Kasey Bowden, NP
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Fondaparinux for Treatment of Heparin-Induced Thrombocytopenia
April 3, 2015
Clinical question: Is fondaparinux as safe and effective as argatroban and danaparoid in treating heparin-induced thrombocytopenia (HIT)? Background: Guidelines for the treatment of HIT recommend using danaparoid (factor Xa inhibitor), argatroban, or lepirudin (both direct thrombin inhibitors).
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Rapid Response Teams Increase Perception of Education without Reducing Autonomy
April 3, 2015
Clinical question: Does the presence of a rapid response team (RRT) affect the perception of resident education and autonomy? Background: Studies on the perception of RRTs, which can generally be activated by any concerned staff member, have been primarily limited to nurses.
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Physician Dashboard, Pay-for-Performance Improve Rate of Appropriate VTE Prophylaxis
April 3, 2015
Transparent feedback through real-time dashboards, payment incentives can improve patient safety, quality benchmarks
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Intercepting Wrong-Patient Orders in a Computerized Provider Order Entry System
April 3, 2015
Clinical question: Does implementing a patient verification dialog that appears at the beginning of each ordering session, accompanied by a 2.5-second delay, decrease wrong-patient orders? Background: Computerized provider order entry (CPOE) is known to increase the rate of wrong-patient order en
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Epidemiology of Peri-Operative, Transfusion-Associated, Circulatory Overload
April 3, 2015
Understanding characteristics of TACO could improve decision making around transfusion strategies for at-risk patients
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The Spectrum of Acute Encephalitis
April 3, 2015
Advanced age, immunocompromised state, coma portend worse outcomes for patients with acute encephalitis
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Peri-Operative Hyperglycemia and Risk of Adverse Events in Diabetic Patients
April 3, 2015
Clinical question: How does peri-operative hyperglycemia affect the risk of adverse events in diabetic patients compared to nondiabetic patients? Background: Peri-operative hyperglycemia is associated with increased rates of infection, myocardial infarction, stroke, and death.
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Complaints Against Doctors Linked to Depression, Defensive Medicine
April 3, 2015
Clinical question: What is the impact of complaints on doctors’ psychological welfare and health? Background: Studies have shown that malpractice litigation is associated with physician depression and suicide.
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ICU Delirium: Little Attributable Mortality after Adjustment
April 3, 2015
Does delirium contribute to higher mortality risk for ICU patients?
News
Perioperative Hyperglycemia Increases Risk of Poor Outcomes in Nondiabetics
March 24, 2015
Clinical question: How does perioperative hyperglycemia affect the risk of adverse events in diabetic patients compared to nondiabetic patients? Background: Perioperative hyperglycemia is associated with increased rates of infection, myocardial infarction, stroke, and death.