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News
High-Flow Oxygen after Extubation Reduces Reintubation
June 27, 2016
Clinical question: Does nasal high-flow (NHF) oxygen after extubation reduce reintubation rates in low-risk patients? Background: NHF oxygen devices deliver warmed and humidified oxygen up to 60 liters per minutes. NHF provides positive end-expiratory pressure and dead-space washout.
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Tips Toward Better Clinical Summaries
June 26, 2016
“I recently discharged a complex patient from the hospital, and I was shocked to see the poor quality of his clinical summary,” says Erin Sarzynski, MD, MS, of Michigan State University’s Department of Family Medicine.
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Interhospital Transfer Handoff Practice Variance at U.S. Tertiary Care Centers
June 24, 2016
Clinical question: How do interhospital handoff practices differ among U.S. tertiary care centers, and what challenges and innovations have providers encountered? Background: Little has been studied regarding interhospital transfers.
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Oral Steroids as Good as NSAIDs for Acute Gout
June 24, 2016
Clinical question: Are oral steroids as effective as NSAIDs in treating acute gout? Background: Two small trials have suggested that oral steroids are as effective as NSAIDs in treating acute gout.
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Who to Blame for Surgical Readmissions?
June 23, 2016
When too many surgery patients are readmitted, the hospital can be fined by the federal government - but a new study suggests many of those readmissions are not the hospital's fault. Many readmissions were due to issues like drug abuse or homelessness, the researchers found.
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LETTER: Emory Hospital Medicine’s Growth Sparks Establishment of NP, PA Career Track
June 21, 2016
Due to many reasons, the healthcare paradigm has shifted, dictating alternative staffing models to manage the burgeoning inpatient census of hospital-based physicians.
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Better Reporting Needed to Accurately Estimate Medical Error as Cause of Death in U.S.
June 20, 2016
Clinical question: What is the contribution of hospital-based medical errors to national mortality in the U.S. compared to other causes listed by the Centers for Disease Control and Prevention (CDC)? Background: Medical error can contribute to patient mortality.
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Hospital Admission, Stroke Clinic Follow-up Improve Outcomes for Patients with Transient Ischemic Attack, Minor Ischemic Stroke
June 20, 2016
Clinical question: How do guideline-based care and outcomes of patients with transient ischemic attack (TIA) and minor ischemic stroke differ among patients admitted to the hospital and discharged from the ED, as well as in those referred versus not referred to stroke prevention clinics following di
News
Standardized Clinical Pathways’ Effects on Outcomes
June 17, 2016
Clinical question: What are the effects of implementing standardized clinical pathways on length of stay, cost, readmissions, and patient quality of life? [caption id="attachment_13645" align="alignright" width="150"] Dr.
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News
Does Preoperative Hypercapnia Predict Postoperative Complications in Patients with Obstructive Sleep Apnea?
June 10, 2016
Clinical question: Are patients with obstructive sleep apnea (OSA) and preoperative hypercapnia more likely to experience postoperative complications than those without? Background: Obesity hypoventilation syndrome (OHS) is known to increase medical morbidity in patients with OSA, but its impact
