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News
Prevalence, Characteristics of Physicians Prone to Malpractice Claims
May 20, 2016
Clinical question: Do claim-prone physicians account for a substantial share of all paid malpractice claims? Background: Many studies have compared physicians who have multiple malpractice claims against them with colleagues who have few or no claims against them and have identified systemic diff
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Association of Frailty on One-Year Postoperative Mortality Following Major Elective Non-Cardiac Surgery
May 20, 2016
Clinical question: What is the association of preoperative frailty on one-year postoperative mortality? Background: Frailty is an aggregate expression of susceptibility to poor outcomes owing to age and disease-related deficits that accumulate with multiple domains.
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Should Patients Who Develop Postoperative Atrial Fibrillation Start Anticoagulation?
May 8, 2016
Case A 66-year-old man with diabetes mellitus type 2 and hypertension underwent left total knee replacement. Several hours after surgery, the patient developed atrial fibrillation (AF). He was asymptomatic, and reversible causes of AF were ruled out.
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Not All EDs Adopt Interventions to Improve Flow, Decrease Crowding
May 6, 2016
Clinical question: What is the relationship between crowding in the ED and the number of interventions adopted by the ED to address this? Background: ED crowding results in long waits, prolonged lengths of stay, and delays in providing treatments, which can result in adverse events.
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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.
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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.
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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.
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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
