Richard Quinn
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Hospitalist Management Giant Emerges as Sound Physicians, Cogent Healthcare Merge
December 16, 2014
Sound Physicians' recent acquisition of Cogent Healthcare creates the largest hospitalist management group in the country, which may or may not be a good thing, one hospitalist expert notes. The deal, which closed last month, creates a company with more than 1,750 hospitalists in 180 hospitals na
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Hospitalists Unionize to Avoid Outsourced Management Model
December 3, 2014
A group of hospitalists in Oregon have formed what is believed to be the first hospitalist union in the country—but it may not be the last. Hospitalists at PeaceHealth Sacred Heart Medical Center locations in Springfield and Eugene, Ore., voted to form the union, dubbed Pacific Northwest Hospital
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Pediatric Hospitalist David Pressel, MD, Hooked on Hospital Medicine
December 2, 2014
Sometimes a physician’s choice of specialty is borne of one patient, one mentor, or one experience. And then sometimes there’s just a good feeling. Put David Pressel, MD, PhD, FHM, in the latter category. [caption id="attachment_7188" align="alignright" width="75"] Dr.
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Hospitalist Adds County Coroner to His Résumé
November 19, 2014
Hospitalists have taken positions in every corner of healthcare: the C-suite, hospital administration, and even nominee for U.S. surgeon general. [caption id="attachment_7133" align="alignright" width="175"] Dr.
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Primary-Care Physicians Weigh in on Quality of Care Transitions
November 4, 2014
A new study on transitions of care gives hospitalists a view from the other side. Published recently online in the Journal of Hospital Medicine, the authors surveyed 22 primary-care physician leaders in California-based post-discharge clinics and asked them about ways to improve care transitions.
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Advanced Dementia Is a Terminal Illness with High Morbidity and Mortality
October 29, 2014
Clinical question: Does understanding the expected clinical course of advanced dementia influence end-of-life decisions by proxy decision-makers? Background: Advanced dementia is a leading cause of death in the United States, but the clinical course of advanced dementia has not been described in
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Adding Basal Insulin to Oral Agents in Type 2 Diabetes Might Offer Best Glycemic Control
October 29, 2014
Clinical question: When added to oral diabetic agents, which insulin regimen (biphasic, prandial or basal) best achieves glycemic control in patients with Type 2 diabetes? Background: Most patients with Type 2 diabetes mellitus (DM2) require insulin when oral agents provide suboptimal glycemic co
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Initiation of Dialysis Does Not Help Maintain Functional Status in Elderly
October 29, 2014
Clinical question: Is functional status in the elderly maintained over time after initiating long-term dialysis? Background: Quality-of-life maintenance often is used as a goal when initiating long-term dialysis in elderly patients with end-stage renal disease.
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Inhaled Corticosteroids Decrease Inflammation in Moderate to Severe COPD
October 29, 2014
Clinical question: Does long-term inhaled corticosteroid therapy, with and without long-acting beta-agonists, decrease airway inflammation and improve lung function in patients with moderate to severe chronic obstructive pulmonary disease (COPD)? Background: Guideline-recommended treatment of COP
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Resident Fatigue and Distress Contribute to Perceived Medical Errors
October 29, 2014
Clinical question: Do resident fatigue and distress contribute to medical errors? Background: In recent years, such measures as work-hour limitations have been implemented to decrease resident fatigue and, it is presumed, medical errors.