Article
Movers and Shakers September 2023
September 1, 2023
Dr. Mgbokikwe Nkemdilim Mgbojikwe, MD, has joined Fox Chase Cancer Center, Philadelphia, as associate chief medical officer; she will also serve as an associate professor and hospitalist in the...
Article
Early Restrictive Fluid Strategy Didn’t Lower Mortality for Sepsis-induced Hypotension
September 1, 2023
Dr. Klein Clinical question: Does a restrictive fluid strategy within the first 24 hours improve all-cause mortality among patients with sepsis-induced hypotension? Background: There are limited...
Article
Sustained Reduction in Lab Ordering After Implementing Mindful Ordering Initiatives
September 1, 2023
Dr. Mohoney Clinical question: Do perceptions of mindful laboratory test ordering and number of labs ordered change after resident-focused training and optimization of electronic medical record...
Article
Prioritizing Discharging Patients While Rounding Didn’t Result in Earlier Discharge Times or Reduced LOS
September 1, 2023
Dr. Klein Clinical question: Does a physician rounding style prioritizing discharging patients lead to earlier discharges or reduced length of stay (LOS)? Background: Delayed discharges can...
Article
Real-world Application of Oral Therapy for Infective Endocarditis
September 1, 2023
Dr. Chadwick Clinical question: Does oral transitional antibiotic therapy have similar outcomes to intravenous (IV)-only antibiotic treatment for infective endocarditis (IE)? Background: There...
Article
ODS in Hospitalized Patients with Hyponatremia
September 1, 2023
Dr. Mohoney Clinical question: Of the patients who are admitted with hyponatremia, how many develop osmotic demyelination syndrome (ODS)? Background: ODS is a rare but serious complication...
Article
Acetazolamide in Acute Decompensated Heart Failure With Volume Overload
September 1, 2023
Dr. Chadwick Clinical question: Does the addition of acetazolamide to standardized loop diuretic therapy achieve more effective decongestion compared to loop diuretics alone in acute...
Article
Postsurgical Delirium Predicts Long-term Cognitive Decline
September 1, 2023
Dr. Gordon Clinical question: How does postsurgical delirium impact cognitive performance over a six-year follow-up period? Background: Delirium is a challenging syndrome that is frequently...
Article
CT for Evaluation of Acute Abdominal Pain is Less Accurate Without Contrast
September 1, 2023
Dr. Gordon Clinical question: How does the addition of contrast to a CT abdomen and pelvis ordered to evaluate abdominal pain in an emergency department (ED) setting impact diagnostic...
Article
Consider Platelet Transfusion Prior to CVC Placement for Patients with High-risk Thrombocytopenia
September 1, 2023
Dr. Meyer Clinical question: Can central venous catheters (CVC) be safely placed in patients with platelet counts less than 50,000 without administration of platelets prior to the...