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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.
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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.
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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.
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‘Everything We Say and Do’: Soliciting Goals from Our Patients and Their Families
March 23, 2016
Editor’s note: “Everything We Say and Do” is an informational series developed by SHM’s Patient Experience Committee to provide readers with thoughtful and actionable communication tactics that have great potential to positively impact patients’ experience of care.
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VTEP Guidelines Can Be Systematically Implemented in Pediatric Inpatients
March 21, 2016
Clinical question: Can venous thromboembolism prophylaxis (VTEP) guidelines be systematically implemented in a pediatric inpatient population? Background: VTEP for hospitalized adult medical patients has been characterized in the literature as being safe and efficacious, although mortality benefi
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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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ATRIA Better at Predicting Stroke Risk in Patients with Atrial Fibrillation Than CHADS2, CHA2DS2-VAS
March 18, 2016
Clinical question: Does the Anticoagulation and Risk Factors in Atrial Fibrillation (ATRIA) risk score more accurately identify patients with atrial fibrillation (Afib) who are at low risk for ischemic stroke than the CHADS2 or CHA2DS2-VASc score? Background: More accurate and reliable stroke ris
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New Clinical Guides Available on Anemia, Congestive Heart Failure
March 17, 2016
SHM’s implementation tool kits provide hospitalists the information and tools they need to lead quality improvement projects on specific clinical topics, including two recent releases focused on anemia and congestive heart failure. One third of the world’s population suffers from anemia, and SHM’
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Should a Patient Who Requests Alcohol Detoxification Be Admitted or Treated as Outpatient?
March 16, 2016
Case A 42-year-old man with a history of posttraumatic stress disorder (PTSD), hypertension, and alcohol use disorder (AUD) presents to the ED requesting alcohol detoxification. He has had six admissions in the last six months for alcohol detoxification.
News
HM16 Session Analysis: Medical, Behavioral Management of Eating Disorders
March 11, 2016
Presenter: Kyung E. Rhee, MD, MSc, MA Summary: Eating disorders (ED) are common and have significant morbidity and mortality. EDs are the third most common psychiatric disorder of adolescents with a prevalence of 0.5-2% for anorexia and 0.9-3% for bulimia; 90% of patients are female.
