News
ProMISe Trial Adds Skepticism to Early Goal-Directed Therapy for Sepsis
July 6, 2015
Clinical question: Does EGDT for sepsis reduce mortality at 90 days compared with standard therapy? Background: EGDT is recommended in international guidelines for the resuscitation of patients presenting with early septic shock; however, adoption has been limited, and uncertainty about its effec
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Predictors of Sepsis, Septic Shock in Emergency Department Patients
July 6, 2015
Clinical question: Among patients presenting to the ED with sepsis, who will progress to septic shock within 48 hours of arrival? Background: This study describes patient characteristics present within four hours of ED arrival associated with developing septic shock between four and 48 hours afte
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Individualized Patient Care Plans Impact Utilization, Costs
July 6, 2015
Clinical question: Does developing individualized care plans in the inpatient setting reduce unnecessary ED visits, hospital readmissions, and hospital costs for frequent users of hospital services? Background: High utilizers of healthcare services are recognized as medically and psychosocially c
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Revised Guideline for Adult Bacterial Meningitis Improves Treatment, Outcome
July 6, 2015
Clinical question: Did revision of guidelines recommending computerized tomography (CT) scan before lumbar puncture (LP) reduce delayed treatment of acute bacterial meningitis (ABM)? Background: Guidelines were introduced in Sweden in 2004 identifying patients at risk for LP-induced brain herniat
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Multifaceted Intervention to Decrease Frequency of Common Labs
July 6, 2015
Clinical question: Can a multifaceted intervention decrease the frequency of unnecessary labs? Background: Implementation of a multifaceted QI intervention within a large, community-based hospitalist group to decrease ordering of common labs. Study design: QI project. Setting: Large, commun
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When Do Patient-Reported Outcome Measures Inform Readmission Risk?
July 6, 2015
Clinical question: Among patients discharged from the hospital, how do patient-reported outcome (PRO) measures change after discharge, and can they predict readmission or ED visit? Background: Variables to predict 30-day rehospitalizations of discharged general medical patients have been looked i
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PRONE Score Can Track Medicolegal Complaints
July 6, 2015
Clinical question: Is there a standardized way to identify doctors at high risk of incurring repeated medicolegal events? Background: Medicolegal agencies react to episodes of substandard care rather than intervening to prevent them due to lack of robust prediction tools at the individual practit
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Few U.S. Stroke Patients Get Clot-Busting Treatment
July 2, 2015
(Reuters Health) - Not all U.S. stroke patients eligible for thrombolytic therapy actually receive it - and the odds of getting this therapy may depend on where they live, a large study finds. Dr.
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Novel Rapid Response Team Can Decrease Non-ICU Cardiopulmonary Arrests, Mortality
July 1, 2015
Clinical question: Can novel configured rapid response teams (RRTs) improve non-ICU cardiopulmonary arrest (CPA) and overall hospital mortality rate? Background: RRTs are primarily executed in hospital settings to avert non-ICU CPA through early detection and intervention.
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Hospitalists Can Lead Health Information Technology Field
June 30, 2015
A reader shares why hospitalists should drive advances in clinical informatics field