Richard Quinn
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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.
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Dabigatran Is Not Inferior to Warfarin in Atrial Fibrillation
October 29, 2014
Clinical question: Is dabigatran, an oral thrombin inhibitor, an effective and safe alternative to warfarin in patients with atrial fibrillation? Background: Warfarin reduces the risk of stroke among patients with atrial fibrillation (AF) but requires frequent laboratory monitoring.
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Cardiac Resynchronization Therapy with Implantable Cardioverter Defibrillator Placement Decreases Heart Failure
October 29, 2014
Clinical question: Does cardiac resynchronization therapy (CRT) with biventricular pacing decrease cardiac events in patients with reduced ejection fraction (EF) and wide QRS complex but only mild cardiac symptoms? Background: In patients with severely reduced EF, implantable cardioverter defibri