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Adam Wachter, MD

  • 1
    News

    Better Reporting Needed to Accurately Estimate Medical Error as Cause of Death in U.S.

    June 20, 2016

    Clinical question: What is the contribution of hospital-based medical errors to national mortality in the U.S. compared to other causes listed by the Centers for Disease Control and Prevention (CDC)? Background: Medical error can contribute to patient mortality.

  • 1
    News

    Hospital Admission, Stroke Clinic Follow-up Improve Outcomes for Patients with Transient Ischemic Attack, Minor Ischemic Stroke

    June 20, 2016

    Clinical question: How do guideline-based care and outcomes of patients with transient ischemic attack (TIA) and minor ischemic stroke differ among patients admitted to the hospital and discharged from the ED, as well as in those referred versus not referred to stroke prevention clinics following di

  • News

    Left Atrial Appendage Closure Noninferior to Warfain for Cardioembolic Event Prophylaxis in Nonvalvular Afibrillation

    March 3, 2015

    Clinical question: Is mechanical, left atrial appendage (LAA) closure as effective as warfarin therapy in preventing cardioembolic events in patients with nonvalvular atrial fibrillation (Afib)? Background: Anticoagulation with warfarin has long been the standard therapy for prevention of thrombo

  • News

    Tramadol Associated with Increased Rate of Hypoglycemia

    March 3, 2015

    Clinical question: Does tramadol increase rates of hospitalization from hypoglycemia compared to other opioids? Background: As tramadol use has increased in the general population, there have been multiple reports of hypoglycemia after initiation of the painkiller, including in patients with no o

  • News

    Longer Surgeries Associated with Increased VTE Risk

    March 3, 2015

    Clinical question: Does duration of surgical procedure influence venous thromboembolism (VTE) risk? Background: The relationship between surgical procedure length and VTE risk has not been vigorously assessed, although it has been postulated that longer procedures are associated with increased VT

  • News

    Mortality, Readmission Rates Unchanged by Duty Hour Reforms

    March 3, 2015

    Clinical question: Did the 2011 Accreditation Council for Graduate Medical Education (ACGME) duty hour reforms change mortality rates or readmission rates at teaching hospitals? Background: The 2011 ACGME duty hour reforms maintained the 80-hour weekly work limit for medical residents, decreased

  • News

    Emergency Department Utilization May Be Lower for Attending-Only Physician Visits versus Supervised Visits

    March 3, 2015

    Clinical question: Does supervised learning in the ED lead to higher rates of resource utilization? Background: Care at academic medical centers might be more expensive than nonteaching hospitals because of the increased testing and resource utilization that occurs among learners.

  • News

    Physician Spending Habits During Residency Training Can Persist for Years

    March 3, 2015

    Clinical question: For primary care physicians (PCPs), does residency training area affect the pattern of physician spending after training is complete? Background: Regional and system-level variations in the intensity of medical services provided are common in the U.S.

  • News

    Malpractice Reform Does Not Change Physician Practice Patterns

    March 3, 2015

    Clinical question: Do malpractice reform policies shift physician practice patterns toward lower utilization of healthcare resources? Background: Physician-reported fears of lawsuits lead to defensive medicine practices, which contribute to high healthcare costs.

  • News

    Updated Guidelines for Management of Non-ST-Elevation Acute Coronary Syndrome

    March 3, 2015

    Clinical question: What is the recommended approach for management of non-ST-elevation acute coronary syndrome (NSTE-ACS)? Background: This is the first comprehensive update from the American Heart Association/American College of Cardiology (AHA/ACC) on NSTE-ACS since 2007 and follows a focused u

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