News
Facecards Improve Familiarity with Physician Names but Not Satisfaction
October 27, 2014
Clinical question: Do facecards improve patients’ familiarity with physicians and increase satisfaction, trust, and agreement with physicians? Background: Facecards can improve patients’ knowledge of names and roles of physicians, but their impact on other outcomes is unclear.
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New Oral Anticoagulants Safe and Effective for Atrial Fibrillation Treatment
October 27, 2014
Clinical question: Is there a difference in efficacy and safety among new oral anticoagulants compared to warfarin in subgroups of patients with atrial fibrillation (Afib)? Background: Studies of new oral anticoagulants have demonstrated that these agents are at least as safe and effective as war
News
Sepsis Diagnoses Are Common in ED, but Many Septic Patients in the ED Do Not Receive Antibiotics
October 27, 2014
Clinical question: Has the frequency of sepsis rates, along with administration of antibiotics in U.S.
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Multifaceted Discharge Interventions Reduce Rates of Pediatric Readmission and Post-Hospital ED Utilization
October 27, 2014
Clinical question: Do interventions at discharge reduce the rate of readmissions and post-hospitalization ED visits among pediatric patients? Background: Readmissions are a high-priority quality measure in both the adult and pediatric settings.
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Warfarin Initiation in Atrial Fibrillation Associated with Increased Short-Term Risk of Stroke
October 27, 2014
Clinical question: Is the initiation of warfarin associated with an increased risk of ischemic stroke in patients with atrial fibrillation (Afib)? Background: Two Afib trials of oral factor Xa inhibitors showed an increased risk of stroke when patients were transitioned to open label warfarin at
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News
Variation in the Treatment of Henoch-Schönlein Purpura
October 27, 2014
Reviewed by Pediatric Editor Mark Shen, MD, medical director of hospital medicine at Dell Children’s Medical Center, Austin, Texas. Clinical question: What is the degree of variation in the inpatient management of Henoch-Schönlein purpura (HSP)? Background: HSP is the most common pediatric vascu
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Comorbidities Contribute to Potentially Avoidable Hospital Readmissions
October 27, 2014
Clinical question: What is the role of comorbidities in 30-day potentially avoidable readmissions? Background: Higher comorbidity burden has been associated with 30-day readmissions.
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Uncomplicated Skin Infections in Ambulatory Setting Commonly Involve Avoidable Antibiotic Exposure
October 27, 2014
Clinical question: What are the current prescribing practices for antibiotics used to treat skin and soft tissue infections in the outpatient setting? Background: Uncomplicated skin and soft tissue infections are among the most frequent indications for outpatient antibiotic use.
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Resident Handoff Bundle Reduces Medical Errors and Adverse Events, Improves Handoff Quality
October 27, 2014
Clinical question: In a pediatric inpatient setting, is the use of a handoff program associated with improved patient safety measures and handoff quality? Background: Sentinel events related to errors in communication are a significant patient safety dilemma and an impetus for ongoing efforts to
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Cardiovascular Disease and Risk of Hip Fracture
October 27, 2014
Clinical question: Is the diagnosis of cardiovascular disease (CVD) associated with the risk of subsequent hip fracture? Background: Osteoporosis and CVD are regarded as independent, age-related conditions.
