Majority of Fortune 500 Companies in 2018 Did Not Recognize Risk of Epidemics Such as COVID-19.

Infectious disease threats, like the 2002 severe acute respiratory syndrome coronavirus (SARS-CoV) disease, 2009 pandemic influenza A (H1N1), and the current coronavirus disease 2019 (COVID-19), pose multisectoral risk with the potential for wide-ranging socioeconomic disruption. In our globally intertwined economy, the impact of such events can elicit economic shock waves that reach far beyond the country of origin. Review of the 2018 Fortune 500 company 10-K filings shows the majority did not document perceived risks associated with epidemics, outbreaks, or pandemics.

Predicting 30-Day Readmissions: Evidence From a Small Rural Psychiatric Hospital.

To improve quality of care and patient outcomes, and to reduce costs, hospitals in the United States are trying to mitigate readmissions that are potentially avoidable. By identifying high-risk patients, hospitals may be able to proactively adapt treatment and discharge planning to reduce the likelihood of readmission. Our objective in this study was to derive and validate a predictive model of 30-day readmissions for a small rural psychiatric hospital in the northeast.

Crystal clear or tin ear: how do medical students interpret derogatory comments about patients and other professionals?

Purpose: To assess the learning environment at our medical school, third-year medical students complete an 11-item survey called the Learning Environment for Professionalism (LEP) at the end of each clerkship. The LEP survey asks about the frequency of faculty and resident professional and unprofessional behaviors that students observed; two of the items specifically address derogatory comments. This study used focus group methodology to explore how medical students interpret the derogatory comments they reported on the LEP survey.

Signal versus noise on the wards: what "messages" from the hidden curriculum do medical students perceive to be importantly meaningful?

Interested in the hidden curriculum and the learning environment for professionalism at our school, a group of educators called the RIPPLE Team (Relationships in Positive Professional Learning Environments) created The Professionalism Journal for use by third-year medical students during their Internal Medicine and Psychiatry clerkships. The students are introduced to the online journal and encouraged to use it as a means to pause, reflect on the events of the day, and write about episodes or exchanges they find personally important and meaningful. They are informed that their journal entries will be de-identified and used as the triggers for a facilitated and confidential discussion among their peers at the end of the clerkship.

Community-based evaluation of immigrant tuberculosis screening using interferon γ release assays and tuberculin skin testing: observational study and economic analysis.

Background: UK tuberculosis (TB) notifications are rising due to disease in the immigrant population. National screening guidelines have been revised but cost-effectiveness analyses are hampered by the lack of data on the comparative performance of tuberculin skin tests (TSTs) and interferon γ release assays (IGRAs) in immigrants.

Methods: Three-way evaluation of TSTs and two IGRAs (QuantiFERON Gold in-tube (QFN-GIT) and T-SPOT.