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Critical Care General

Invasive Vs Urinary Antigen Test-Confirmed Community-Acquired Pneumonia

Apr 20, 2018

Data indicate that Streptococcus pneumoniae is the most common bacterial cause of pneumonia, making it an important target for health policy. However, the burden of pneumococcal disease is currently m...

CDC Update: Flu Season Finally Peaked

Mar 05, 2018

The 2017-18 influenza season peaked in early February and is now on the decline, according to a data published by the CDC March 3rd. Here are some summary points. The percentage of outpatient vis...

Conference Highlights: SCCM 2018

Mar 02, 2018

Balanced IV Fluids Vs. Saline Few studies have assessed the impact on outcomes of  various IV fluid types. In a recent study, more than 15,000 hospitalized patients were given IV balanced fluids ins...

CME/CE: Assessing Appropriate Use of Vascular Access Devices

Feb 28, 2018

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Capnography Monitoring Reduces Respiratory Compromise During Procedural Sedation

Feb 21, 2018

Clinically significant adverse events associated with procedural sedation and analgesia (PSA)—including critical oxygen desaturation, bradycardia, hypotension and cardiac arrest—are relatively unc...

MACRA: Proceed With Confidence at the Point of Care

Feb 08, 2018

We’ve been living in a MACRA world for some time now, and yet most physicians still aren’t ready—or even close to ready—for this new reality. As if physicians weren’t already drowning in ...

Creating Efficiency in the Patient Journey

Feb 08, 2018

The transformation to value-based care has placed tremendous focus on delivery of care as it relates to improving patient outcomes, quality, and safety. And for good reason; improved discharge protoco...

Expert-Based Opinions: A Supplement to, Not a Replacement for, Evidence-Based Content

Feb 08, 2018

Nationally recognized and highly regarded health systems have a variety of ways to expand the reach of their “special sauce.” For some, it’s to launch outpatient centers in the suburbs. For othe...

Information Rx: The Missing Piece of Quality Care

Feb 08, 2018

The vast majority of healthcare takes place outside of a physician’s office. Consumers often care for themselves when they have acute problems, such as colds and the flu, and they partner with their...

Conference Highlights: CHEST 2017

Feb 05, 2018

Shared Decision Making & Lung Cancer Screening Shared decision-making for lung cancer screening is recommended by the U.S. Preventive Services Task Force and required for screening reimbursement ...

Calling Responsible Parties to Task for their Role in the Opioid Epidemic

Jan 30, 2018

In October 2017, President Donald Trump announced that the opioid epidemic is a public health emergency. Earlier the same week, the FDA declared that since 2001, prescription drugs (largely opioids) h...

Comparing Ventilation Approaches for Pneumonia

Jan 29, 2018

Pneumonia is the leading infectious cause of hospitalization in US, resulting in more than 1 million admissions annually. Roughly 60% of patients with severe pneumonia develop acute respiratory failur...

Improving Pediatric Asthma Care

Jan 25, 2018

The current rate of childhood asthma in the United States is at a historically high 10%, according to recent research. Clinical practice guidelines recommend that clinicians provide parents and caregi...

Patients Treated by Male vs Female Physicians: Who Fares Better?

Jan 23, 2018

Do patient outcomes differ between those treated by male and female physicians? In a cross-sectional study published in JAMA Internal Medicine, researchers examined nationally representative data o...

Three Effective Ways to Pick Quality Improvement Targets

Jan 18, 2018

My first exposure to Lean as a quality improvement (QI) approach was at a well-known automotive producer, and it was alarming. The Master Black Belt Sensei flown in from Japan spoke in short, clipped,...

COPD Research: The Present & Future

Jan 14, 2018

While research has made large strides in the assessment and treatment of patients with COPD in recent years, a number of important questions remain to be answered. The American Thoracic Society and Eu...

Identifying Smoking-Related Disease

Jan 11, 2018

Among current and former adult smokers, symptoms like productive cough, dyspnea, and exercise intolerance may be viewed as a part of normal aging, particularly among older former smokers. Smoking cess...

Three Ineffective Institutional Approaches to Quality Improvement in Healthcare

Jan 09, 2018

In 2012, there were estimates of waste in US healthcare amounting to $750 billion per year, or approximately 30% of overall spending. The leading causes of waste are broken out in the Table, with low ...

Changing Behaviors in HIV-Infected Smokers

Dec 14, 2017

Data indicate that people living with HIV smoke tobacco at a rate that is nearly three times that of the general population. Smoking significantly impacts the progression and outcome of HIV disease, a...

Conference Highlights: ACEP17

Nov 20, 2017

Discharging PE Patients from the ED Evidence indicates that EDs are overcrowded, that length of stay is of major concern, and that decreasing hospital admissions is good for patients. For a study, ...

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