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Hospital Medicine

Communicating More Effectively at ED Discharge

Emergency physicians face unique challenges in providing high-quality care due to distractions and time limitations that are common throughout ED settings. In most cases, emergency physicians have little or no previous knowledge...

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A Nationwide Program for Improving Quality & Safety

Throughout the United States, efforts are being made to improve the overall quality of healthcare, reduce racial and ethnic disparities, and provide models for national reform. One such effort is the Aligning Forces for Quality...

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New Rules for Paying MDs Proposed in NY

New York City’s Health and Hospitals Corporation (HHC), which runs 11 hospitals in four of the five boroughs of New York, is negotiating a new deal with the union representing some 3,300 salaried physicians. The corporation...

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SCCM 2013: The Role of Lactate Clearance in Sepsis

The Particulars: Outside of controlled clinical trials, little is known about the impact of lactate clearance on outcomes among patients in the ED and its association with therapeutic interventions. Data Breakdown: For a study,...

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Excessive Acetaminophen Dosing Common in Hospitals

A retrospective review of hospitalized adults has found that 60.7% were exposed to acetaminophen, of whom 6.6% exceeded the 4 g/day maximum recommended dose. The study also found that 22.3% of those aged 65 or older and 17.6% of...

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Examining Length of Stay in 8-Hour Shifts

In previous research, studies have documented significant links between length of stay (LOS) over 24-hour periods and hospital occupancy, the number of ED admissions, and other factors. In the May 2012 Western Journal of...

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