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An Official Publication of
  • Clinical
    • In the Literature
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Maria Anaizza Aurora Reyna, MD, FHM

  • 1
    News

    Future Hospitalist: Top 10 tips for carrying out a successful quality improvement project

    August 10, 2017

    Implementing a successful quality improvement project requires intelligent direction, strategic planning, and skillful execution.

  • 1
    News

    Postoperative Clostridium Difficile Infection Associated with Number of Antibiotics, Surgical Procedure Complexity

    April 8, 2016

    Clinical question: What are the factors that increase risk of Clostridium difficile infection (CDI) in postoperative patients? Background: CDI has become an important infectious etiology for morbidity, lengthy and costly hospital admissions, and mortality.

  • 1
    News

    Most Postoperative Readmissions Due to Patient Factors

    April 8, 2016

    Clinical question: What is the etiology of 30-day readmissions in postoperative patients? Background: As the focus of healthcare changes to a quality-focused model, readmissions impact physicians, reimbursements, and patients.

  • 1
    News

    Ischemic Hepatitis Associated with High Inpatient Mortality

    April 4, 2016

    Clinical question: What is the incidence and outcome of patients with ischemic hepatitis? Background: Ischemic hepatitis, or shock liver, is often diagnosed in patients with massive increase in aminotransferase levels most often exceeding 1000 IU/L in the setting of hepatic hypoperfusion.

  • 1
    News

    AIMS65 Score Helps Predict Inpatient Mortality in Acute Upper Gastrointestinal Bleed

    April 1, 2016

    Clinical question: Does AIMS65 risk stratification score predict inpatient mortality in patients with acute upper gastrointestinal bleed (UGIB)? Background: Acute UGIB is associated with significant morbidity and mortality, which makes it crucial to identify high-risk patients early.

  • 1
    News

    No Mortality Benefit to Cardiac Catheterization in Patients with Stable Ischemic Heart Disease

    March 28, 2016

    Clinical question: Can cardiac catheterization prolong survival in patients with stable ischemic heart disease? Background: Previous results from the COURAGE trial found no benefit of percutaneous intervention (PCI) as compared to medical therapy on a composite endpoint of death or nonfatal myoca

  • 1
    News

    Increase in Broad-Spectrum Antibiotics Disproportionate to Rate of Resistant Organisms

    March 28, 2016

    Clinical question: Have healthcare-associated pneumonia (HCAP) guidelines improved treatment accuracy? Background: Guidelines released in 2005 call for the use of broad-spectrum antibiotics for patients presenting with pneumonia who have had recent healthcare exposure.

  • 1
    News

    Discontinuing Inhaled Corticosteroids in COPD Reduces Risk of Pneumonia

    March 25, 2016

    Clinical question: Is discontinuation of inhaled corticosteroids (ICSs) in patients with COPD associated with a decreased risk of pneumonia? Background: ICSs are used in up to 85% of patients treated for COPD but may be associated with adverse systemic side effects including pneumonia.

  • 1
    News

    MEDS Score for Sepsis Might Best Predict ED Mortality

    March 25, 2016

    Clinical question: Which illness severity score best predicts outcomes in emergency department (ED) patients presenting with infection? Background: Several scoring models have been developed to predict illness severity and mortality in patients with infection.

  • 1
    News

    Continuous Chest Compressions Do Not Improve Outcome Compared to Chest Compressions Interrupted for Ventilation

    March 18, 2016

    Clinical question: In cardiopulmonary resuscitation, do continuous chest compressions improve survival or neurologic outcome compared to chest compressions interrupted for ventilation? Background: Animal models have demonstrated that interruptions in chest compressions are associated with decreas

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