Clinical Archives - Page 307 of 399

News
Close INR Monitoring Might Prevent Adverse Events
May 6, 2016
Clinical question: What is the appropriate frequency of INR monitoring in the hospital and its relationship to the risk of over-anticoagulation and warfarin-related adverse events? Background: Warfarin use is a common cause of adverse drug events in hospitalized patients due to narrow therapeutic
News
Establishing a Role for Polysomnography in Hospitalized Children
May 2, 2016
Clinical question: What is the role for inpatient polysomnograms for children with medical complexity? [caption id="attachment_13645" align="alignright" width="150"] Dr. Stubblefield[/caption] Background: Sleep-disordered breathing is more common in certain pediatric populations.
News
Physicians, Residents, Students Can Learn High-Value, Cost-Conscious Care
April 29, 2016
Clinical question: What are the factors that promote education in delivering high-value, cost-conscious care? Background: Healthcare costs are increasing, with most recent numbers showing U.S. expenditures on healthcare of more than $3 trillion, almost 18% of the gross domestic product.
News
Data Show Patients Are More Likely to Die at Night, on Weekends
April 29, 2016
Clinical question: Is there a clinical difference in rates of return of spontaneous circulation (ROSC) and survival to discharge in patients with in-hospital cardiac arrest (IHCA) depending on time of day and day of the week? Background: Current U.S.
News
Engaging Your Patients in Decision-Making Processes Yields Better Outcomes
April 26, 2016
Editor’s note: “Everything We Say and Do” is an informational series developed by SHM’s Patient Experience Committee to provide readers with thoughtful and actionable communication tactics that have great potential to positively impact patients’ experience of care.
News
Long-Term Βeta-Blocker Use May Cause More Harm in Patients Undergoing Surgery
April 25, 2016
Clinical question: What is the harm associated with long-term beta-blocker therapy in patients with uncomplicated hypertension undergoing non-cardiac surgery? Background: Given the recent concerns over the validity of prior studies, there is uncertainty about which patients benefit most from peri
News
Depression Common among Physicians in Training
April 25, 2016
Clinical question: What is the prevalence of depression or depressive symptoms in resident physicians? Background: Depression in resident physicians can lead to poor-quality medical care, increased errors, and long-term morbidity.
News
Breakfast Based on Whey Protein May Help Manage Type 2 Diabetes
April 25, 2016
NEW YORK (Reuters Health) - A breakfast rich in whey protein may help people with type 2 diabetes manage their illness better, new research from Israel suggests. "Whey protein, a byproduct of cheese manufacturing, lowers postprandial glycemia more than other protein sources," said lead author Dr.
News
Improper Removal of Personal Protective Equipment Can Be Hazardous to Your Health
April 22, 2016
Clinical question: How frequent is contamination of skin and clothing during personal protective equipment (PPE) removal, and can it be prevented? Background: PPE reduces transmission of pathogens to healthcare personnel and patients.
News
Procalcitonin Testing Can Lead to Cost Savings
April 22, 2016
Clinical question: Can procalcitonin testing be used to determine whether antibiotics should be started and stopped? Background: Procalcitonin naturally occurs in the body but increases with bacterial infection, with normal levels Study design: Systematic review. Setting: ICUs and EDs in Eu