, while seeing a patient in an intensive-care unit at my hospital, I stopped to talk with the critical-care physician on duty, someone I'd known since college.
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Justyna Jupowicz-Kozak
CEO of Professional Science Editing for Scientists @ prosciediting.com