Publications by authors named "Rhodes Berube"
Article Synopsis
- This study investigates the financial impact of graduate medical education (GME), particularly comparing costs and clinical outcomes between a resident-driven service (RS) and a nonresident-covered service (NRS) in a teaching hospital.
- Results showed that patient care costs were slightly lower and the length of stay (LOS) was shorter for the RS, challenging the belief that residents increase patient care costs without affecting patient outcomes like mortality or readmission rates.
- These findings suggest that GME may not be as costly as previously assumed, though the results may not apply to outpatient settings or other medical specialties.
Background: Hospital discharges are vulnerable periods for patient safety, especially in teaching hospitals where discharges are done by residents with competing demands. We sought to assess whether embedding a nurse practitioner on a medical team to help physicians with the discharge process would improve communication, patient follow-up, and hospital reutilization.
Methods: A 5-month randomized controlled trial was conducted on the medical service at an academic tertiary-care hospital.
Background: Although alcohol use and abuse are common among general-hospital inpatients, many patients are inadequately assessed and treated for alcohol withdrawal.
Objective: The purpose of this study was to determine whether the implementation of a clinical pathway for the treatment of alcohol withdrawal in medical inpatients would result in improvements in clinical practice and patient outcomes.
Method: Authors retrospectively reviewed 80 patient records (including 40 of those treated before the implementation of a pathway and 40 of those treated after pathway implementation).