News
Revised Guideline for Adult Bacterial Meningitis Improves Treatment, Outcome
July 6, 2015
Clinical question: Did revision of guidelines recommending computerized tomography (CT) scan before lumbar puncture (LP) reduce delayed treatment of acute bacterial meningitis (ABM)? Background: Guidelines were introduced in Sweden in 2004 identifying patients at risk for LP-induced brain herniat
News
Multifaceted Intervention to Decrease Frequency of Common Labs
July 6, 2015
Clinical question: Can a multifaceted intervention decrease the frequency of unnecessary labs? Background: Implementation of a multifaceted QI intervention within a large, community-based hospitalist group to decrease ordering of common labs. Study design: QI project. Setting: Large, commun
News
When Do Patient-Reported Outcome Measures Inform Readmission Risk?
July 6, 2015
Clinical question: Among patients discharged from the hospital, how do patient-reported outcome (PRO) measures change after discharge, and can they predict readmission or ED visit? Background: Variables to predict 30-day rehospitalizations of discharged general medical patients have been looked i
News
PRONE Score Can Track Medicolegal Complaints
July 6, 2015
Clinical question: Is there a standardized way to identify doctors at high risk of incurring repeated medicolegal events? Background: Medicolegal agencies react to episodes of substandard care rather than intervening to prevent them due to lack of robust prediction tools at the individual practit
News
Novel Rapid Response Team Can Decrease Non-ICU Cardiopulmonary Arrests, Mortality
July 1, 2015
Clinical question: Can novel configured rapid response teams (RRTs) improve non-ICU cardiopulmonary arrest (CPA) and overall hospital mortality rate? Background: RRTs are primarily executed in hospital settings to avert non-ICU CPA through early detection and intervention.
News
SIRS Criteria Could Identify More Patients with Severe Sepsis
June 8, 2015
Clinical question: Does inclusion of two or more SIRS criteria in the definition of severe sepsis accurately identify patients with higher mortality risk, as compared with patients with infection and organ failure but with fewer than two SIRS criteria? Background: SIRS describes dysregulation of
News
Trimethoprim-Sulfamethoxazole Use in Older Patients Taking Spironolactone
June 8, 2015
Clinical question: Does trimethoprim-sulfamethoxazole (TMP-SMX) increase the risk of sudden death in older patients taking spironolactone? Background: TMP-SMX increases the risk of hyperkalemia when used with spironolactone; however, previous studies have not examined whether the drug interaction
News
Medicare Nonpayment for Hospital-Acquired Conditions May Have Reduced Infection Rates
June 8, 2015
Clinical question: What was the effect of the Centers for Medicare and Medicaid Services’ (CMS) nonpayment for hospital-acquired conditions? Background: In 2008, CMS implemented the Hospital-Acquired Conditions (HAC) initiative, denying incremental payment to hospitals for complications of hospit
News
Peri-Operative Phlebotomy Might Cause Significant Blood Loss in Cardiac Surgery Patients
June 8, 2015
Clinical question: What are the frequency of laboratory testing, the average total blood volume drawn per patient, and the resulting transfusion utilization in patients undergoing cardiac surgery? Background: Healthcare providers seldom recognize the amount of phlebotomy, and, therefore, its cons
News
Clostridium Difficile Infection Rates in the U.S. in 2011
June 8, 2015
Clinical question: What are the incidence, recurrence rate, and mortality rate of Clostridium difficile infection (CDI) in the U.S.