Little research has assessed the organizational impact of duty hour reforms; however, the literature reviewed demonstrates that many organizations are using new technologies, new personnel, and revised and innovative shift structures to compensate for reduced resident coverage and to decrease the risk of limited continuity of care.
Several standard measures of functional status were used, and adjustments were made for differential exposure time, respondent status, participating in Medicare managed care plans, a comprehensive set of risk factors, continuity of care, and the influence of post-baseline hospitalizations.
which attributes of the treatment alternatives (such as time in hospital, risk of adverse outcomes, continuity of care etc) are important to women.
For this to happen twice a day in the first few days after major trauma is likely to increase the risk of breakdowns in continuity of surgical care, and the delivery of HBO can interfere with the optimal timing of the many other assessments, investigations and interventions required.
(C) Individuals acting alone and in concert involved in international terrorism possess both the capability and the intention to undertake further terrorist attacks against the United States that, if not detected and prevented, will cause mass deaths, mass injuries, and massive destruction of property, and may place at risk the continuity of the operations of the United States government.
The UK government would do nothing to put at risk the continuity of payments to its own citizens and would not be prepared to incur significant costs to change IT systems," the DWP report said.
Companies also know that if they fail to meet the terms of a contract there will be a reluctance to cancel it, or even to penalise them financially, because of the risk to the continuity of patient care, the cost of re-tendering, and possible legal challenges.
Areas where clinicians felt the least confident were in the effective assessment and management of high risk behaviours, providing continuity of care, managing people with dual diagnosis, prescribing and effectively managing medications, assessing and managing child and adolescent mental health, and balancing the caseload in ED.
(Interview 2, Participant 3) Practice staff expressed concern that a lack of continuity increased the risk of missing diagnoses and/or supporting the patient through a difficult period.
From the parents' perspective such GPs ran the risk of impairing longitudinal and personal continuity of care for children.
