News
Intercepting Wrong-Patient Orders in a Computerized Provider Order Entry System
April 3, 2015
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 en
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Epidemiology of Peri-Operative, Transfusion-Associated, Circulatory Overload
April 3, 2015
Understanding characteristics of TACO could improve decision making around transfusion strategies for at-risk patients
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The Spectrum of Acute Encephalitis
April 3, 2015
Advanced age, immunocompromised state, coma portend worse outcomes for patients with acute encephalitis
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Peri-Operative Hyperglycemia and Risk of Adverse Events in Diabetic Patients
April 3, 2015
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.
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Complaints Against Doctors Linked to Depression, Defensive Medicine
April 3, 2015
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.
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ICU Delirium: Little Attributable Mortality after Adjustment
April 3, 2015
Does delirium contribute to higher mortality risk for ICU patients?
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Update in Hospital Medicine 2015
April 1, 2015
Kathleen Finn, MD, FHM and Jeffrey Greenwald, MD, SFHM engaged the audience with their playful banter while reviewing medical literature of clinical significance for the hospitalist in Update in Hospital Medicine.
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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
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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
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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
