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David Kagen, MD

  • News

    Computer-Based Reminders Have Small to Modest Effect on Care Processes

    October 27, 2014

    Clinical question: Do on-screen, computer-based clinical reminders improve adherence to target processes of care or clinical outcomes? Background: Gaps between practice guidelines and routine care are caused, in part, by the inability of clinicians to access or recall information at the point of

  • News

    Patient Participation in Medication Reconciliation at Discharge Helps Detect Prescribing Discrepancies

    October 27, 2014

    Clinical question: Does the inclusion of a medication adherence counseling session during a hospital discharge reconciliation process reduce discrepancies in the final medication regimen? Background: Inadvertent medication prescribing errors are an important cause of preventable adverse drug even

  • News

    Negative D-Dimer Test Can Safely Exclude Pulmonary Embolism in Patients at Low To Intermediate Clinical Risk

    October 27, 2014

    Clinical question: In patients with symptoms consistent with pulmonary embolism (PE), can evaluation with a clinical risk assessment tool and D-dimer assay identify patients who do not require CT angiography to exclude PE? Background: D-dimer is a highly sensitive but nonspecific marker of VTE, a

  • News

    Patient Signout Is Not Uniformly Comprehensive and Often Lacks Critical Information

    October 27, 2014

    Clinical question: Do signouts vary in the quality and quantity of information, and what are the various factors affecting signout quality? Background: Miscommunication during transfers of responsibility for hospitalized patients is common and can result in harm.

  • News

    Emergency Department Signout via Voicemail Yields Mixed Reviews

    October 27, 2014

    Clinical question: How does traditional, oral signout from emergency providers to inpatient medicine physicians compare to dictated, voicemail signout? Background: Communication failures contribute to errors in care transition from ED to inpatient medicine units.

  • News

    Emergency Department “Boarding” Results in Undesirable Events

    October 27, 2014

    Clinical question: What is the frequency and nature of undesirable events experienced by patients who “board” in the ED? Background: Hospital crowding results in patients spending extended amounts of time—also known as “boarding”—in the ED as they wait for an inpatient bed.

  • News

    Decreased ICU Duty Hours Does Not Affect Patient Mortality

    October 27, 2014

    Clinical question: Does the reduction in work hours for residents affect mortality in medical and surgical ICUs? Background: A reduction in work hours for residents was enforced in July 2003.

  • News

    In the Literature: January 2010

    January 1, 2010

    The latest HM-related research you need to know

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