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New Strategy in Patients with Suspected Heparin-Induced Thrombocytopenia Improves Diagnostic Accuracy
September 9, 2015
Clinical question: Can a diagnostic strategy that utilizes a clinical prediction rule combined with an immunoassay appropriately guide management for patients with suspected heparin-induced thrombocytopenia (HIT)? Background: The appropriate and timely diagnosis of HIT can decrease the risks of t
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Vasoactive Medications Safe in ICU via Peripheral Intravenous Access
September 9, 2015
Clinical question: Can vasoactive medications be safely given in the ICU via peripheral intravenous (PIV) access instead of central venous access? Background: Vasoactive medications are given to a variety of patients in shock to maintain hemodynamic function.
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Cost, Frequency of Emergency Department Revisits Evaluated
September 9, 2015
Clinical question: What is the cost and frequency of ED revisits within three days and 30 days? Background: ED revisits lead to a financial and resource utilization burden on the medical system.
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Early, Late Hospital Readmission Factors Differ
September 9, 2015
Clinical question: What are the differences between factors associated with early (zero to seven days after discharge) and late (eight to 30 days after discharge) readmission? Background: Thirty-day readmission rates are a quality metric; however, recent evidence challenges the notion that readmi
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Patient Adherence to Pharmacological Thromboprophylaxis Improves with Interventions
September 9, 2015
Clinical question: How can patient adherence to pharmacological thromboprophylaxis be improved? Background: Prior studies suggest that the hospital-wide prevalence of nonadministration of VTE thromboprophylaxis orders ranges from 5% to 13%, with patient refusal listed as the most common reason fo
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Mortality Risk in Patients Older than 75 Presenting with Non-ST-Elevation Acute Coronary Syndrome
September 9, 2015
Clinical question: Is there a score that will predict the mortality rate in elderly patients presenting with a non-ST-elevation myocardial infarction (NSTEMI)? Background: Although they represent only 9% of patients in clinical trials, patients over the age of 75 make up one third of patients wit
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Cognitive, Emotional Memory Disconnect Impacts Patient Satisfaction
September 8, 2015
Patients judge quality of medical care on emotional memory
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Inflammation Contributes to Effect of Diabetes on Brain
August 17, 2015
NEW YORK - Inflammation may contribute to impaired cerebral vasoregulation in type 2 diabetes, research suggests. In a two-year study, participants with type 2 diabetes experienced diminished regional and global vasoreactivity in the brain, as well as a decline in cognitive function and the abili
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Many Older Acute MI Patients Don’t Complete Rehab
August 11, 2015
(Reuters Health) - Most older adults who are hospitalized for acute myocardial infarction do not attend even one of the recommended cardiac rehabilitation sessions, according to a new study. Cardiac rehab increases physical and cardiovascular fitness through structured exercise and
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PHM15: Writing and Publishing Quality Improvement (QI)
August 4, 2015
Presenters: Dr. Patrick Brady, Dr. Michele Saysana, Dr. Christine White, and Dr. Mark Shen. Session analysis: QI is about making positive changes in the delivery of healthcare. Multiple QI interventions are been implemented daily throughout our hospitals.