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Francesco 🍁 boosted

Negli USA è diffusa una leggenda. A luglio, quando nei reparti iniziano a lavorare i nuovi specializzandi (i medici che iniziano la specializzazione) ci sarebbero più complicanze ed errori medici, si chiama “July effect”. Uno studio ha visto che non è vero
journals.lww.com/annalsofsurge

Reassessing the July Effect: 30 Years of Evidence Show No... : Annals of Surgery

ith increases in adverse patient outcomes has been the subject of numerous research studies since 1989. Methods: We conducted a systematic review and random-effects meta-analysis of July Effect studies published before December 20, 2019, looking for differences in mortality, major morbidity, and readmission. Given a paucity of studies reporting readmission, we further analyzed 7 years of data from the Nationwide Readmissions Database to assess for differences in 30-day readmission for US patients admitted to urban teaching versus nonteach-ing hospitals with 3 common medical (acute myocardial infarction, acute ischemic stroke, and pneumonia) and 4 surgical (elective coronary artery bypass graft surgery, elective colectomy, craniotomy, and hip fracture) conditions using risk-adjusted logistic difference-in-difference regression. Results: A total of 113 studies met inclusion criteria; 92 (81.4%) reported no evidence of a July Effect. Among the remaining studies, results were mixed and commonly pointed toward system-level discrepancies in efficiency. Metaanalyses of mortality [odds ratio (95% confidence interval): 1.01 (0.98–1.05)] and major morbidity [1.01 (0.99–1.04)] demonstrated no evidence of a July Effect, no differences between specialties or countries, and no change in the effect over time. A total of 5.98 million patient encounters were assessed for readmission. No evidence of a July Effect on readmission was found for any of the 7 conditions. Conclusion: The preponderance of negative results over the past 30 years suggests that it might be time to reconsider the need for similarly-themed studies and instead focus on system-level factors to improve hospital efficiency and optimize patient outcomes....

journals.lww.com
Francesco 🍁 boosted
Francesco 🍁 boosted

If you accidentally cry "havoc!" and let slip the dogs of war you can calm the dogs of war down with a casus belli rub.

Francesco 🍁 boosted

I love that #mastodon has a strong culture of adding alt-text to images. I don’t need alt-text, but I read the captions and learn and notice new things about images I might have otherwise overlooked without the captions.

I really hope this aspect of the culture remains despite huge influxes of new users!

Francesco 🍁 boosted
Francesco 🍁 boosted
Francesco 🍁 boosted

I made a graph of all my past relationships.

It has an ex axis and a why axis.

Francesco 🍁 boosted

L.O.V.E.
Libertà, odio, vendetta, eternità.

Nella nostre azioni non c’è odio, ma rabbia, non sono gesti di vendetta ma di speranza. L’acronimo però non sarebbe stato altrettanto bello.

#ultimagenerazione #a22network #LOVE #Cattelan #milano #italia #disobbedienzacivile #nonviolenza

Francesco 🍁 boosted
Francesco 🍁 boosted
Francesco 🍁 boosted

"L'Italia ha dimostrato che non c'è bisogno di mettersi d'accordo con la mafia per batterla", dice la #duchessa. Lei invece ha dimostrato che per diventare ministro e capo del governo ha avuto bisogno di mettersi d'accordo con un capopartito che si teneva in casa i mafiosi, e il suo partito fondato da un condannato in via definitiva per concorso esterno in associazione mafiosa. In compenso il suo ministro della giustizia vuole abolire il reato di abuso d'ufficio per sindaci e amministratori.

Francesco 🍁 boosted

guess who is not happy with the existing, CC-licensed SVG version of the map of Western Middle Earth at the End of the Third Age and is making his own

Francesco 🍁 boosted
Francesco 🍁 boosted
Francesco 🍁 boosted
Francesco 🍁 boosted

S1E1 #qualifieddpo

Parcheggiare può richiedere l'inserimento della targa del veicolo. Pagando online è inevitabile, ma al parchimetro?

In questo caso è evitabile ma costa fatica o fa perdere succulenti dati quindi viene chiesta comunque
Peccato che sia illecito

Vediamo perchè

Francesco 🍁 boosted

Wow people are somehow still on Twitter. Why?

Francesco 🍁 boosted

If anyone within the sound of my Toot does #Turkish poetry research, there are a lot of #Vatican Turkish #Manuscripts that have been digitized recently, mostly 18th and 19th C, and I know far too little about the field to say if they are important or not. I'd love a guest blogger or some "here's what is interesting about this" notes!
@bookstodon

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