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Since the start of the 21st century, more than 800 000 firearm deaths and more than 2 million firearm injuries have occurred in the US. All categories of firearm violence-homicide, suicide, unintentional-result in reverberating harms to individuals, families, communities, and society. The collective responsibility of society is to safeguard the health and safety of its members, including from firearm harms. The JAMA Summit on Firearm Violence convened 60 thought leaders from a wide array of disciplines to chart an innovations roadmap that will lead to substantial reductions in firearm harms by 2040.
JAMA
Questionnaires for research that involve diverse populations require inclusive language. There are few guidelines to assist researchers in minimizing social and cultural biases in data collection materials; such biases can result in harm and negatively impact data integrity.
BMC public health
JAMA health forum
People who prefer a language other than English face barriers accessing care. A thematic analysis was employed to gather patient and caregiver perspectives on language access in two emergency departments. Participants recommended that the EDs hire additional bilingual staff members and increase access to video remote interpreters.
Journal of Immigrant and Minority Health
Antimicrobial resistance (AMR) is a major global health threat, with children at higher risk due to developmental differences in drug metabolism, limited treatment options and inappropriate antibiotic use. Pediatric antimicrobial stewardship programs (ASPs) face implementation challenges, often relying on adult-based guidelines and limited pediatric-specific evidence. This study aimed to identify and prioritize the most critical areas for pediatric ASP intervention development through a structured, multi-round Delphi consensus process with experts in antimicrobial stewardship and infectious diseases.
Antibiotics (Basel, Switzerland)
Racial segregation is believed to play a critical role in enforcing racial disparities in nursing home quality. In this study, we test whether segregation exacerbates racial disparities in nursing home quality. We found that racial disparities existed at all levels of segregation, and disparities are exacerbated by segregation.
Journal of the American Geriatrics Society
Frontiers in public health
JAMA health forum
Excessive use of postoperative prophylactic antibiotics in children's hospitals is a significant public health concern, leading to increased risks of infections like Clostridioides difficile, multidrug-resistant organisms, and unnecessary healthcare costs. Antibiotic stewardship programs (ASPs) are designed to optimize antibiotic use, but ideal strategies for implementing evidence-based guidelines remain unclear. We tested facilitation, a dynamic process where trained individuals support healthcare personnel in bridging evidence-practice gaps, as a promising strategy for the de-implementation of unnecessary postoperative antibiotics in healthcare.
Implementation science : IS
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