Dedicated MRI in the emergency department to expedite diagnostic management of hip fracture.

Purpose: To determine the effect on time to diagnosis of making MRI imaging for hip fractures available directly in the emergency department (ED).

Methods: We conducted a retrospective observational study of patients with MRI imaging of the hip for suspected occult fracture, comparing time to diagnosis and time to disposition of populations imaged in the year preceding and the year following installation of an MRI scanner in the ED.

Results: Time to diagnosis of hip fractures was 709 min before installation of a dedicated ED MRI scanner and 280 min after, a 60% reduction.

Does Doctor Know Best? Cultural competence is patient-centered care.

[Full article available at http://rimed.org/rimedicaljournal-2017-10.asp].

Access to and use of infertility services in the United States: framing the challenges.

An overview of access to and use of general infertility and assisted reproductive technology (ART) services in the United States (U.S.) shows a declining trend for the ever-use of infertility services.