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Video
VIDEO: Locum Tenens in Hospital Medicine
June 10, 2016
Dr. Geeta Arora is a locum tenens hospitalist; James Levy is a PA who hires locums as the VP of Human Resources for Indigo Health Partners in Northern Michigan. They share their experiences navigating "freelance hospital medicine," from both the medical practice and business perspective.
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News
Does Preoperative Hypercapnia Predict Postoperative Complications in Patients with Obstructive Sleep Apnea?
June 10, 2016
Clinical question: Are patients with obstructive sleep apnea (OSA) and preoperative hypercapnia more likely to experience postoperative complications than those without? Background: Obesity hypoventilation syndrome (OHS) is known to increase medical morbidity in patients with OSA, but its impact
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News
Rapid Immunoassays for Heparin-Induced Thrombocytopenia Offer Fast Screening Possibilities
June 10, 2016
Clinical question: How useful are rapid immunoassays (RIs) compared to other tests for heparin-induced thrombocytopenia (HIT)? Background: HIT is a clinicopathologic diagnosis, which traditionally requires clinical criteria and laboratory confirmation through initial testing with enzyme-linked im
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News
Does U.S. Healthcare Need More Diverse Leadership?
June 9, 2016
Throughout its history, the United States has been a nation of immigrants. From the early colonial settlements to the mid-20th century, most immigrants came from Western European countries.
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News
Impact of Delayed Discharge Summary Completion on Hospital Readmission
June 8, 2016
Clinical question: Is a delay in completion of hospital discharge summary associated with hospital readmissions? Background: Inpatient discharge summaries serve as a communication tool to future care providers.
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News
Effects of Assigning Medical Teams to Nursing Units on Patient Care
June 8, 2016
Clinical question: Does assigning a single medical team to a nursing unit (regionalizing) improve communication and prevent adverse events? Background: Many factors impact communication in healthcare delivery. Failures in communication are a known source of adverse events in hospital care.
News
Hospitals Not Utilizing More Observation Services to Avoid Readmission Penalties: Study
June 7, 2016
Concern that the Hospital Readmissions Reduction Program (HRRP) has led to more observation stays in an effort by hospitals to avoid readmission penalties can be put to rest. A study published in late February in the New England Journal of Medicine shows that while readmission rates dropped drama
News
QUIZ: What Is Next Step for Diagnosing Cavitary Lesion with No Improvement after Serial Chest X-Rays, Antibiotics?
June 6, 2016
[WpProQuiz 9] [WpProQuiz_toplist 9]
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News
Troponin Leak Portends Poorer Outcomes in Congestive Heart Disease Hospitalizations
June 6, 2016
Clinical question: What is the association between detectable cardiac troponin (cTn) levels and outcomes in persons hospitalized with acute decompensated heart failure (ADHF)? Background: There are millions of ADHF hospitalizations per year, and all-cause mortality and readmission rates are high.
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News
New Guidelines for Cardiovascular Imaging in Chest Pain
June 6, 2016
Clinical question: Which cardiovascular imaging modalities can augment triage of ED patients with chest pain? Background: Because absolute event rates for patients with chest pain and normal initial ECG findings are not low enough to drive discharge triage decisions, and findings that patients wi
