News
Patients Overwhelmingly Prefer Inpatient Boarding to ED Boarding
October 28, 2014
Clinical question: When hallway boarding is required, do patients prefer inpatient units over the ED? Background: ED crowding is associated with patient dissatisfaction, ambulance diversion, delays in care, medical errors, and higher mortality rates.
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Surgical Readmission Rate Variation Dependent on Surgical Volume, Surgical Mortality Rates
October 28, 2014
Clinical question: What factors determine rates of readmission after major surgery? Background: Reducing hospital readmission rates has become a national priority. The U.S.
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Higher Continuity of Care Results in Lower Rate of Preventable Hospitalizations
October 28, 2014
Clinical question: Is continuity of care related to preventable hospitalizations among older adults? Background: Preventable hospitalizations cost approximately $25 billion annually in the U.S.
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Characteristics and Impact of Hospitalist-Staffed, Post-Discharge Clinic
October 28, 2014
Clinical question: What effect does a hospitalist-staffed, post-discharge clinic have on time to first post-hospitalization visit? Background: Hospital discharge is a well-recognized care transition that can leave patients vulnerable to morbidity and re-hospitalization.
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Prednisolone, Pentoxifylline, and Survival of Patients with Severe Alcoholic Hepatitis
October 28, 2014
Clinical question: Does the addition of pentoxifylline to prednisolone improve six-month mortality compared to prednisolone alone in patients with severe alcoholic hepatitis? Background: Prednisolone improves liver function and reduces inflammation in patients with alcoholic hepatitis.
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Turning for Ulcer Reduction: A Multi-Site Randomized Clinical Trial in Nursing Homes
October 28, 2014
Clinical question: Is there a difference between repositioning intervals of two, three, or four hours in pressure ulcer formation in nursing home residents on high-density foam mattresses? Background: Pressure ulcer formation in nursing home residents is a common problem.
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Antibiotic Resistance Threats in the United States, 2013
October 28, 2014
Clinical question: What antibiotic-resistant bacteria are the greatest threats for the next 10 years? Background: Two million people suffer antibiotic-resistant infections yearly, and 23,000 die each year as a result.
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News
Once-Weekly Antibiotic Might Be Effective for Treatment of Acute Bacterial Skin Infections
October 27, 2014
Research suggests intravenous dalbavancin similarly efficacious to intravenous vancomycin
News
Holding Chambers (Spacers) vs. Nebulizers for Acute Asthma
October 27, 2014
Clinical question: Are beta-2 agonists as effective when administered through a holding chamber (spacer) as they are when administered by a nebulizer? Background: During an acute asthma attack, beta-2 agonists must be delivered to the peripheral airways.
News
Long-Term Cognitive Impairment after Critical Illness
October 27, 2014
Clinical question: Are a longer duration of delirium and higher doses of sedatives associated with cognitive impairment in the hospital? Background: Survivors of critical illness are at risk for prolonged cognitive dysfunction.
