University Of Colorado School Of Medicine
Adoption of Choosing Wisely Recommendations Slow to Catch On
February 1, 2016
Clinical question: Have the Choosing Wisely campaign recommendations led to changes in practice? Background: The Choosing Wisely campaign aims to reduce the incidence of low-value care by providing evidence-based recommendations for common clinical situations.
Overall Patient Satisfaction Better on Hospitalist Teams Compared with Teaching Teams
January 25, 2016
Ethan Cumbler, MD, FHM, Erinn Ayres, MD, Carmella Nogar, PA, Kinsey Wray, PA, and Julia Clemons, MD, University of Colorado School of Medicine, Denver
Caprini Score Accurately Predicts Risk of Venous Thromboembolism in Critically Ill Surgical Patients
January 22, 2016
Clinical question: Is the Caprini risk assessment model (RAM) a valid tool to predict venous thromboembolism (VTE) risk in critically ill surgical patients? Background: VTE is a major source of morbidity and mortality among hospitalized patients; prevention is critical to reduce morbidity and
Total Knee Replacement Superior to Non-Surgical Intervention
January 22, 2016
Clinical question: Does total knee replacement followed by a 12-week non-surgical treatment program provide greater pain relief and improvement in function and quality of life than non-surgical treatment alone? Background: The number of total knee replacements in the U.S.
Patients with Postoperative Myocardial Infarction May Benefit from Higher Transfusion Threshold
January 18, 2016
Clinical question: Is there an improved 30-day mortality rate if patients receive blood transfusion at higher hematocrit values after postoperative myocardial infarction (MI)? Background: Prior studies evaluating patients with a history of coronary artery disease (CAD) who undergo non-cardiac
Beta-Blockers May Increase Risk of Perioperative MACEs in Patients with Uncomplicated Hypertension
January 15, 2016
Clinical question: Does taking a perioperative beta-blocker increase the risk of major adverse cardiovascular events (MACEs) and all-cause mortality in low-risk patients with essential hypertension (HTN)? Background: Guidelines for the use of perioperative beta-blockers are being reevaluated
Pharmacist Involvement in Transitional Care Can Reduce Return ED Visits, Inpatient Readmissions
January 15, 2016
Clinical question: Does pharmacist involvement in transitions of care decrease medication errors (MEs), adverse drug events (ADEs), and 30-day ED visits and inpatient readmissions? Background: Previous studies show pharmacist involvement in discharge can reduce ADEs and improve patient satisf
Displaying Prices to Providers May Reduce Overall Ordering Costs
January 12, 2016
Clinical question: Does price display impact order costs and volume as well as patient safety outcomes, and is it acceptable to providers? Background: Up to one-third of national healthcare expenditures are wasteful, with physicians playing a central role in overall cost, purchasing almost all te
How Should a Patient with Pulmonary Hypertension Be Evaluated, Managed?
June 1, 2015
Case A 62-year-old female with no significant past medical history presents with three weeks of progressive dyspnea on exertion and bilateral lower extremity edema. Family members report that the patient often snores and “gasps for air” during sleep.
Infectious Diseases Society of America 2014 Practice Guidelines To Diagnose, Manage Skin, Soft Tissue Infections
March 3, 2015
Background Surveillance studies in the U.S.