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Total Knee Replacement Superior to Non-Surgical Intervention
January 22, 2016
Clinical question: Does total knee replacement followed by a 12-week non-surgical treatment program provide greater pain relief and improvement in function and quality of life than non-surgical treatment alone? Background: The number of total knee replacements in the U.S.
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Patients with Postoperative Myocardial Infarction May Benefit from Higher Transfusion Threshold
January 18, 2016
Clinical question: Is there an improved 30-day mortality rate if patients receive blood transfusion at higher hematocrit values after postoperative myocardial infarction (MI)? Background: Prior studies evaluating patients with a history of coronary artery disease (CAD) who undergo non-cardiac
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Nebulized Hypertonic Saline Does Not Improve Outcomes for Non-ICU Infants with Acute Bronchiolitis
January 18, 2016
Clinical question: Does the use of nebulized 3% hypertonic saline shorten length of stay (LOS) in infants hospitalized with acute bronchiolitis? Background: Acute bronchiolitis is a disease primarily of infants and young children, triggered by a viral infection that leads to variable inflammation
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Beta-Blockers May Increase Risk of Perioperative MACEs in Patients with Uncomplicated Hypertension
January 15, 2016
Clinical question: Does taking a perioperative beta-blocker increase the risk of major adverse cardiovascular events (MACEs) and all-cause mortality in low-risk patients with essential hypertension (HTN)? Background: Guidelines for the use of perioperative beta-blockers are being reevaluated
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Pharmacist Involvement in Transitional Care Can Reduce Return ED Visits, Inpatient Readmissions
January 15, 2016
Clinical question: Does pharmacist involvement in transitions of care decrease medication errors (MEs), adverse drug events (ADEs), and 30-day ED visits and inpatient readmissions? Background: Previous studies show pharmacist involvement in discharge can reduce ADEs and improve patient satisf
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News
Displaying Prices to Providers May Reduce Overall Ordering Costs
January 12, 2016
Clinical question: Does price display impact order costs and volume as well as patient safety outcomes, and is it acceptable to providers? Background: Up to one-third of national healthcare expenditures are wasteful, with physicians playing a central role in overall cost, purchasing almost all te
News
Prophylaxis and Treatment of Venous Thromboembolism in Cancer Patients
January 12, 2016
The Case A 62-year-old woman with a past medical history significant for metastatic adenocarcinoma of the lung presents to the ED with complaints of fever and shortness of breath. She has recently completed her first cycle of carboplatin, pemetrexed, and bevacizumab.
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Nick Fitterman, MD, SFHM, Discusses Population Health and Hospital Medicine’s Role
January 6, 2016
[caption id="attachment_12613" align="alignright" width="202"] Nick Fitterman, MD, FACP, SFHM[/caption] Nick Fitterman, MD, SFHM, vice chair of hospital medicine for the Hofstra North Shore-LIJ School of Medicine in Hempstead, N.Y., and North Shore-Long Island Jewish Health System in New Hyde Par
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Move to Allow Patients to Request ‘Refund’ Appealing and Risky
December 30, 2015
We’ve all seen hundreds of commercials from companies advertising products and services with a money-back guarantee. The Men’s Warehouse, for example, has been promising men across the globe for over a decade, “You’re going to like the way you look.
News
What Should Hospitalists Know about Surgical Tubes and Drains?
December 30, 2015
Case A 45-year-old woman was admitted with choledocholithiasis. Two days prior, following endoscopic retrograde cholangiopancreatography (ERCP), she had gone to the OR for cholecystectomy. The procedure was completed laparoscopically, though the surgeon reported a difficult dissection.
