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How to Initiate a VTE Quality Improvement Project
March 3, 2015
While VTE sometimes occurs in spite of the best available prophylaxis, there are many lost opportunities to optimize prevention and reduce VTE risk factors in virtually every hospital.
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Little Progress Made Training Hospitalists to Stem Shortage of Intensivists
March 3, 2015
What would the status be for a hospitalist who could train for one year to become a critical care intensivist to address the shortage of intensivists?
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Hospitalists Try To Reclaim Lead Role in Bedside Procedures
March 3, 2015
[caption id="attachment_8227" align="alignright" width="295"] Instructor Joshua D.
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Infectious Diseases Society of America 2014 Practice Guidelines To Diagnose, Manage Skin, Soft Tissue Infections
March 3, 2015
Background Surveillance studies in the U.S.
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Procalcitonin-Based Algorithm Does Not Reduce Antibiotic Use in the ICU
February 10, 2015
Clinical question Can a procalcitonin-based algorithm reduce antibiotic use in critically ill patients? Bottom line A procalcitonin-based algorithm using a 0.1 ng/mL cutoff does not significantly decrease the duration of antibiotic treatment in critically ill patients nor does it reduce length
Audio
LISTEN NOW: SHM Launches a Patient Experience Committee
February 9, 2015
SHM has a new committee – the patient experience committee. Dr. Burke Kealey, current SHM President and associate medical director for hospital specialties at Health Partners in St.
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Impact of Peri-Operative Beta Blockers on Cardiovascular Morbidity, Mortality
February 2, 2015
Clinical question: What is the impact of peri-operative beta blockers on cardiovascular morbidity and mortality in patients undergoing surgery under general anesthesia? Background: Studies evaluating the effects of peri-operative beta blockers on cardiovascular outcomes have yielded conflicting r
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Resident Handoff Program Associated with Improved Inpatient Outcomes
February 2, 2015
Clinical question: Does the implementation of a handoff program lead to improved patient safety? Background: Communication failure at the time of handoff of patient care from one resident to another is a significant cause of medical errors.
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Automated Early Warning, Response System Could Improve Sepsis Outcomes
February 2, 2015
Clinical question: Does implementation of an electronic sepsis detection and response system improve patient outcomes? Background: It is known that interventions such as goal-directed resuscitation and antibiotics can reduce sepsis mortality, but their effectiveness depends on early administratio
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Intermittent, Continuous Proton Pump Inhibitor Therapies Are Comparable
February 2, 2015
Clinical question: Is intermittent proton pump inhibitor (PPI) therapy comparable to the current standard of continuous PPI infusion for high risk bleeding ulcers? Background: Current guidelines recommend an intravenous bolus dose of a PPI followed by continuous PPI infusion for three days after