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Commonly Prescribed Drugs and Death in Medicare Patients
October 27, 2015
NEW YORK - Most, but not all, guideline-recommended drugs and their combinations yield modest survival benefits in older adults with multiple chronic medical conditions, researchers report. "Until there is better evidence in older adults with multiple chronic conditions, clinicians need to take a
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New Warfarin Measure Aids in Anticoagulation Ranking
October 26, 2015
NEW YORK - A novel warfarin composite measure (WCM) that combines percent time in therapeutic range (TTR) and international normalized ratio (INR) variability might be useful in comparing anticoagulation clinic performance rankings, researchers report. TTR reflects the intensity of anticoagulati
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For Some Inpatients with Cirrhosis, Liver Transplant Is the only Cure
October 24, 2015
Bilal Hameed, MD, assistant professor of medicine in the Division of Gastroenterology at the University of California San Francisco, reviewed a wide range of serious and life-threatening medical complications resulting from cirrhosis during the annual UCSF Management of the Hospitalized Patient conf
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ORBIT Score Predicts Bleeding Risk in AF Patients
October 23, 2015
NEW YORK - The five-factor ORBIT bleeding score accurately predicts major bleeding risk in patients with atrial fibrillation (AF) who are taking oral anticoagulants (OACs), researchers report. "The ORBIT score highlights modifiable factors that increase bleeding risk and can help providers ident
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AMA’s Christine Sinsky, MD, Explains EHR’s Contribution to Physician Burnout
October 23, 2015
Half of U.S. physicians are experiencing some of the symptoms of burnout, with even higher rates for general internists.
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Thrombosis Management Demands Delicate, Balanced Approach
October 22, 2015
The delicate balance involved in providing hospitalized patients with needed anticoagulant, anti-platelet, and thrombolytic therapies for stroke and possible cardiac complications while minimizing bleed risks was explored by several speakers at the University of California San Francisco’s annual Man
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Pharmacist Intervention Can Help Reduce Readmissions
October 20, 2015
A new study has found that a pharmacist-led intervention featuring three outreach phone calls in the 30-day postdischarge period can help reduce patients' readmissions and ED visits. Recently published in the Journal of Hospital Medicine, the report found that 39% of patients who received only on
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Thrombectomy within Eight Hours of Stroke Onset Reduces Poststroke Disability
October 20, 2015
Clinical question: Does thrombectomy, in conjunction with medical therapy, improve functional independence in patients with an acute proximal anterior stroke? Background: Revascularization of proximal anterior strokes with alteplase alone occurs less than 50% of the time.
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“Wish List” Outlines Patients’ Expectations for Hospital Stays, and Some Easy Fixes
October 20, 2015
Even before HCAHPS (Hospital Consumer Assessment of Healthcare Providers and Systems), hospital leaders and clinicians were striving to provide not only high quality care, but a place patients choose to meet their future healthcare needs.
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Anticoagulant Reversal Agent Praxbind Gets Approved
October 19, 2015
The U.S.