Clinical

Rapid Response Teams Increase Perception of Education without Reducing Autonomy

Clinical question: Does the presence of a rapid response team (RRT) affect the perception of resident education and autonomy? Background: Studies on the perception of RRTs, which can generally be activated by any concerned staff member, have been primarily limited to nurses. No studies to date have evaluated resident perception of the effects of RRTs… [Read More]

Physician Dashboard, Pay-for-Performance Improve Rate of Appropriate VTE Prophylaxis

Transparent feedback through real-time dashboards, payment incentives can improve patient safety, quality benchmarks

Intercepting Wrong-Patient Orders in a Computerized Provider Order Entry System

Clinical question: Does implementing a patient verification dialog that appears at the beginning of each ordering session, accompanied by a 2.5-second delay, decrease wrong-patient orders? Background: Computerized provider order entry (CPOE) is known to increase the rate of wrong-patient order entry and, although the rate in the ED has not been well characterized, CPOE wrong-patient… [Read More]

Epidemiology of Peri-Operative, Transfusion-Associated, Circulatory Overload

Understanding characteristics of TACO could improve decision making around transfusion strategies for at-risk patients

The Spectrum of Acute Encephalitis

Advanced age, immunocompromised state, coma portend worse outcomes for patients with acute encephalitis

Peri-Operative Hyperglycemia and Risk of Adverse Events in Diabetic Patients

Clinical question: How does peri-operative hyperglycemia affect the risk of adverse events in diabetic patients compared to nondiabetic patients? Background: Peri-operative hyperglycemia is associated with increased rates of infection, myocardial infarction, stroke, and death. Recent studies suggest that nondiabetics are more prone to hyperglycemia-related complications than diabetics. This study sought to analyze the effect and… [Read More]

Complaints Against Doctors Linked to Depression, Defensive Medicine

Clinical question: What is the impact of complaints on doctors’ psychological welfare and health? Background: Studies have shown that malpractice litigation is associated with physician depression and suicide. Though complaints and investigations are part of appropriate physician oversight, unintentional consequences, such as defensive medicine and physician burnout, often occur. Study design: Cross-sectional, anonymous survey study…. [Read More]

ICU Delirium: Little Attributable Mortality after Adjustment

Does delirium contribute to higher mortality risk for ICU patients?

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HM15 Session Analysis: End-of-Life Discussions

HM15 Session: Facilitating End-of-Life Discussions: Prognosis in Advanced Illness Presenter: Julia Ragland, MD, FHM Summation: Discussion of Prognosis in Advance Illness is a key component of informed decision-making and should be undertaken during a “Sentinel Hospitalization” and at times of other “triggers”.  End-of-Life discussions are critical for providing the best care for patients with advanced diseases…. [Read More]