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She thought it was late that night, so when the paramedics finally were talking to her, they were the first people to tell her, ‘Happy Thanksgiving.’ It just blew her mind and then she’s like, ‘Oh, it’s Thanksgiving night?’ And they said, No, its Thanksgiving morning, Keith said. Where the Case Stands Today and How the Papini Family Is Healing Authorities are still hunting for the alleged kidnappers. Based on Sherri’s description of her alleged captors, Sheriff Bosenko told ABC News that authorities are searching for two Hispanic female adults armed with a gun and driving a dark SUV. One suspect, the younger of the two, was described as having long curly hair and a thick accent, pierced ears and thin eyebrows, Bosenko said, while the other woman, the older one, was described as having straight black hair with some grays and thick eyebrows. Police artists are now working on a composite sketch. Keith said he is focused on what is next for his familys healing. You would expect that I want to get these people … and then your mind goes into a place that it shouldnt and I think most people are doing that, Keith said. Clearly, I want justice but right now Im just happy that my wife is back. I dont have to raise my kids without her. Even in the midst of the gratitude he feels, Keith said he knows his wifes road to recovery wont be easy.
For the original version including any supplementary images or video, visit http://abcnews.go.com/US/sherri-papini-inside-california-moms-mysterious-disappearance-search/story?id=43930023
National organizations have recommended specific strategies to improve resident handoffs, such as dedicated time and space to perform handoffs, standardized templates, and supervision by senior physicians. How these best-practice recommendations are implemented across programs is unknown. Charlie M. Wray, D.O., M.S., of the San Francisco Veterans Affairs Medical Center, and colleagues examined internal medicine residency program directors’ responses to the 2014 Association of Program Directors in Internal Medicine electronic survey, in which they were asked to report implementation of handoff strategies within 3 domains: properties of verbal handoffs (i.e., dedicated time), properties of written handoffs (i.e., use of electronic health records [EHRs]), and educational resources (i.e., didactic lectures). Among all programs, 234 of 361 (65 percent) responded to the survey. Most program directors (61 percent) were very or somewhat satisfied with the handoff strategies used at their institutions. Implementation of handoff strategies ranged from 6 percent to 67 percent, with the most frequent strategies being dedicated time (67 percent), didactic lectures (64 percent), overlapping shifts (61 percent), ward-based teaching by residents (61 percent), and allowing the receiver access to patient records (60 percent). Statistically significant differences in the proportion of program directors who were satisfied were observed for those implementing vs not implementing 4 strategies: having a dedicated room, supervision by a senior resident, EHR-enabled handoff, and receiver given written copy of sign out. Implementation ranged between 47 percent (EHR-enabled handoff) and 59 percent (receiver given written copy of sign out), with 12 percent implementing all 4 strategies. “Discordance between low implementation and high program director satisfaction may indicate confusion regarding which practices are best for their setting because of the lack of strong or consistent evidence,” the authors write.
For the original version including any supplementary images or video, visit https://www.eurekalert.org/pub_releases/2016-12/tjnj-uor120516.php
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