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  • Clinical
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In the Literature

  • Article

    Low-Dose Morphine as a Treatment for Chronic Breathlessness

    June 1, 2026

    Clinical question: Does low-dose, long-acting oral morphine improve self-reported breathlessness at 28 days for adult patients with moderate to severe chronic breathlessness? Background: Chronic...

  • Article

    Telehealth-Based Sepsis Recovery Support Does Not Reduce 90-Day Readmission or Mortality

    June 1, 2026

    Clinical question: Does a telehealth-based sepsis transition and recovery (STAR) program improve 90-day mortality or hospital readmission among high-risk sepsis survivors? Background: Sepsis...

  • Article

    Discontinuation of APMs Post-Discharge Reduces Adverse Clinical Outcomes

    June 1, 2026

    Clinical question: Does discontinuation after discharge of antipsychotic medications (APMs) started for hospital delirium result in reduced adverse clinical outcomes compared to APM continuation...

  • Article

    Urea Should Be Considered for Treatment of SIADH-Associated Hyponatremia

    June 1, 2026

    Clinical question: Is urea a safe and effective treatment option for syndrome of inappropriate antidiuretic hormone secretion (SIADH)-associated hyponatremia? Background: The management of...

  • Article

    De-Escalate Antibiotics for Community-Onset Sepsis After Four Days

    June 1, 2026

    Clinical question: Is de-escalation of broad-spectrum antibiotics (BSAs) safe on encounter day four in patients with community-onset sepsis with no positive tests for multidrug-resistant organisms...

  • Article

    Digitoxin in Patients with HFrEF May Improve Outcomes

    June 1, 2026

    Clinical question: In patients with chronic heart failure with reduced ejection fraction (HFrEF, defined as left ventricular ejection fraction of up to 40% with New York Heart Association class...

  • Article

    Private Equity Acquisition of Hospitals is Associated with Decreased Staffing, Increased Patient Transfers, and Increased ED Mortality

    June 1, 2026

    Clinical question: How does acquisition by private equity firms impact patient outcomes in emergency departments (EDs) and intensive care units (ICUs), and how is this related to changes in hospital...

  • Article

    Pulse Oximetry Discrepancies and Occult Hypoxemia in ICU Patients: Predictors and Clinical Outcomes

    June 1, 2026

    Clinical question: What is the prevalence of, and what are the risk factors for, occult hypoxemia in ICU patients, and does that impact patient outcomes? Background: The finding of occult hypoxemia,...

  • Article

    Seven Versus 14 Days of Antibiotics for Gram-Negative Bloodstream Infection

    June 1, 2026

    Clinical question: Is a seven-day course of antibiotics noninferior to a 14-day course for adults with Gram-negative bloodstream infections? Background: Traditionally, the standard duration of...

  • Article

    Fluid Restriction Does Not Improve Outcomes in HF Patients

    May 1, 2026

    Clinical question: Does a restrictive fluid strategy improve clinical outcomes in heart failure (HF) patients compared to liberal fluid intake? Background: Fluid restriction is often recommended for...

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