News
CT Angiography Effect on Outcome for Patients with Symptomatic Chest Pain
June 8, 2015
Clinical question: Does CT angiography (CTA) improve clinical outcomes in patients with new-onset stable chest pain more than functional testing? Background: Chest pain is a common clinical problem, and multiple noninvasive tests are available to detect coronary artery disease (CAD).
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Early Goal-Directed Therapy for Sepsis Offers No Benefit Over Usual Care
June 8, 2015
Background: Recent trials (ARISE, ProCESS) showed EGDT provided no mortality benefit over usual care. Questions remain about the effectiveness of intensive monitoring protocols, as well as the evolution of what constitutes usual care.
News
NSAID Use by Patients on Antithrombotic Therapy Has Bleeding, Cardiovascular Risks
June 8, 2015
Clinical question: Is there increased risk of bleeding or cardiovascular events when using NSAIDs while on antithrombotic therapy for secondary cardiovascular prevention? Background: NSAIDs are among the most commonly used medications, despite the fact that individual NSAIDs have been associated
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Hospital Medicine Added Qualification for Physician Assistants
June 8, 2015
An examination for the new Certificate of Added Qualifications (CAQ) in hospital medicine for physician assistants (PAs) will be offered for the second time on August 24.
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Physician Learns Lessons About Patient Care from Failure
June 8, 2015
“Are you comfortable talking to him about all this stuff?” my attending asked me casually. “Yeah, of course—sure,” I replied, trying to mimic the same casual tone. STOP! Hold on.
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Medical Care Overuse Causes Waste, Harm in Healthcare
June 8, 2015
A trickle of anecdotes has become a flood of cautionary tales. There’s one about the patient in intensive care who didn’t have a cardiac condition yet still had a troponin blood test on 26 consecutive days.
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Hospitalists Key to Addressing Medical Device Alarm Fatigue
June 8, 2015
Beep! Bing! Buzz! Ding! Ring! Bleep! Everyday, throughout the day, hospitalists and other healthcare workers are inundated with alerts and warnings and notifications from medical and communication devices.
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Lung Ultrasound for Diagnosing Pneumonia in Children: A Meta-Analysis
June 8, 2015
Clinical question: Can bedside ultrasound reliably diagnose pneumonia in children? Background: Pneumonia is the most common cause of death in children worldwide, one of the most common causes of inpatient admission for children in the U.S., and carries estimated costs of about $1 billion per year
News
How Hospitalists Can Support the Hospital Medicine Movement
June 8, 2015
There are all kinds of ways to show your support for the hospital medicine movement, including the following opportunities: Visit and share the new Future of Hospital Medicine website (www.futureofhospitalmedicine.org) with medical students, residents, and colleagues. Plan to attend a Future o
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Healthcare’s Main Contributors to Wasteful Spending
June 8, 2015
Three studies, same conclusion.
