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Publisher: AHC Media   (Total: 2 journals)   [Sort by number of followers]

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Healthcare Risk Management     Full-text available via subscription   (Followers: 3)
Hospital Peer Review     Full-text available via subscription   (Followers: 1, SJR: 0.1, CiteScore: 0)
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Hospital Peer Review
Journal Prestige (SJR): 0.1
Number of Followers: 1  
  Full-text available via subscription Subscription journal
ISSN (Print) 0149-2632
Published by AHC Media Homepage  [2 journals]
  • Opioid Prescriptions: Perception vs. Reality
    • Abstract: New research may surprise clinicians who believe they know precisely how many opioids they’ve prescribed in the last six to 12 months.
      PubDate: Tue, 29 May 2018 00:00:00 -040
  • Are Clot Busters Acceptable for Stroke Patients on Anticoagulation'
    • Abstract: Based on treatment guidelines, emergency clinicians sometimes are hesitant to use IV tissue plasminogen activator (tPA) in stroke patients on anticoagulation therapy. Yet research discussed at the International Stroke Conference earlier this year indicates that being on anticoagulants should not prohibit tPA use in acute ischemic stroke patients, study authors determined.
      PubDate: Tue, 29 May 2018 00:00:00 -040
  • Contrast Media Not Linked to Kidney Injury, Even in Sepsis Patients
    • Abstract: When emergency physicians order CT scans or other imaging that requires IV contrast media, they often balance that decision against a fear that the patient will suffer acute kidney injury.
      PubDate: Tue, 29 May 2018 00:00:00 -040
  • ED Patients Discharged After Sepsis Diagnosis Fared as Well as Admits
    • Abstract: One might assume patients presenting to an ED with sepsis are automatically admitted to the hospital. However, a presentation at the recent American Thoracic Society's annual international conference in San Diego revealed some surprising statistics and, perhaps, even more shocking patient results.
      PubDate: Tue, 29 May 2018 00:00:00 -040
  • HHS OIG Says Medicare Paid $3.7 Million in Improper Telehealth Claims
    • Abstract: The Health and Human Services Department’s Office of the Inspector General recently released a report titled “CMS Paid Practitioners for Telehealth Services That Did Not Meet Medicare Requirements.”
      PubDate: Thu, 24 May 2018 00:00:00 -040
  • 2019 Medicare Payment and Policy Proposals Are Released
    • Abstract: The Centers for Medicare and Medicaid Services has issued its proposed rule for fiscal year 2019 Medicare payments and policy changes for skilled nursing facilities, hospices, and inpatient psychiatric facilities.
      PubDate: Thu, 24 May 2018 00:00:00 -040
  • CMS Announces ‘Data Driven Patient Care Strategy’
    • Abstract: In March, the Centers for Medicare and Medicaid Services (CMS) announced a new initiative called “MyHealthEData,” designed to allow patients to control their own health data and make it portable from provider to provider. In late April, CMS announced a “Data Driven Patient Care Strategy” to advance that initiative.
      PubDate: Thu, 24 May 2018 00:00:00 -040
  • Allergan to Pay $3.5 Million for FCA Claim Related to Defective LAP-BANDs
    • Abstract: Allergan Inc. will pay $3.5 million to resolve allegations brought against it under the False Claims Act. The allegations surround Allergan’s LAP-BAND device, which is used by physicians to assist obese patients with weight reduction.
      PubDate: Thu, 24 May 2018 00:00:00 -040
  • Poll: Hospitals Not Ready for Disasters, Lack Critical Medicines
    • Abstract: Emergency physicians express concerns about shortages of crucial medications in their EDs, along with the need for more resources to handle natural disasters and mass casualty events.
      PubDate: Wed, 23 May 2018 13:15:00 -040
  • Saffron as Adjunctive Therapy for Opioid Withdrawal
    • Abstract: A small, poorly designed study hints at some adjunctive treatment benefit for saffron powder in people weaning off narcotic medications.
      PubDate: Wed, 23 May 2018 09:52:00 -040
  • Mindfulness-based Intervention in Patients With Generalized Anxiety
    • Abstract: Reductions in stress markers for patients with generalized anxiety disorder were found using mindfulness-based stress reduction intervention.
      PubDate: Wed, 23 May 2018 09:49:00 -040
  • Tai Chi or Aerobics: Which Is Better for Fibromyalgia'
    • Abstract: In this randomized, controlled trial, researchers found that tai chi shows equal or greater effect than aerobic exercise for addressing symptoms of fibromyalgia, and that more effect is obtained with longer duration of tai chi practice.
      PubDate: Wed, 23 May 2018 09:35:00 -040
  • Dairy Intake and Risk of Parkinson’s Disease
    • Abstract: Frequent consumption of dairy products is associated with a modest increased risk of Parkinson’s disease (PD) in women and men. In addition, intake of high-fat dairy is associated with decreased risk of PD.
      PubDate: Wed, 23 May 2018 09:26:00 -040
  • ACEP Unveils Geriatric Accreditation Program
    • Abstract: Association recognizes the growing role that emergency medicine plays in the care of older adults, especially in a value-based health system.
      PubDate: Tue, 22 May 2018 11:15:00 -040
  • The Evaluation of the Dizzy Patient
    • Abstract: Dizziness is a common complaint among emergency department patients. Emergency providers need to differentiate benign from serious causes.
      PubDate: Mon, 21 May 2018 12:50:00 -040
  • FDA Greenlights New Migraine Drug
    • Abstract: Pharmacologic solution blocks calcitonin gene-related peptide activity, which is involved in migraine episodes.
      PubDate: Fri, 18 May 2018 12:45:00 -040
  • Legal Case Shows Risk of Improper Patient Info Disclosure
    • Abstract: An ongoing legal case illustrates the risk healthcare providers face when they do not properly safeguard patient data and make it available to third parties without consent, even when complying with a subpoena.
      PubDate: Fri, 18 May 2018 12:02:00 -040
  • OCR Concerned About HIPAA Contingency Plans
    • Abstract: The HHS Office for Civil Rights recently urged healthcare organizations to develop contingency plans for crises that could compromise protected health information covered under HIPAA.
      PubDate: Fri, 18 May 2018 11:50:00 -040
  • $18 Million Verdict Returned After Infection Misdiagnosis, Paraplegia
    • Abstract: A delay in diagnosis led to the patient's spinal abscess, causing paraplegia.
      PubDate: Fri, 18 May 2018 11:45:00 -040
  • Botched Open-heart Surgery Results in $68 Million Verdict
    • Abstract: The lawsuit alleged the surgeon left the room during open-heart surgery, leaving the patient still bleeding.
      PubDate: Fri, 18 May 2018 11:41:00 -040
  • Healthcare Slow to Patch Software, Creating Vulnerability
    • Abstract: The healthcare and pharmaceutical industries are not adequately patching software, leaving their systems vulnerable to attack, according to a recent survey conducted by the Ponemon Institute.
      PubDate: Fri, 18 May 2018 11:20:00 -040
  • Resources for Reducing Workplace Violence Injuries
    • Abstract: There are many resources risk managers can use when implementing a comprehensive workplace violence program in a healthcare facility.
      PubDate: Fri, 18 May 2018 11:09:00 -040
  • Good Reporting, Data Usage Can Curb Workplace Violence
    • Abstract: The Joint Commission recommends seven steps to address violence in healthcare settings.
      PubDate: Fri, 18 May 2018 11:06:00 -040
  • Higher Risk of Workplace Violence in Healthcare Requires Attention
    • Abstract: Workplace violence is a serious problem in the healthcare industry. Three-fourths of all workplace violence occurs in a healthcare or social service setting.
      PubDate: Fri, 18 May 2018 11:03:00 -040
  • Physician Injuries Can Create Even Higher Workers’ Comp Costs
    • Abstract: Workers’ comp injuries in healthcare most commonly affect nurses and aides, who are more often involved with high-risk activities like moving patients, but physicians also can be injured on the job.
      PubDate: Fri, 18 May 2018 10:54:00 -040
  • Minimize Workers’ Compensation Costs With the Right Approach
    • Abstract: Workers’ compensation claims are a major concern for healthcare risk managers and can create tremendous liability for the healthcare organization, but careful attention to injury prevention and proper handling of claims can keep the costs to a minimum.
      PubDate: Fri, 18 May 2018 10:41:00 -040
  • Prince Lawsuit Shows Risks of ‘Star Treatment’ for Celebrity
    • Abstract: The family of the late singer Prince is suing a hospital that treated him for his drug overdose two years ago. The case highlights the risks healthcare providers face from treating high-profile patients.
      PubDate: Fri, 18 May 2018 10:29:00 -040
  • Barriers Exist to Family-centered ICU Care
    • Abstract: New guidelines from the Society of Critical Care Medicine emphasize the benefits of family-centered care in the ICU.
      PubDate: Fri, 18 May 2018 09:43:00 -040
  • Study: Effects of Early Palliative Care Differ by Age, Gender
    • Abstract: The effects of early palliative care differ depending on patients’ age and gender, found a recent study.
      PubDate: Fri, 18 May 2018 09:39:00 -040
  • Views on Disclosure of Donor-assisted Conception Are Evolving
    • Abstract: Should parents inform their children that they were conceived by gamete or embryo donation' A position statement from the American Society for Reproductive Medicine examines the ethics of this issue.
      PubDate: Fri, 18 May 2018 09:32:00 -040
  • Physicians’ Mental Health ‘Finally Getting the Attention It
    • Abstract: Physician well-being is increasingly being recognized as an ethical issue, but mental health stigma remains an obstacle.
      PubDate: Fri, 18 May 2018 09:27:00 -040
  • Many Providers Say Spiritual Needs Should Be Assessed, But Few Do So
    • Abstract: Should health professionals take a screening spiritual history of their patients' Most clinicians agreed they should, a recent survey found.
      PubDate: Fri, 18 May 2018 09:22:00 -040
  • Diabetic Retinopathy, Associated Comorbidities, and Treatment
    • Abstract: Diabetic retinopathy is a complex disorder of the microvascular and neuronal structure of the retina. Although poorly understood, the problem does not start in the retina, but rather begins through systemic metabolic dysfunction, which causes damage to retina vessels. This article will review the structure of the retina, the systemic pathophysiology of diabetes, the resulting damage to retinal structure and function, comorbidities, traditional treatments, and prevention and treatment for diabetic retinopathy and its comorbidities.
      PubDate: Fri, 18 May 2018 09:20:00 -040
  • Novel Approaches to Justify Ethics Resources: Value Goes Beyond ROI
    • Abstract: Ethics services often find it challenging to demonstrate financial impact on the organization due to lack of data and the preventive nature of many interventions.
      PubDate: Fri, 18 May 2018 09:10:00 -040
  • Anti-MAG Antibodies: Clinical and Therapeutic Aspects
    • Abstract: Anti-MAG antibody-associated neuropathy may present as many disorders, including small fiber neuropathy, sensorimotor neuropathy, Guillain-Barré-like syndrome, and multifocal motor neuropathy. Rituximab appears to be the best therapeutic option.
      PubDate: Fri, 18 May 2018 08:47:00 -040
  • Longitudinal tau PET as an Outcome Measure for Clinical Trials
    • Abstract: tau PET imaging shows progression of brain Alzheimer’s pathology over time and correlates with cognitive impairment better than amyloid PET. In future clinical trials, tau PET can serve as a biomarker for Alzheimer’s disease progression.
      PubDate: Fri, 18 May 2018 08:43:00 -040
  • What Are the Early Predictors for Post-traumatic Epilepsy After
    • Abstract: Following traumatic brain injury, early (first five days after injury) epileptiform abnormalities on EEG were seen more commonly in patients with subsequent post-traumatic epilepsy (PTE), compared to controls, and were found to be a significant and independent predictor of PTE. The presence of subdural hemorrhage was the only other independent predictor of PTE.
      PubDate: Fri, 18 May 2018 08:39:00 -040
  • Intracranial Pressure Changes in Mild Traumatic Brain Injury
    • Abstract: After an exhaustive review of the animal and human studies literature regarding mild traumatic brain injury (mTBI), Haider et al. did not reach consistent conclusions regarding evidence for intracranial pressure elevation in human patients who sustain an mTBI.
      PubDate: Fri, 18 May 2018 08:36:00 -040
  • Prediction of Persistent Post-concussion Symptoms After Mild Traumatic
           Brain Injury
    • Abstract: Persistent post-concussion syndrome may last for more than six months, and risk factors include female sex, neck pain, headache, and post-concussive symptoms at two weeks after the injury.
      PubDate: Fri, 18 May 2018 08:33:00 -040
  • Correction
    • Abstract: The March issue of IRB Advisor featured a story about plain language informed consent with an incorrect reference. 
      PubDate: Thu, 17 May 2018 15:11:00 -040
  • FDA Moves to Shutter Stem Cell Clinics
    • Abstract: The FDA recently filed complaints in federal court seeking “permanent injunctions to stop two stem cell clinics from marketing stem cell products without FDA approval and for significant deviations from current good manufacturing practice requirements.”
      PubDate: Thu, 17 May 2018 15:02:00 -040
  • Baby Blood: Suit Alleges Michigan Lacked Informed Consent
    • Abstract: An attorney in Hemlock, MI, is suing the state for its practice of routinely taking blood samples from newborns for testing and medical research.
      PubDate: Thu, 17 May 2018 14:49:00 -040
  • Quality Assurance Project Designed to Improve Good Clinical Practice and
    • Abstract: Using a quality assurance process and feedback loop, an IRB improved its good clinical practice, education, and overall research protection compliance.
      PubDate: Thu, 17 May 2018 14:43:00 -040
  • IRB’s New Online Learning System Teaches Student PIs About
    • Abstract: The new Common Rule focuses on creating a more efficient and streamlined IRB review process. This means the time is ripe for better education on how to submit a protocol.
      PubDate: Thu, 17 May 2018 14:39:00 -040
  • With Common Rule Delay, IRBs Can Still Revamp Human Research Protection
    • Abstract: The new delay of the Common Rule implementation will give HRPPs an opportunity to revise and improve their program policies and procedures. 
      PubDate: Thu, 17 May 2018 14:24:00 -040
  • All of Us: NIH Looks to the Future, Tries to Overcome the Past
    • Abstract: Trying to address “big data” threats to privacy and step out of the long shadow of human research travesties, the National Institutes of Health recently launched its ambitious All of Us project.
      PubDate: Thu, 17 May 2018 14:12:00 -040
  • Hair Apparent: Surgeon Rebellion Succeeds on Head Covers
    • Abstract: Previous recommendations for surgeons to fully cover their hair and ears to prevent infections have probably been observed more in the breach than the observance.
      PubDate: Thu, 17 May 2018 09:55:00 -040
  • Flu Mandates: Consider Accommodations and Avoid a Lawsuit
    • Abstract: Mandated influenza vaccination programs for healthcare workers have proved highly effective at raising immunization rates, but hospitals that fail to navigate religious exemptions have found themselves on the wrong end of court rulings.
      PubDate: Thu, 17 May 2018 09:52:00 -040
  • Fauci: HIV Can Be Stopped, but Vaccine Remains Elusive
    • Abstract: One of the great pandemics in human history has been fought to a near draw, with no vaccine in sight but treatments that dramatically extend life and block transmission to others.
      PubDate: Thu, 17 May 2018 09:48:00 -040
  • Consider Probiotics in Patients at High Risk of C. diff Infection
    • Abstract: After the most exhaustive analysis to date on the efficacy of probiotics in preventing Clostridium difficile infection, a researcher recommends that high-risk patients consider taking the products.
      PubDate: Thu, 17 May 2018 09:45:00 -040
  • HICPAC Taking New Approach to IC Recommendations
    • Abstract: The Centers for Disease Control and Prevention’s principle infection control advisory committee is taking steps to clarify its recommendations, be more transparent about its review of research, and, to paraphrase Voltaire, quit making “perfect the enemy of good.”
      PubDate: Thu, 17 May 2018 09:40:00 -040
  • IC Leadership Rounds: An Idea Whose Time Has Come'
    • Abstract: Once consigned to silos themselves, infection preventionists are increasingly out on the floors and inviting their administrators to join them in “leadership rounds.”
      PubDate: Thu, 17 May 2018 09:36:00 -040
  • Lightning Strikes: Fatal Infections of Rare Origin
    • Abstract: Consider two separate tales of transplant and transfusion gone horribly awry by the narrowest of margins. Each represents a conspiracy of unlikely events that enabled deadly pathogens to find a path to frail patients.
      PubDate: Thu, 17 May 2018 09:31:00 -040
  • Is It Acceptable to Die of Aortic Stenosis Without a TAVR'
    • Abstract: Investigators performed a retrospective analysis of 544 patients undergoing transcatheter aortic valve replacement (TAVR) at one center to assess the contribution of a frailty score to the Society of Thoracic Surgeons (STS) risk score for predicting mortality post-procedure. The frailty score was found to be an independent predictor of 30-day and one-year mortality and additive to the STS score.
      PubDate: Wed, 16 May 2018 10:33:00 -040
  • Prognostic Value of Left Ventricular Strain in Chronic Aortic
    • Abstract: A retrospective observational study of the incremental value of echocardiographic global longitudinal strain (GLS) for predicting mortality in asymptomatic patients with moderate to severe aortic regurgitation and normal left ventricular function showed that GLS was a predictor of mortality. However, GLS was not as robust as undergoing surgery was for predicting mortality.
      PubDate: Wed, 16 May 2018 10:30:00 -040
  • Vegetarian Diet vs. Mediterranean Diet to Reduce Cardiovascular Risk
    • Abstract: A randomized, open, cross-over study of a vegetarian diet (VD) compared to the Mediterranean diet (MD) over three months showed that both reduced body weight and body fat mass. The VD decreased LDL cholesterol, and MD reduced triglyceride levels. The MD reduced inflammatory markers, and the VD reduced vitamin B12 levels.
      PubDate: Wed, 16 May 2018 10:27:00 -040
  • Is the Type of Myocardial Infarction Important'
    • Abstract: An observational study of hospitalized patients with type 1 or 2 myocardial infarction (MI) or myocardial injury showed that mortality is higher in type 2 MI or myocardial injury patients compared to type 1 MI patients.
      PubDate: Wed, 16 May 2018 10:23:00 -040
  • Creatinine Bumps and Renal Tubular Injury in Acute Heart Failure
    • Abstract: In patients with acute heart failure who receive aggressive diuresis, worsening renal function identified by a rise in serum creatinine or cystatin C is not indicative of kidney tubular injury.
      PubDate: Wed, 16 May 2018 10:20:00 -040
  • Infectious Disease Alert Updates
    • Abstract: House Mice as Vectors; Eat Your Fruits and Vegetables — or You Might Get TB!
      PubDate: Wed, 16 May 2018 09:05:00 -040
  • Another Reason to Get the Flu Shot Every Year
    • Abstract: In a case-control study, among older adults, repeated vaccination for influenza was twice as effective in preventing severe influenza compared to non-severe influenza in patients who were admitted to the hospital.
      PubDate: Wed, 16 May 2018 09:00:00 -040
  • Fosfomycin or Nitrofurantoin for Cystitis'
    • Abstract: A single dose of fosfomycin was found to be less effective than five days of thrice-daily dosing of nitrofurantoin in the treatment of symptomatic lower urinary tract infection in women.
      PubDate: Wed, 16 May 2018 08:56:00 -040
  • PANDAS: Examining the Evidence for Treatment Options
    • Abstract: Pediatric Autoimmune Neuropsychiatric Disorders Associated with Streptococcal Infections (PANDAS) is a proposed disorder first named in 1998 that has been the subject of controversy in the literature. Although the debate has waned somewhat in the United States, it remains a topic of discussion in many European medical journals. A recent systematic review found no evidence for antimicrobial or immunomodulatory treatment for this condition.
      PubDate: Wed, 16 May 2018 08:52:00 -040
  • Antibiotic Cycling Is Not Useful for Reducing Antibiotic-resistant
           Gram-negative Pathogens in Patients Admitted to Intensive Care Units
    • Abstract: A randomized study that included eight intensive care units in Europe found no reduction in mortality or carriage of antibiotic-resistant gram-negative pathogens with antibiotic cycling compared to antibiotic mixing.
      PubDate: Wed, 16 May 2018 08:48:00 -040
  • Azithromycin Saves Lives in Africa
    • Abstract: Approximately 200,000 preschool-aged children in communities in Malawi, Niger, and Tanzania were treated twice yearly with either azithromycin or placebo. Communities in which azithromycin was provided had 13.5% less all-cause mortality than did placebo-treated communities. In children 1 to 5 months of age, the mortality was 25% lower with azithromycin than with placebo.
      PubDate: Wed, 16 May 2018 08:44:00 -040
  • Treating Atherosclerosis With Non-invasive Therapy Shows Promise
    • Abstract: Researchers are testing a non-surgical alternative to reverse the effects of narrowed arteries and blood vessels.
      PubDate: Wed, 16 May 2018 08:05:00 -040
  • Fostamatinib Disodium Hexahydrate Tablets (Tavalisse)
    • Abstract: Fostamatinib is indicated for the treatment of thrombocytopenia in adults with chronic immune thrombocytopenia with insufficient response to a previous treatment.
      PubDate: Tue, 15 May 2018 15:03:00 -040
  • Running and Health
    • Abstract: In a review and meta-analysis of the effects of running and longevity, researchers concluded that running provides specific and significant health benefits and proposed a threshold above which more running provides diminishing returns.
      PubDate: Tue, 15 May 2018 14:57:00 -040
  • Sleep Habits and the Development of Dementia
    • Abstract: The relationship between quality of sleep and the development of dementia is controversial and not yet clearly elucidated nor understood.
      PubDate: Tue, 15 May 2018 14:52:00 -040
  • Neurogenesis in Older, Healthy Brains
    • Abstract: Healthy aging allows for hippocampal neurogenesis in the brains of adults into the eighth decade of life.
      PubDate: Tue, 15 May 2018 14:49:00 -040
  • Coffin Nail for Omega-3 Fatty Acids'
    • Abstract: A meta-analysis of 10 randomized, controlled trials of omega-3 fatty acids for the prevention of coronary heart disease and major vascular events showed no significant effect on fatal and nonfatal coronary heart disease or any major vascular event. These results do not support the use of omega-3 fatty acids supplements in patients with prior coronary heart disease.
      PubDate: Tue, 15 May 2018 14:45:00 -040
  • An International Survey of Ventilator Weaning Practices
    • Abstract: A cross-sectional, multinational survey of adult intensivists revealed significant regional variation in several weaning practices, including screening, weaning modes, techniques to conduct spontaneous breathing trials, the use of written directives, and use of non-invasive ventilation in the peri-extubation period.
      PubDate: Tue, 15 May 2018 08:42:00 -040
  • ICU Bed Availability: Does It Make a Difference'
    • Abstract: Nationwide, the volume of ICU admissions from the ED has increased significantly over recent years (by 50% from 2001 to 2009). When demand exceeds bed availability, complex decisions regarding ICU must be made. Does bed availability affect triage decisions' If many beds are available, patients who are too ill or too well to benefit from the ICU may be admitted. Conversely, if too few beds are available, ICU admission may be denied to patients who may benefit. In prior studies, ICU denial has been associated with increased hospital mortality.
      PubDate: Tue, 15 May 2018 08:37:00 -040
  • Is There a Role for Steroids in ARDS Management'
    • Abstract: Mortality rates from acute respiratory distress syndrome (ARDS) remain high, even as therapy has improved over the last decade. Recent guidelines for management center on mechanical ventilation, with initial therapy beginning upon identification and treatment of the underlying cause of the ARDS. There is reasonable consensus regarding the use of lung-protective strategies, such as low tidal volume ventilation, prone positioning for those meeting criteria for severe ARDS, and restrictive fluid management after the initial resuscitation. However, for patients with the most severe disease, these treatments often are not completely effective, and we look for other therapies that might help.
      PubDate: Tue, 15 May 2018 08:32:00 -040
  • The Risk of Malignancy in Hysterectomy
    • Abstract: There has been significant publicity about the risk of malignancy associated with morcellation in hysterectomy, but in reality the incidence is quite low.
      PubDate: Fri, 11 May 2018 13:14:00 -040
  • Is Vaginal Estrogen Still the Gold Standard for Treating GSM'
    • Abstract: In this 12-week randomized, controlled trial of 302 women, neither vaginal estrogen nor vaginal moisturizer was more effective than placebo for reducing the participants’ most bothersome symptom (pain with vaginal penetration, vulvovaginal itching, vulvovaginal pain, vaginal dryness, or vulvovaginal irritation).
      PubDate: Fri, 11 May 2018 13:11:00 -040
  • Fertility Preservation in Women With Borderline Ovarian Tumors
    • Abstract: A large retrospective cohort analysis from a single medical center suggests that fertility preservation in women with borderline ovarian tumors does not decrease length of survival.
      PubDate: Fri, 11 May 2018 13:06:00 -040
  • Brain Imaging and Alzheimer’s Risk: Valid Surrogates or Just Pretty
    • Abstract: In an observational multimodality brain imaging study, investigators found sex and age differences correlated with endophenotypes of late-onset Alzheimer’s disease.
      PubDate: Fri, 11 May 2018 12:58:00 -040
  • Cervical Spinal Injury
    • Abstract: Although spinal injuries are uncommon, they should be considered when children have sustained head or neck trauma or multiple severe injuries. Children with severe or multisystem trauma are more likely to suffer a spinal injury. Thus, emergency department providers should have a lower threshold to immobilize and image such patients to prevent morbidity and mortality. This article reviews the most common pediatric spinal fractures and injuries and optimal management practices.
      PubDate: Thu, 10 May 2018 16:31:00 -040
  • Study: Diagnostic Accuracy Still Largest Claims Risk
    • Abstract: Diagnosis-related events are the single largest root cause of medical professional liability claims, according to a recent analysis from Coverys.
      PubDate: Wed, 09 May 2018 14:38:00 -040
  • Avoiding Costs, Risks Through Reduced Hospitalization Among Older Adults
    • Abstract: New research involving three medical centers suggests that older patients seen by transitional care nurses with geriatric training are less likely to be admitted than similar patients who do not receive these specialized evaluations.
      PubDate: Wed, 09 May 2018 14:23:00 -040
  • Mobile Integrated Health Helps With Patients’ Transitioning Gap
    • Abstract: A health system uses mobile integrated health to improve outcomes and reduce readmission rates among patients with chronic conditions such as heart failure and chronic obstructive pulmonary disease.
      PubDate: Wed, 09 May 2018 14:03:00 -040
  • Here’s How CHAMP Helps High-risk Asthma Patients
    • Abstract: Called Changing High-risk Asthma in Memphis through Partnership, or CHAMP, the program incorporates various best practices, including early identification of children who could most benefit from the case management intervention.
      PubDate: Wed, 09 May 2018 13:56:00 -040
  • Asthma Case Management Program Helps Improve Children’s Health
    • Abstract: A Memphis-based pediatric asthma program quickly produced positive results for patients and Tennessee’s Medicaid program due to its community, healthcare provider, and payer collaboration.
      PubDate: Wed, 09 May 2018 13:39:00 -040
  • Popular Tools Being Discontinued
    • Abstract: Two tools popular with quality improvement professionals are being discontinued, at least temporarily.
      PubDate: Tue, 08 May 2018 14:46:00 -040
  • Humana Will Pay More for Quality
    • Abstract: The insurer also will use additional measures, including healthcare-associated infection rates, care coordination, palliative care, and more to assess performance and set reimbursement rates.
      PubDate: Tue, 08 May 2018 14:42:00 -040
  • First Week Readmissions More Preventable, Study Says
    • Abstract: The researchers say that evidence might mean hospital quality leaders should focus more on those early readmissions rather than the typical 30-day readmission rates.
      PubDate: Tue, 08 May 2018 14:40:00 -040
  • Study Finds Palliative Care Reduces Hospital Stays, Saves Money
    • Abstract: The effect is greatest among the sickest patients, the authors found in a meta-analysis of previous research.
      PubDate: Tue, 08 May 2018 14:37:08 -040
  • CMS Proposes Reduction in Quality Metrics
    • Abstract: CMS has proposed a new rule that would remove 19 quality measures in an effort to lower the administrative burden on Medicare providers. The rule also would increase overall Medicare hospital payments, increase price transparency, and facilitate access to more provider data for consumers.
      PubDate: Tue, 08 May 2018 14:33:35 -040
  • Health System Applies Lessons From Population Health
    • Abstract: Population health initiatives involve broad goals that may not always seem applicable at the hospital level, but a health system in Nevada is finding ways to leverage the lessons learned from a statewide program.
      PubDate: Tue, 08 May 2018 14:29:00 -040
  • Health System Improves Patient Satisfaction and Experience
    • Abstract: Sentara Healthcare has been exploring the link between increased patient experience and satisfaction with structured clinical performance improvement teams that address key patient concerns, such as emergency department waiting times.
      PubDate: Tue, 08 May 2018 14:25:00 -040
  • Critics Say Single-payer Healthcare Could Lower Quality of Care
    • Abstract: A single-payer healthcare system is still being proposed on Capitol Hill. Several proposals are pushing for hospitals and physicians to be paid through some expansion of Medicare or Medicaid. However, such plans, if implemented, could significantly degrade quality of care, critics say.
      PubDate: Tue, 08 May 2018 14:20:00 -040
  • CAPTURE Focuses on Coordination, Gait Support
    • Abstract: This summary of the CAPTURE Falls program is provided by Katherine J. Jones, PT, PhD, associate professor in the Division of Physical Therapy Education at the University of Nebraska Medical Center in Omaha.
      PubDate: Tue, 08 May 2018 14:15:00 -040
  • Post-Fall Huddles Reveal Good and Bad
    • Abstract: Hospitals also have reported that attaching huddle documentation to the fall event report is useful in ensuring that the huddle team’s observations about possible improvements are carried out.
      PubDate: Tue, 08 May 2018 14:11:58 -040
  • Different Approach to Falls Improves Patient Safety
    • Abstract: A program developed at the University of Nebraska focuses on creating a culture of safety and teamwork, and making sense of the risks associated with falls.
      PubDate: Tue, 08 May 2018 14:06:00 -040
  • Undetected Medical Conditions in ‘Psych’ Patients Are Legal
    • Abstract: Once EPs conclude that a patient’s behavior is psychiatric, they may miss underlying medical conditions that are the real cause of the symptoms. This is less likely if a patient is behaving bizarrely, presents with a psychiatric history, and is taking psychiatric medications. Experts recommend obtaining a good history before deciding a patient is psychiatric.
      PubDate: Tue, 08 May 2018 10:06:00 -040
  • Good Documentation of ED Consult Makes It Clear EP Met Standard of Care
    • Abstract: To avoid needless legal entanglements, experts say EPs should know when they’re in over their heads and remain firm about what they need from a consultant. Invariably, specialists testify that while the EP asked for their opinion, the EP never asked or insisted that the specialist come in — and that had the severity of the situation been explained, the specialist certainly would have come to the ED.
      PubDate: Tue, 08 May 2018 10:01:00 -040
  • Legal Exposure for ED and Hospital if Patients Refuse Discharge
    • Abstract: Some patients may choose to remain in the ED against medical advice for several social reasons, including the fact the patient has no home, or views a hospital room as safer, more comfortable, or less lonely than going home.
      PubDate: Tue, 08 May 2018 09:55:00 -040
  • Survey: More Than Half of EPs Sued for Malpractice at Least Once
    • Abstract: Fifty-one percent of EPs have been sued during their career, according to a recent report on medical liability claims frequency, the third highest percentage of all the specialties examined by the study’s authors.
      PubDate: Tue, 08 May 2018 09:47:00 -040
  • Many ED Visits Documented on Cellphones
    • Abstract: When a patient records an ED visit on a cellphone, he or she might be planning to share a selfie on Facebook, to post something negative about the hospital on social media, to file a malpractice lawsuit — or all of the above. One expert says that if there is litigation against the ED, such photos, “so long as they are not overly inflammatory or are of other patients or visitors, are usually admissible."
      PubDate: Tue, 08 May 2018 09:38:00 -040
  • Sickle Cell Emergencies
    • Abstract: This article provides an overview of the most frequently encountered complications associated with sickle cell disease seen in the emergency department. It will discuss recent guidelines and novel approaches to the treatment of entities such as acute chest syndrome, vaso-occlusive crisis, and stroke, as well as new treatments on the horizon.
      PubDate: Mon, 07 May 2018 10:12:00 -040
  • Florida Group Launches New Programs to Combat Opioid Addiction
    • Abstract: The programs will help connect those suffering from addiction to much-needed community resources.
      PubDate: Fri, 04 May 2018 16:05:00 -040
  • Legal Case Shows Risk of Improper Patient Info Disclosure
    • Abstract: An ongoing legal case illustrates the risk healthcare providers face when they do not properly safeguard patient data and make it available to third parties without consent, even when complying with a subpoena.
      PubDate: Thu, 03 May 2018 13:19:00 -040
  • OCR Concerned About HIPAA Contingency Plans
    • Abstract: Developing a good HIPAA contingency plan is critical to ensuring a facility can access data during a disaster or cyberattack, and it also is required for HIPAA compliance. Creating that plan may require more assessment and planning than one might imagine, and it’s the kind of thing that can be lacking in an otherwise good HIPAA program.
      PubDate: Thu, 03 May 2018 13:16:00 -040
  • Make Great First Impression on Patients
    • Abstract: Registrars are one of the first people visitors encounter in the ED or admitting department. Maintaining a positive demeanor while delivering care is essential.
      PubDate: Thu, 03 May 2018 13:07:00 -040
  • Patient Access Needs Conflict Resolution Skill Set
    • Abstract: Conflict management is an essential skill for anyone who works in patient access, in light of angry patients, frustrated clinicians, and sometimes even trouble-making colleagues.
      PubDate: Thu, 03 May 2018 13:04:00 -040
  • Collections More Than Doubled While Satisfaction Scores Remained High
    • Abstract: Improved communication and better training keep staffers at one Florida ED on top of their game.
      PubDate: Thu, 03 May 2018 13:02:00 -040
  • New ‘Office Tech’ Role Assists Registration Team
    • Abstract: An office tech can handle certain duties, which allows registrars to focus on completing registrations and collecting from patients.
      PubDate: Thu, 03 May 2018 12:58:00 -040
  • Early Financial Screening Could Improve Access to Mental Health Services
    • Abstract: Access to mental health services is a concern for many healthcare organizations, and was identified recently as a top priority at San Diego-based Sharp HealthCare. Patient access and clinical leaders worked together to address this important issue.
      PubDate: Thu, 03 May 2018 12:55:00 -040
  • For Employees, CHAA Means 5% Raise, New Title
    • Abstract: A promotion and a salary increase happen immediately after employees obtain their Certified Healthcare Access Associate certification at Greater Baltimore (MD) Medical Center.
      PubDate: Thu, 03 May 2018 12:52:00 -040
  • Patient Access to See More Affordable Health Plans, Possible Higher
    • Abstract: Insurers and states will soon have flexibility to offer more affordable health plans — but there are significant implications for patient access.
      PubDate: Thu, 03 May 2018 12:49:00 -040
  • New Certification Program Offered for ASC Infection Preventionists
    • Abstract: The Board of Ambulatory Surgery Certification has created a new certification program for infection preventionists who work in ASCs.
      PubDate: Thu, 03 May 2018 11:46:00 -040
  • Peek Behind the Curtain into Compliance Problem Areas
    • Abstract: Surgery centers can expect more challenging survey findings in the next few years as Life Safety Code and other regulatory changes take effect, one surveyor predicts.
      PubDate: Thu, 03 May 2018 11:43:00 -040
  • Preparing for Joint Commission Survey Requires Chapter-and-verse Best
    • Abstract: If there’s one guiding philosophy for surgery centers undergoing accreditation to follow, it is this: It takes teamwork.
      PubDate: Thu, 03 May 2018 11:37:00 -040
  • New Jersey Surgery Centers Face Major Changes This Year
    • Abstract: New Jersey’s new law about ASCs might change the state’s ASC landscape as hundreds of registered (but unlicensed) ASCs must decide whether they will apply for licensure by Sept. 1, 2018. If they do not apply, they may have to close their surgery operations or sell their companies.
      PubDate: Thu, 03 May 2018 11:29:00 -040
  • Patient Collection at the Door
    • Abstract: Calculating patient responsibility is complex and time-consuming. One solution is to load a facility’s payer contracts into a cloud-based software tool that can manage any type of payer arrangement.
      PubDate: Thu, 03 May 2018 11:26:00 -040
  • TeamSTEPPS Concept Helps ASCs Improve Patient Safety
    • Abstract: A program that started as a module used to train military helicopter pilots has been modified for surgery centers, which can help staff build communication and teamwork skills.
      PubDate: Thu, 03 May 2018 11:22:00 -040
  • Common Infection Control Findings During ASC Surveys
    • Abstract: An ASC might follow processes that appear to be adequate or even best practices when it comes to infection prevention. Then, a surveyor visits, and a deficiency appears.
      PubDate: Thu, 03 May 2018 11:17:00 -040
  • Infection Prevention Best Practices
    • Abstract: Infection prevention in surgery centers begins with action and commitment at the top. ASC leaders must commit to supporting the infection preventionists, staff education, monitoring reprocessing, disinfection, hand hygiene, surgical site infection prevention strategies, and other prevention activities.
      PubDate: Thu, 03 May 2018 11:13:00 -040
  • The Essential Components of an ASC Infection Control Program
    • Abstract: Surgery centers will fulfill the requirements of an infection prevention program if they focus on all aspects regulators and accrediting agencies require.
      PubDate: Thu, 03 May 2018 11:09:00 -040
  • Infection Concerns Gain FDA Attention
    • Abstract: The FDA has focused on scope cleaning in recent months, highlighting the potential for infections. The agency alerted healthcare providers to the risk of cross-contamination with some connectors used in gastrointestinal endoscopy. Regulators warned three duodenoscope manufacturers that they must comply with a federal order to conduct postmarket surveillance studies that assess duodenoscope reprocessing.
      PubDate: Thu, 03 May 2018 11:04:00 -040
  • Did We Catch Vfib Onset'
    • Abstract: Did this patient develop ventricular fibrillation (Vfib) while the ECG in the figure was recorded'
      PubDate: Thu, 03 May 2018 10:24:00 -040
  • Efavirenz, Lamivudine, and Tenofovir Disoproxil Fumarate Tablets (Symfi)
    • Abstract: Symfi is indicated as a complete regimen for the treatment of HIV-1 infection in adult and pediatric patients weighing at least 40 kg.
      PubDate: Thu, 03 May 2018 10:19:00 -040
  • Searching for a Connection Between Silent Myocardial Infarction and Heart
    • Abstract: In a large community-based cohort, the development of silent myocardial infarction on ECG was associated with increased risk of future heart failure.
      PubDate: Thu, 03 May 2018 10:14:00 -040
  • Lower Blood Pressure Targets May Increase Mortality in Type 2 Diabetes
    • Abstract: Type 2 diabetic patients with systolic blood pressure < 120 mmHg experienced more cardiovascular events than patients with systolic blood pressure up to 140 mmHg.
      PubDate: Thu, 03 May 2018 10:11:00 -040
  • Identifying Common Traits Regarding Inappropriate Antibiotic Prescribing
    • Abstract: In a retrospective cohort study of outpatient visits for upper respiratory infections that should not require antibiotics, researchers found several patient, practice, and provider characteristics associated with inappropriate antimicrobial prescribing. Notably, adult patients seen by an advanced practice provider were 15% more likely to receive an antimicrobial than those seen by a physician provider.
      PubDate: Thu, 03 May 2018 10:06:00 -040
  • Non-opioid vs. Opioid Medications for Chronic Back, Knee, or Hip Pain
    • Abstract: In this small study, non-opioid therapy (primarily acetaminophen and nonsteroidal anti-inflammatory drugs) was as effective as opioid therapy for chronic musculoskeletal pain with fewer medication-related side effects.
      PubDate: Thu, 03 May 2018 10:01:00 -040
  • Abstract and Commentary: Mindfulness and Hospital Employee Health
    • Abstract: This effort to better understand the effect of brief mindfulness interventions on healthcare providers is a welcome approach to a poorly studied area of healthcare: how to best take care of the caregivers.
      PubDate: Thu, 03 May 2018 09:29:00 -040
  • The Shocking Suicide Rate in Female Veterinarians
    • Abstract: Female veterinarians — the rising demographic in this field of medicine — have a fourfold higher suicide rate than their male colleagues, the CDC recently reported.
      PubDate: Thu, 03 May 2018 09:15:00 -040
  • CDC Drafts New Pertussis Guidelines
    • Abstract: The CDC has drafted new pertussis guidance for healthcare workers as part of an ongoing update of its Guideline for Infection Control in Healthcare Personnel.
      PubDate: Thu, 03 May 2018 09:10:00 -040
  • Violence Prevention by Design in EDs
    • Abstract: In the increasing threat of violence in healthcare, the ED is ground zero. Given the threat, it is time to start designing violence prevention in the ED structure.
      PubDate: Thu, 03 May 2018 09:07:00 -040
  • Conditions That Trigger Healthcare Violence
    • Abstract: The Joint Commission recently issued a Sentinel Event Alert on violence in healthcare that identifies some key triggers and prevention measures.
      PubDate: Thu, 03 May 2018 09:03:00 -040
  • The Joint Commission Issues Sentinel Event Alert on Violence
    • Abstract: With reports of violence increasingly common, The Joint Commission has issued a Sentinel Event Alert emphasizing that accreditation standards require measures to protect healthcare workers and patients.
      PubDate: Thu, 03 May 2018 08:58:00 -040
  • Hospitals Leverage Safety Huddle to Reduce Patient Harm, Boost
           Transparency, and Drive Culture Change
    • Abstract: When implemented effectively, safety huddles can reduce harm and foster a culture of safety and accountability. Hospitals that have been successful with this process recommend that huddles be driven by executive leadership and include a structure that provides for accountability.
      PubDate: Wed, 02 May 2018 10:19:00 -040
  • Providers Address Homelessness to Reduce ED, Hospital Use
    • Abstract: Recognizing that chronically homeless patients typically present with multiple medical problems that lead to excessive ED and hospital use, hospitals are working with community partners to develop programs aimed at providing these patients with stable housing and the kind of supportive services that can better meet their needs.
      PubDate: Wed, 02 May 2018 10:10:00 -040
  • New Four-step Protocol Boosts Care, Outcomes for STEMI Patients
    • Abstract: Investigators have developed a protocol that not only improves outcomes for patients with ST elevation myocardial infarction (STEMI), but also reduces gender disparities that have been observed in both the care and outcomes of patients who present with the condition. Researchers note that although the protocol is different than common practices in most U.S. hospitals, the results show that further improvements are possible in the care of STEMI patients.
      PubDate: Wed, 02 May 2018 10:04:00 -040
  • High-sensitivity Troponin Test Finally Available to U.S. Emergency
    • Abstract: Some emergency providers in the United States finally can access a high-sensitivity troponin assay that enables them to detect heart attacks and other cardiac problems faster than older troponin tests. While it can take several months to safely and effectively switch to the new test, the benefits to both patients and providers are considerable. Although evidence from Europe suggests the tests uncover more evidence of cardiac disease, follow-up is required.
      PubDate: Wed, 02 May 2018 09:59:00 -040
  • Why Are Female Veterinarians Killing Themselves'
    • Abstract: CDC: Suicide rate fourfold greater than male vets
      PubDate: Wed, 02 May 2018 00:00:00 -040
  • Compliance Measures for the Case Manager’s Daily Practice —
           Part Four
    • Abstract: The fourth part in the compliance series will discuss additional compliance issues important to you in your case manager role.
      PubDate: Fri, 27 Apr 2018 09:40:00 -040
  • CMS Urges Security in Texting Clarification
    • Abstract: In an updated memo, CMS reinforced its policy that texting of patient orders is prohibited and Computerized Provider Order Entry is the preferred method of order entry by a provider.
      PubDate: Fri, 27 Apr 2018 09:25:00 -040
  • Staff Workarounds Pose Medication Error Risk
    • Abstract: Patient safety is compromised when healthcare workers use workarounds to speed things up when they are busy, or to overcome roadblocks that make it difficult or impossible for them to follow proper procedures in the medication process.
      PubDate: Fri, 27 Apr 2018 09:23:00 -040
  • Readmission Rates May Not Reflect Quality, Study Says
    • Abstract: A study found significant differences in hospitals’ performance when readmissions were assessed for non-Medicare patients and for conditions other than those currently reported. 
      PubDate: Fri, 27 Apr 2018 09:20:00 -040
  • Hospital’s Model Cell Uses Case Management Best Practices
    • Abstract: At McLeod Regional Medical Center in Florence, SC, a multidisciplinary team created a “model cell” where case management best practices are adapted to meet the needs of the hospital and where new employees receive their training.
      PubDate: Fri, 27 Apr 2018 09:13:00 -040
  • Text Messages Help Keep Patient Recoveries on Track
    • Abstract: A program that sends secure text messages every day to help at-risk patients manage their conditions resulted in a 22% decrease in 30-day readmissions and a 46% improvement in 90-day readmissions for Sharp Rees-Stealy Medical Group patients.
      PubDate: Fri, 27 Apr 2018 08:54:00 -040
  • Is the Dyad or Triad Model Best'
    • Abstract: What’s the best structure for case management models — dyad or triad' While everyone wants the magic answer, there’s no one-size-fits-all approach.
      PubDate: Fri, 27 Apr 2018 08:50:00 -040
  • Weighing the Pros and Cons of Offsite Utilization Review
    • Abstract: Taking utilization review functions away from the unit-based case managers can result in more time at the bedside, but there are factors to weigh before investing in a centralized process.
      PubDate: Fri, 27 Apr 2018 08:45:00 -040
  • Researchers Examine Possible Capsule Option for HIV Drugs
    • Abstract: Early research is focusing on a capsule that can deliver a week’s worth of HIV drugs in a single dose. If confirmed in advanced research, such an option could allow patients to stay compliant with the dosing regimen required to fight the virus successfully.
      PubDate: Thu, 26 Apr 2018 17:05:00 -040
  • Clinical Challenge: PrEP Is Not Reaching Most of the People Who Are at
    • Abstract: CDC leads efforts to build PrEP awareness and expand availability.
      PubDate: Thu, 26 Apr 2018 17:00:00 -040
  • Beyond Efficacy: Applying a Reproductive Justice Framework to
           Contraceptive Counseling for Young People
    • Abstract: A counseling approach that supports bodily autonomy, dignity, and agency of persons works toward ensuring reproductive justice.
      PubDate: Thu, 26 Apr 2018 16:53:00 -040
  • Research Examines Male Contraception Option
    • Abstract: Researchers at the University of Washington and Harbor-University of California, Los Angeles Medical Center are evaluating the use of a daily contraceptive pill containing dimethandrolone undecanoate for men.
      PubDate: Thu, 26 Apr 2018 16:45:00 -040
  • Study Examines Disparity of Trichomoniasis
    • Abstract: Results of a new analysis indicate that trichomoniasis disproportionately affects the black community. Data indicate that while the prevalence of Trichomonas vaginalis infection was 0.03% and 0.8% among males and females of other races/ethnicities, the prevalence was significantly higher among black males and females at 4.2% and 8.9%, respectively.
      PubDate: Thu, 26 Apr 2018 16:40:00 -040
  • Report: Abortion Safe, but Access to the Procedure May Be Limited
    • Abstract: A new report has determined that while abortion in the United States is safe, the quality of abortion care depends on where a woman lives.
      PubDate: Thu, 26 Apr 2018 16:34:00 -040
  • Check Access to Prescription-Only, OTC Emergency Contraception
    • Abstract: According to a new national survey, less than 10% of pharmacies have the ability to fill a prescription immediately for ulipristal acetate, the prescription-only form of emergency contraception (EC).
      PubDate: Thu, 26 Apr 2018 16:29:00 -040
  • Training Can Help Integrate LARC Options Into Contraceptive Care
    • Abstract: Research from the Bixby Center for Global Reproductive Health at the University of California, San Francisco, and Planned Parenthood Federation of America indicates that a four-hour training intervention can significantly affect the likelihood that healthcare providers will integrate long-acting reversible contraceptives into their clinical care.
      PubDate: Thu, 26 Apr 2018 16:20:00 -040
  • FCA Claim Brought Against McKesson for Overfill Repackaging
    • Abstract: McKesson Corp., one of the nation’s largest pharmaceutical companies, and two of its subsidiaries have had federal and state False Claims Act allegations filed against them on behalf of the federal government, 30 state governments, and the city governments of Chicago, New York City, and the District of Columbia.
      PubDate: Thu, 26 Apr 2018 00:00:00 -040
  • CMS Announces 2019 Medicare Advantage and Part D Rates and Other Changes
    • Abstract: The Centers for Medicare and Medicaid Services plans to raise rates paid to Medicare Advantage and Part D plans by 3.4%, according to its recently released 2019 Rate Announcement and Call Letter.
      PubDate: Thu, 26 Apr 2018 00:00:00 -040
  • CMS Issues Final Rule to Increase Health Insurance Affordability
    • Abstract: The Centers for Medicare and Medicaid Services (CMS) has issued the Health and Human Services Notice of Benefits and Payment Parameters for 2019. “The final rule will mitigate the harmful impacts of Obamacare and empower states to regulate their insurance market,” CMS said in a statement.
      PubDate: Thu, 26 Apr 2018 00:00:00 -040
  • Medical Device Company Alere to Pay $33.2 Million to Settle FCA
    • Abstract: The medical device company Alere Inc. will pay the United States $33.2 million to resolve allegations brought against it under the federal False Claims Act. The complaint alleged that Alere knowingly submitted false claims to federal and state healthcare programs for unreliable point-of-care diagnostic testing devices, according to a U.S. Justice Department press release.
      PubDate: Thu, 26 Apr 2018 00:00:00 -040
  • AAFP Fights Physician Burnout
    • Abstract: Organization unveils new tools to improve well-being and professional satisfaction.
      PubDate: Wed, 25 Apr 2018 15:40:00 -040
  • Expert Panels Improve ED Identification of Child Abuse vs. Accidents
    • Abstract: To ensure that physicians don’t make false accusations of child abuse, some pediatric emergency departments depend on a panel of pediatric injury experts to make the call on whether an injury is an accident or intentional harm.
      PubDate: Wed, 25 Apr 2018 00:00:00 -040
  • Study Finds Healthcare Workers Have High Prevalence of Asthma
    • Abstract: Among working adults in the United States during 2011 to 2016, 6.8% had current asthma. Of those with current asthma, 44.7% had experienced an asthma attack in the previous year, and nearly 10% had an episode serious enough to send them to the emergency department.
      PubDate: Wed, 25 Apr 2018 00:00:00 -040
  • About a Third of Older Patients Intubated in ED Don’t Survive
           Hospital Stay
    • Abstract: Intubation in the emergency department can immediately save lives, but that often doesn’t ensure favorable longer-term results, especially in older patients.
      PubDate: Wed, 25 Apr 2018 00:00:00 -040
  • Smoke From Wildfires Increases Cardiovascular, Not Just Respiratory, Risks
    • Abstract: Previous research has documented that wildfires, such as the one that killed more than 40 people and destroyed more than 5,000 homes in the wine country north of San Francisco last fall, can worsen respiratory conditions in some patients.
      PubDate: Wed, 25 Apr 2018 00:00:00 -040
  • Expansive Survey Presents Snapshot of U.S. Emergency Departments
    • Abstract: ACEP President: "The emergency department is now more than ever the front door to the hospital."
      PubDate: Tue, 24 Apr 2018 16:20:00 -040
  • Nonalcoholic Fatty Liver Disease
    • Abstract: Nonalcoholic fatty liver disease (NAFLD) is the most common liver pathology worldwide and is the third leading cause of liver transplantation in the United States.This article reviews the pathogenesis, diagnosis, and natural history of NAFLD as well as known treatments and future therapies.
      PubDate: Fri, 20 Apr 2018 17:46:00 -040
  • Meditation for Reducing CVD Risk
    • Abstract: A recent American Heart Association statement found meditation to be an inexpensive intervention that may be adjunctively useful for reducing risk of heart disease.
      PubDate: Fri, 20 Apr 2018 15:31:00 -040
  • Running and Health
    • Abstract: In a review and meta-analysis of the effects of running and longevity, researchers concluded that running provides specific and significant health benefits and proposed a threshold above which more running provides diminishing returns.
      PubDate: Fri, 20 Apr 2018 15:26:00 -040
  • Osteopathic Manipulative Treatment for Low Back Pain
    • Abstract:
      Authors of a recent literature review found compelling evidence that osteopathic manipulative treatment is effective for treating low back pain, but not for other conditions.
      PubDate: Fri, 20 Apr 2018 15:16:00 -040
  • Fish Consumption and Disease Activity in Rheumatoid Arthritis
    • Abstract: A cross-sectional analysis using baseline data from participants in the Evaluation of Subclinical Cardiovascular Disease and Predictors of Events in Rheumatoid Arthritis (ESCAPE-RA) cohort study demonstrated biweekly consumption of fish significantly decreased pain and progression of RA sufferers.
      PubDate: Fri, 20 Apr 2018 14:45:00 -040
  • FDA Outlines Position on Stem Cell Research
    • Abstract: The FDA outlined its stance on the exploding field of regenerative medicine in a new paper, trying to strike a balance in stem cell research oversight to temper risk without blunting reward.
      PubDate: Fri, 20 Apr 2018 14:36:00 -040
  • Should Research Subjects Be Guaranteed Care if Injured'
    • Abstract: At a time when social justice movements are coming to the fore, what if research subjects boycotted trials until they were guaranteed medical care if injured'
      PubDate: Fri, 20 Apr 2018 14:32:00 -040
  • SACHRP Approves Guidance on Exemptions From Single IRB
    • Abstract: A committee recently approved a “points to consider” document that outlines three general areas where exceptions to single IRB oversight can be an option.
      PubDate: Fri, 20 Apr 2018 14:26:00 -040
  • Rule Delay, Confusion Cloud SACHRP Meeting
    • Abstract: Most of the requirements of the final rule were to become effective Jan. 19, 2018. However, HHS and a host of other federal agencies issued an 11th-hour “interim final rule” that moved the effective date to July 19, 2018.
      PubDate: Fri, 20 Apr 2018 14:21:00 -040
  • Committee Helps IRB Prepare for Accreditation and New Common Rule
    • Abstract: Accreditation experts say IRBs should not make too many changes when they first seek accreditation from the Association for the Accreditation of Human Research Protection Programs. It’s better to focus on what has to be done and to not do everything.
      PubDate: Fri, 20 Apr 2018 14:17:00 -040
  • Change Management Process Can Bring All Sides Together for Quality
    • Abstract: One IRB receives process improvement help from a well-designed change management process that provides information, implements new procedures, and addresses the revised Common Rule and its effects.
      PubDate: Fri, 20 Apr 2018 14:01:00 -040
  • Preparing for Revised Common Rule' Aim for Efficient, Faster, Better
    • Abstract: With just a couple of months remaining to prepare for the revised Common Rule, the question for human research protection programs is: What needs to be done to make programs more efficient, faster, better quality, and compliant'
      PubDate: Fri, 20 Apr 2018 13:57:00 -040
  • State Supreme Court Reverses $22 Million Malpractice Case
    • Abstract: Untreated hypoxia led to a patient's brain damage and quadriplegia for the rest of her life.
      PubDate: Fri, 20 Apr 2018 13:25:00 -040
  • Inability to Break Up Blood Clot Results in $6.6 Million Jury Verdict
    • Abstract: A patient sued a hospital and several physicians, arguing that they were negligent in failing to timely diagnose her blood clot.
      PubDate: Fri, 20 Apr 2018 13:21:00 -040
  • Postoperative Atrial Fibrillation After Coronary Artery Bypass Graft
    • Abstract: The data from this study do not indicate that new-onset postoperative atrial fibrillation should be regarded as having the same risks as primary nonvalvular atrial fibrillation in terms of long-term thromboembolic risk, and that anticoagulation in this group may not be necessary unless the atrial fibrillation is persistent.
      PubDate: Fri, 20 Apr 2018 12:57:00 -040
  • Opioids Not Better for Chronic Back Pain
    • Abstract: Chronic use of opioids for management of back pain is controversial and hotly debated. This randomized trial showed no benefit of opioids over multimodality non-opioid treatments, consistent with many other observational studies.
      PubDate: Fri, 20 Apr 2018 12:54:00 -040
  • Rapid Screening for Future Risk of Parkinson’s Disease Dementia
    • Abstract: The Montreal Parkinson Risk of Dementia Scale provides a simple eight-item screening tool with high predictive value for developing Parkinson’s disease dementia.
      PubDate: Fri, 20 Apr 2018 12:50:00 -040
  • Sleep Habits and the Development of Dementia
    • Abstract: The relationship between quality of sleep and the development of dementia is controversial and not yet clearly elucidated nor understood.
      PubDate: Fri, 20 Apr 2018 12:45:00 -040
  • Differences Between Type 1 and Type 2 Diabetic Neuropathy
    • Abstract: Microstructural nerve damage in distal symmetric diabetic neuropathy differs between subjects with type 1 diabetes (T1D) and type 2 diabetes (T2D). The predominant nerve lesions in T1D correlated with hyperglycemia and nerve conduction impairment, while the predominant lesions in T2D correlated with dyslipidemia.
      PubDate: Fri, 20 Apr 2018 12:41:00 -040
  • Phenytoin as a Second-line Treatment for Status Epilepticus: What’s
           the Evidence'
    • Abstract: In this systematic review, the evidence supporting the use of intravenous phenytoin for convulsive status epilepticus was analyzed critically and did not demonstrate strong evidence to support its use as a preferred second-line agent.
      PubDate: Fri, 20 Apr 2018 12:37:00 -040
  • Doctors Maintaining Certification Less Likely to Face Discipline
    • Abstract: Physicians who maintain board certification within 10 years of their initial certification are more than two times less likely to face state medical board disciplinary actions than those who do not, according to recent research.
      PubDate: Fri, 20 Apr 2018 11:47:00 -040
  • Reduce Paper Records to Decrease Data Breaches
    • Abstract: Healthcare organizations seeking to reduce the risk of data breaches should reduce how much protected health information they put on paper, while also stepping up “holistic” risk management efforts, according to a recent report.
      PubDate: Fri, 20 Apr 2018 11:42:00 -040
  • Report: Nurse Practitioners Pose Malpractice Risk Similar to Physicians
    • Abstract: Nurse practitioners face malpractice risks similar to those of physicians. Hospitals should provide similar types and levels of education in risk management.
      PubDate: Fri, 20 Apr 2018 11:39:00 -040
  • Study: Diagnostic Accuracy Still Largest Claims Risk
    • Abstract: Diagnosis failures still pose the biggest risk for malpractice claims. A recent review found that they account for 33% of medical professional liability claims.
      PubDate: Fri, 20 Apr 2018 11:33:00 -040
  • Patients Sometimes Game EMTALA System
    • Abstract: EMTALA compliance is greatly complicated in communities with significant homeless populations.
      PubDate: Fri, 20 Apr 2018 11:30:00 -040
  • Four Steps for Improving EMTALA Compliance
    • Abstract: Compliance with EMTALA will continue to pose challenges until systemic problems like the treatment of behavioral health patients can be addressed, but in the meantime there are steps that can help a hospital avoid being penalized for violations.
      PubDate: Fri, 20 Apr 2018 11:27:00 -040
  • Confusion, Competing Priorities Behind EMTALA Violations
    • Abstract: Most hospitals violating EMTALA intend to comply with the law but fall short because of confusion about requirements and competing priorities between doctors and hospitals.
      PubDate: Fri, 20 Apr 2018 11:24:00 -040
  • EMTALA Violations Persist as Hospitals Cope With Overload
    • Abstract: Hospitals continue violating EMTALA despite years of compliance efforts and the threat of severe penalties. In most cases, the hospital does not intend to dump patients.
      PubDate: Fri, 20 Apr 2018 11:20:00 -040
  • Disability Trajectories Give Insights on End of Life
    • Abstract: Derived disability trajectories provide useful information about different facets of the end-of-life experience, found a recent study.
      PubDate: Fri, 20 Apr 2018 10:45:00 -040
  • Ethical Dilemma' Too Often, Chaplains Are Involved Last
    • Abstract: Conscientious objection of providers, moral distress, patient adherence, and difficult or noncompliant patients all are situations where chaplains can be of help. Yet when healthcare teams are concerned about medical ethics dilemmas, chaplains often are the team members who are involved last.
      PubDate: Fri, 20 Apr 2018 10:41:00 -040
  • Patient-reported Resuscitation Status Doesn’t Necessarily Match
           Clinicians’ Orders
    • Abstract: Patient-reported and clinician-ordered resuscitation preferences were discordant in 20% of patients hospitalized with acute decompensated heart failure, a recent study reports.
      PubDate: Fri, 20 Apr 2018 10:37:00 -040
  • Blacks and Whites, but Not Hispanics, Increasing Advance Directive
    • Abstract: Blacks and whites had longitudinal increased rates of advance directive completion, but the same was not true for Hispanics, a recent study found.
      PubDate: Fri, 20 Apr 2018 10:32:00 -040
  • Vast Majority of Patients Want to Be Informed of Overlapping Surgery
    • Abstract: Overlapping surgery has been common for many years. Yet only 3.9% of the general public had any knowledge of the practice, found a recent study.
      PubDate: Fri, 20 Apr 2018 10:26:00 -040
  • Patient Left No End-of-Life Wishes' Surrogates Need Ethicists’
    • Abstract: Surrogates face an increased burden if they’re unaware of patients’ end-of-life wishes, according to a growing body of research.
      PubDate: Fri, 20 Apr 2018 10:20:00 -040
  • Report Sheds Light on Inner Workings of Hospital Ethics Committee
    • Abstract: A recent report describes the structure and operation of the Boston-based Massachusetts General Hospital ethics committee from 2007-2013.
      PubDate: Fri, 20 Apr 2018 10:14:00 -040
  • New Data Shed Light on Nurses’ Reasons for Applying to Clinical
           Ethics Residency
    • Abstract: A clinical ethics residency for nurses met with strong demand at two academic medical centers.
      PubDate: Fri, 20 Apr 2018 10:10:00 -040
  • Controversy Persists as States, Courts ‘Question, Push Back, and
           Challenge’ Brain Death Criteria
    • Abstract: Guidelines from the American Academy of Neurology were recently endorsed by several organizations as a medical standard for determining brain death, despite a controversial Nevada Supreme Court ruling that casts doubt on this stance.
      PubDate: Fri, 20 Apr 2018 10:04:00 -040
  • Chest Pain in Young Adults
    • Abstract: Chest pain is one of the most common reasons that patients present to the emergency department. The underlying disease processes can range from benign to life-threatening. The purpose of this article is to discuss the diagnosis, treatment, and management of the common causes of chest pain that can present in a young adult.
      PubDate: Fri, 20 Apr 2018 09:18:00 -040
  • Generating Health Benefits and Cost Savings Through Sodium Reduction
    • Abstract: Research supports FDA’s call to voluntarily decrease sodium levels in food.
      PubDate: Thu, 19 Apr 2018 15:10:00 -040
  • APIC, SHEA: IC Critical to Antibiotic Stewardship
    • Abstract: The nation’s leading infection control associations have reaffirmed their contention that infection preventionists and healthcare epidemiologists are critical to the success of antibiotic stewardship efforts.
      PubDate: Wed, 18 Apr 2018 15:40:34 -040
  • Dialysis: Overcoming Resistance and Reducing Infections
    • Abstract: The Centers for Disease Control and Prevention estimates some 40,000 central line-associated bloodstream infections occur annually in U.S. hemodialysis patients.
      PubDate: Wed, 18 Apr 2018 15:36:52 -040
  • IPs Respond to CMS Legionella Directive
    • Abstract: Primarily caused by Legionella pneumophila serogroup 1, Legionnaires' Disease outbreaks in healthcare are typically traced to the waterborne bug becoming aerosolized and inhaled in shower mist.
      PubDate: Wed, 18 Apr 2018 15:30:38 -040
  • CDC Detects 221 Bugs with Unusual Drug Resistance
    • Abstract: The Centers for Disease Control and Prevention is using its nationwide Antibiotic Resistance Lab Network to detect these virtually untreatable bugs, which can be resistant to whole classes of drugs.
      PubDate: Wed, 18 Apr 2018 15:21:00 -040
  • CDC to CRE: You Cannot Pass
    • Abstract: A national containment strategy using powerful lab detection techniques and rapid intervention with infection control measures is blunting the emergence of pan-resistant pathogens, the Centers for Disease Control and Prevention reports.
      PubDate: Wed, 18 Apr 2018 15:15:00 -040
  • Real-world Study of Left Atrial Appendage Occluder Devices Raises New
    • Abstract: A large observational study from France of two devices used commonly for occlusion of the left atrial appendage in patients with atrial fibrillation showed that device-related thrombus was not uncommon and was associated with subsequent stroke.
      PubDate: Wed, 18 Apr 2018 13:20:00 -040
  • The Pulmonary Embolism Rule-out Criteria in Low-risk Patients
    • Abstract: A cluster randomized trial of the pulmonary embolism rule-out criteria (PERC) compared to usual care for patients estimated to be at low risk of pulmonary embolus (PE) in EDs showed that PERC was non-inferior to usual care at identifying patients who would be free of symptomatic PE at three months, resulting in less use of healthcare resources.
      PubDate: Wed, 18 Apr 2018 13:17:00 -040
  • Risk of Endocarditis Revisited
    • Abstract: The authors of a population-wide study of hospitalizations and deaths from infective endocarditis (IE) in England confirmed the high risk of IE in certain cardiac conditions, but showed that other conditions thought to be low risk also are at higher risk and found new higher-risk categories not previously identified. Investigators suggested these data should be considered when the antibiotic prophylaxis guidelines are revised.
      PubDate: Wed, 18 Apr 2018 13:15:00 -040
  • Coffin Nail for Omega-3 Fatty Acids'
    • Abstract: A meta-analysis of 10 randomized, controlled trials of omega-3 fatty acids for the prevention of coronary heart disease and major vascular events showed no significant effect on fatal and non-fatal coronary heart disease or any major vascular event. These results do not support the use of omega-3 fatty acids supplements in patients with prior coronary heart disease.
      PubDate: Wed, 18 Apr 2018 13:11:00 -040
  • Methamphetamine-associated Pulmonary Hypertension and Cardiomyopathy Are
           Distinct Diseases
    • Abstract: In a large study of methamphetamine users, female sex was associated with presence of pulmonary hypertension, whereas male sex, hypertension, and alcoholism were associated with cardiomyopathy. Both pulmonary hypertension and cardiomyopathy patients exhibited substantially increased mortality.
      PubDate: Wed, 18 Apr 2018 13:08:00 -040
  • Clinical Briefs
    • Abstract: In this section: treating obstructive sleep apnea; influenza and myocardial infarction; and a promising Zika treatment.
      PubDate: Wed, 18 Apr 2018 09:24:00 -040
  • Tildrakizumab-asmn Injection (Ilumya)
    • Abstract: Tildrakizumab-asmn is indicated for the treatment of adults with moderate-to-severe plaque psoriasis who are candidates for systemic therapy or phototherapy.
      PubDate: Wed, 18 Apr 2018 09:21:00 -040
  • Pre-existing Health Determines Quality of Life, Physical Symptoms After
           ICU Discharge
    • Abstract: The authors of this nested cohort study within a randomized, controlled trial of ICU survivors requiring> 48 hours of mechanical ventilation found that pre-existing comorbidity was the main determinant of long-term health-related quality of life.
      PubDate: Wed, 18 Apr 2018 09:12:00 -040
  • Hospital Ice Machines Contaminated With Bacteria
    • Abstract: Requiring staff to cleanse their hands with alcohol hand gel prior to using an ice machine and directing housekeeping personnel to perform more frequent machine cleaning may improve situation.
      PubDate: Wed, 18 Apr 2018 09:01:00 -040
  • Mefloquine: Still Effective and Still Safe for Malaria Chemoprophylaxis
    • Abstract: Mefloquine is known as an effective agent for malaria chemoprophylaxis. However, concerns about serious adverse effects have limited its use. Now, a careful review of data suggests that fatal outcomes related to mefloquine prophylaxis are very rare.
      PubDate: Wed, 18 Apr 2018 08:57:00 -040
  • Infectious Disease Alert Updates
    • Abstract: Probiotics and Lactobacillemia; The Last Poliovirus Challenge
      PubDate: Tue, 17 Apr 2018 12:50:00 -040
  • Prosthetic Valve Endocarditis Due to Candida
    • Abstract: Prosthetic valve endocarditis due to Candida spp. is associated with high mortality, but is curable — or at least controllable.
      PubDate: Tue, 17 Apr 2018 12:46:00 -040
  • HANDOC: Some Guidance on When to Order Echocardiograms in Patients With
           Streptococcal Bacteremia
    • Abstract: Non-β-hemolytic streptococci (NBHS) are the most common cause of infective endocarditis. In this retrospective study of 399 patients with NBHS bacteremia, 26 patients had endocarditis. HANDOC score (heart murmur, aetiology by specific species of NBHS, number of positive blood cultures, duration of symptoms, only one species in blood culture, and community-acquired infection) was predictive of endocarditis vs. non-endocarditis bacteremia.
      PubDate: Tue, 17 Apr 2018 12:42:00 -040
  • Tuberculosis in the United States in 2017
    • Abstract: While the incidence of tuberculosis in the United States in 2017 was the lowest ever recorded, the current rate of decline would be required to almost double to reach the goal of elimination of the disease in this country by the year 2100.
      PubDate: Tue, 17 Apr 2018 12:35:00 -040
  • Extended-pulsed Dosing of Fidaxomicin vs. Standard-dose Vancomycin for
           Clostridium difficile Infection
    • Abstract: A randomized, controlled, open-label clinical trial conducted at 86 European hospitals that included adults aged 60 years or older found that extended-pulsed dosing of fidaxomicin was superior to standard-dose vancomycin for sustained cure of Clostridium difficile infection and resulted in fewer disease recurrences.
      PubDate: Tue, 17 Apr 2018 12:26:00 -040
  • Dealing With Multidrug-resistant Organisms on a National Level: CDC
           Successes and Problems on the Horizon
    • Abstract: CDC efforts, implemented at the local level, have been associated with a modest reduction in the incidences of Escherichia coli and Klebsiella pneumoniae with an ESBL phenotype and a more dramatic reduction in carbapenem-resistant Enterobacteriaceae.
      PubDate: Tue, 17 Apr 2018 12:07:00 -040
  • Planes, Pathogens, and Passengers: Infection Risk During Commercial Air
    • Abstract: Although air travel has been linked to transmission of respiratory infections, the actual risk of becoming infected during air travel is low. The risk is greatest, though, when seated within about two seats/rows of a contagious individual. Walking around the cabin increases risk.
      PubDate: Tue, 17 Apr 2018 11:57:00 -040
  • Routine Chest Radiographs After Ultrasound-guided Central Line Placement
           May Be Unnecessary
    • Abstract: Catheter misplacement and pneumothorax after routine ultrasound-guided catheter placement are rare, and routine post-procedural chest radiographs may not be cost-effective.
      PubDate: Tue, 17 Apr 2018 09:27:00 -040
  • Real-time Tracking of Influenza-related ICU Use
    • Abstract: Surrogate markers of influenza severity, specifically trends in ICU use, were collected and revealed differences from current influenza reporting.
      PubDate: Tue, 17 Apr 2018 09:24:00 -040
  • Management of Catheter-related Bloodstream Infections
    • Abstract: Catheter-related bloodstream infections (CRBSIs) remain one of the more common nosocomial infections today, with an estimated 250,000 CRBSIs occurring in the United States annually, of which approximately 80,000 are associated with an ICU stay. The science behind current practices has reduced the CRBSI rate by 50% between 2008 and 2014. However, the rate of infection is far from zero, and rates remain significantly different between states, suggesting that there is room for improvement.
      PubDate: Tue, 17 Apr 2018 09:18:00 -040
  • CMS Final Rule: More Affordable Health Plans Will Be Offered
    • Abstract: Agency aims to stabilize insurance markets, provide more options.
      PubDate: Tue, 17 Apr 2018 08:00:00 -040
  • Update on Early Pregnancy Loss Management
    • Abstract: Early pregnancy failure typically is defined as an intrauterine pregnancy in the first trimester that is not viable, either because the gestational sac is empty or because the embryo or fetus has no cardiac activity. This article will discus the main options for the management of early pregnancy failure: expectant management, medical management with misoprostol, and surgical management. Women’s preferences should guide treatment decisions, given that all three options are medically safe.
      PubDate: Fri, 13 Apr 2018 12:37:00 -040
  • Interpregnancy Interval and Chances for Recurrent Miscarriage
    • Abstract:
      Authors of a recent study surprisingly have shown that the best chances of avoiding another early pregnancy loss is to become pregnant within six months of a miscarriage.
      PubDate: Fri, 13 Apr 2018 12:31:00 -040
  • Can We Use Manual Vacuum Aspiration for Molar Pregnancies'
    • Abstract: In this retrospective cohort study, manual vacuum aspiration in a hospital setting was equivalent to electric suction for uterine evacuation of molar pregnancy in terms of the risks of incomplete abortion and development of postmolar gestational trophoblastic disease.
      PubDate: Fri, 13 Apr 2018 12:27:00 -040
  • After the WHI: How Is Your Sex Life'
    • Abstract: Women who discontinued systemic postmenopausal hormonal therapy following participation in the Women’s Health Initiative studies experienced an increase in vaginal and sexual symptoms.
      PubDate: Fri, 13 Apr 2018 12:20:00 -040
  • Infectious Meningitis: A Focused Review
    • Abstract: The effectiveness of the current vaccine schedule has led to a significant decline in the incidence of bacterial meningitis. Delays in recognition and antibiotic administration result in increased morbidity and mortality; therefore, clinicians must maintain a high degree of vigilance for the subtle findings of meningitis, particularly in infants. Current standards for selective imaging, diagnostic testing, and empiric antibiotics are discussed.
      PubDate: Fri, 13 Apr 2018 09:54:00 -040
  • $30 Million in Quality Funding Available From CMS
    • Abstract: CMS is offering up to $30 million in funding and technical assistance to clinicians, patients, and others involved in developing and improving quality measures for the Quality Payment Program.
      PubDate: Thu, 12 Apr 2018 09:59:00 -040
  • Prior Authorizations Lower Quality of Care, AMA Says
    • Abstract: Almost all surveyed physicians agree that prior authorizations required by insurers negatively affect the quality of care patients receive, according to a new American Medical Association report.
      PubDate: Thu, 12 Apr 2018 09:56:53 -040
  • Readmission Rates May Not Reflect Quality, Study Says
    • Abstract: The public has been led to believe that hospital quality measures on CMS’s Hospital Compare website offer a simple but reliable way to compare the quality of care offered by different hospitals, but recent research casts doubt on that reliability.
      PubDate: Thu, 12 Apr 2018 09:54:41 -040
  • Population Health Models, ACO Experience Lead to Hospital Improvements
    • Abstract: Population health initiatives are proving to be among the most useful quality improvement resources for hospitals participating in accountable care organizations (ACOs). They’re leveraging the data from ACOs to target specific patient populations, improving care and reducing utilization.
      PubDate: Thu, 12 Apr 2018 09:50:00 -040
  • BPCI Advanced Brings Useful Data to Hospitals
    • Abstract: The new Bundled Payments for Care Improvement Advanced program from CMS will generate a huge amount of data that hospitals can use to improve quality, but exactly what data is coming and what do you do with it'
      PubDate: Thu, 12 Apr 2018 09:44:00 -040
  • Staff Workarounds Pose Medication Error Risk
    • Abstract: Patient safety is compromised when healthcare workers use workarounds to speed things up when they are busy, or to overcome roadblocks that make it difficult or impossible for them to follow proper procedures in the medication process, warns a recent report from the Pennsylvania Patient Safety Authority in Harrisburg.
      PubDate: Thu, 12 Apr 2018 09:39:00 -040
  • Study Near-miss Barcode Medication Errors to Prevent Worse Events
    • Abstract: A low rate of reported barcode medication administration errors can foster a false sense of security that could eventually result in a patient death or serious harm, say clinicians and researchers who have studied the issue.
      PubDate: Thu, 12 Apr 2018 09:35:00 -040
  • Nurse Sues Health System for Firing After Safety Complaints
    • Abstract: A hospital and health system in California is facing a lawsuit from a nurse who says she was fired for blowing the whistle on unsafe working conditions that threatened patients and staff.
      PubDate: Wed, 11 Apr 2018 15:41:00 -040
  • Red Light Says ‘Not Now’ for Nurses in Critical Work
    • Abstract: There are times when a nurse's full attention is needed for a task that is critical to patient safety. One hospital is using red lights on workstations to indicate that the nurse must not be interrupted.
      PubDate: Wed, 11 Apr 2018 15:38:00 -040
  • Strict Safety Briefings Reduce CAUTIs, CLABSIs, and Falls
    • Abstract: Baptist Memorial Hospital-Memphis was experiencing a problem familiar to many hospitals: It could make quality improvements, but had difficulty making those improvements stick, as there was a lack of bedside accountability.
      PubDate: Wed, 11 Apr 2018 15:35:00 -040
  • Integrated Case Management Model Shows Which Resources Are Needed
    • Abstract: An integrated care management team approach helped a health system improve clinical outcomes for patients, lower costs, and lower rates of healthcare utilization, according to a 10-year study.
      PubDate: Wed, 11 Apr 2018 15:32:00 -040
  • Go 3-D: Here’s How to Add Power and Depth to Case Management
    • Abstract: Case management assessments will lead easily into care plans when they’re created more robustly — a 3-D vs. 1-D assessment.
      PubDate: Wed, 11 Apr 2018 15:27:00 -040
  • To Know Patients’ Social Determinants of Health Is to Understand
           Their Obstacles
    • Abstract: Patients’ underlying social and personal issues, known as social determinants of health, can affect their hospital lengths of stay, readmissions, and overall health.
      PubDate: Wed, 11 Apr 2018 15:21:00 -040
  • Population Health Program Jumps From Lowest to Highest Performer
    • Abstract: Healthcare organizations collaborate on population health initiatives, and the result is a quick improvement in clinical outcomes and patient satisfaction.
      PubDate: Wed, 11 Apr 2018 15:15:00 -040
  • Disappointing Stroke Outcome' Patient ‘Likely to Blame EP’
    • Abstract: A look at several common issues concerning ED malpractice claims involving stroke patients.
      PubDate: Tue, 10 Apr 2018 13:08:00 -040
  • Hospitals Face Liability if Impaired EP Becomes Malpractice Defendant
    • Abstract: Experts discuss some ways plaintiff’s attorneys keep the hospital in the litigation against the EP and offer tips for reducing risks.
      PubDate: Tue, 10 Apr 2018 13:04:00 -040
  • Tissue Plasminogen Activator Decision Remains Legal Landmine for EDs
    • Abstract: Most lawsuits involving tissue plasminogen activator (tPA) allege the EP failed to give the drug, or that the drug wasn’t given quickly enough. In reality, a minority of stroke patients receive tPA. Almost all are outside the treatment window or don’t meet the criteria for another reason.
      PubDate: Tue, 10 Apr 2018 12:56:00 -040
  • Lack of Discussion With Supervising EP Key Focus of PA Lawsuits
    • Abstract: "An emergency physician who has agreed to supervise a PA may be sued, even when she never saw the patient, never reviewed the record, and does not remember the patient," one expert warns.
      PubDate: Tue, 10 Apr 2018 12:51:00 -040
  • Case Law Expanding ED’s Legal Exposure if Discharged Psychiatric
           Patient Commits Violence
    • Abstract: Healthcare providers’ liability exposure for potentially violent ED patients could be expanding nationally.
      PubDate: Tue, 10 Apr 2018 12:44:00 -040
  • Court Applies EMTALA to Hospital’s Urgent/Walk-in Care Center
    • Abstract: A Rhode Island federal court determined that under the Centers for Medicare and Medicaid Services Emergency Medical Treatment and Labor Act regulations, a walk-in urgent care center was a “dedicated emergency department” because it held itself out “as a place that provides care for emergency medical conditions on an urgent basis without requiring a previously scheduled appointment.”
      PubDate: Tue, 10 Apr 2018 12:38:00 -040
  • HHS Report: Billions Recovered From Medicare Fraud, Kickback Cases
    • Abstract: The federal crackdown recovered $2.4 billion in fiscal year 2017.
      PubDate: Tue, 10 Apr 2018 07:28:00 -040
  • Senators Ask White House for Opioid Epidemic Progress Report
    • Abstract: Leading Democrats seek update on months-old commission recommendations.
      PubDate: Mon, 09 Apr 2018 14:30:00 -040
  • FDA Issues Mandatory Kratom Recall
    • Abstract: Announcement is culmination of many disputes between federal agencies and product's manufacturers, distributors.
      PubDate: Mon, 09 Apr 2018 14:20:00 -040
  • Mammalian Bites
    • Abstract: Bites, whether dog, cat, or human, are a common reason for emergency department visits.This article reviews the complexities of different types of bites ED providers may encounter and issues regarding closure and antibiotic prophylaxis, in addition to vaccination concerns.
      PubDate: Thu, 05 Apr 2018 11:34:00 -040
  • Employees Face Opioid Overflow in EDs
    • Abstract: In data reported from July 2016 through September 2017, the CDC found that ED visits in 45 states showed that opioid overdoses are increasing across all regions.
      PubDate: Thu, 05 Apr 2018 11:12:00 -040
  • Student March Lends Momentum to Healthcare Violence Regulation
    • Abstract: Antiviolence efforts to protect healthcare workers have been underway with limited success for years, so the latest federal bill in that regard would normally be seen as another well-intentioned, but ultimately futile, effort. However, things are not normal.
      PubDate: Thu, 05 Apr 2018 11:08:00 -040
  • Occupational Threat to Dental Workers'
    • Abstract: Looking over the medical records at a specialty clinic in Virginia, public health investigators have uncovered a cluster of dental workers with a progressive lung disease that appears to be occupationally acquired.
      PubDate: Thu, 05 Apr 2018 11:04:00 -040
  • The Long and Winding Road
    • Abstract: Travel nurses who routinely relocate and work at new facilities on an interim basis face some employee health problems unique to their situation. Others are slightly different manifestations of common issues in nursing.
      PubDate: Thu, 05 Apr 2018 11:00:00 -040
  • Johns Hopkins Boosts Employee Health With CDC Scorecard
    • Abstract: The CDC’s Worksite Health ScoreCard effectively measures workplace wellness efforts and can highlight areas of needed improvement, researchers at Johns Hopkins Medicine reported.
      PubDate: Thu, 05 Apr 2018 10:54:00 -040
  • To Care Is Human: Collaborative Tackles Toll on Healthcare


    • Abstract: Healthcare workers are at increased risk of burnout and depression, as a confluence of factors have created a toxic brew of occupational stressors.
      PubDate: Thu, 05 Apr 2018 10:51:00 -040
  • Accentuate the Positive
    • Abstract: An epidemic of burnout in healthcare workers has been widely reported — but, these researchers suggest, perhaps the glass is half full.
      PubDate: Thu, 05 Apr 2018 10:47:00 -040
  • Heal the Clinician, Protect the Patient
    • Abstract: Nurses with physical and mental health issues were more likely to self-report medical errors, showing a clear link between clinician wellness and patient safety, a new study reports.
      PubDate: Thu, 05 Apr 2018 10:43:00 -040
  • Duodenoscope Manufacturers Receive FDA Warning Letters
    • Abstract: Agency told three leading manufacturers that they had not conducted postmarket surveillance on their duodenoscopes. The companies were told to take specific steps to correct the noted violations, document those corrective actions, and send information to the FDA.
      PubDate: Thu, 05 Apr 2018 10:21:00 -040
  • Payer Contracts, Billing, Collections, and Surgeon Incentives
    • Abstract: Responding to requests for more tips about billing, contracts, and how to build incentives for surgeons to use your facility, both hospitals and ASCs.
      PubDate: Thu, 05 Apr 2018 10:06:00 -040
  • Opioid Use Assessment Can Reduce Overprescribing
    • Abstract: Some hospitals and doctors nationwide are reducing or eliminating opioid prescriptions. For ASCs, opioids still serve an important purpose. However, providers should ask whether an opioid prescription is what’s best for patients at risk of addiction to the drug.
      PubDate: Thu, 05 Apr 2018 10:02:00 -040
  • ASCs Can Benchmark With Nursing Indicators
    • Abstract: Groundbreaking work to build a benchmarking database of ambulatory nursing outcomes is beginning to benefit ASCs across the United States. People are beginning to understand that it’s important for every member of the team to contribute to overall outcomes and reflect their contribution in outcomes data.
      PubDate: Thu, 05 Apr 2018 10:00:00 -040
  • ASCs That Don’t Negotiate for More Out-of-network Dollars Will Lose
    • Abstract: Years ago, ASCs didn’t have to negotiate to receive full reimbursement for out-of-network services. But those days are gone. Now, providers have to negotiate with vendors used by payers to reduce the out-of-network charges. If ASCs are not actively involved in negotiating these rates, then they might end up with as little as 20% of their bill charges.
      PubDate: Thu, 05 Apr 2018 09:56:00 -040
  • Disposing of Hazardous Waste and Drugs: A Confusing Challenge for ASCs
    • Abstract: Soon, new guidelines from the United States Pharmacopeia regarding proper disposal of hazardous materials will be made official. ASC administrators and staff should know the main definitions, regulations, and standards regarding hazardous waste, drugs, and controlled substances.
      PubDate: Thu, 05 Apr 2018 09:52:00 -040
  • Tips for Improving an ASC’s Public Image
    • Abstract: ASC directors and physicians can act proactively in building a positive public image for their center. There’s no need to wait until bad news occurs or a disaster strikes to think about public relations.
      PubDate: Thu, 05 Apr 2018 09:47:00 -040
  • Leaders Seek Balanced View of Surgery Center Safety Records
    • Abstract: Ambulatory surgery center officials are clamoring for a more balanced view after a recent USA Today article highlighted tales of patient deaths following outpatient surgery. Reeling over the potential loss of goodwill, executives point to quality and safety statistics that paint a more complete picture of overall surgery success rates.
      PubDate: Thu, 05 Apr 2018 09:38:00 -040
  • Injectable Opioid Shortages Causing Adverse Consequences for Some
           Physicians, Patients
    • Abstract: It’s ironic that even while the country is confronting a dangerous opioid epidemic, providers report that they are having trouble getting their hands on the powerful pain killers — a situation that is dangerous as well. The shortage, which primarily involves injectable opioid painkillers, is reportedly caused by drug manufacturing difficulties as well as the government’s efforts to address addiction by clamping down on drug production. However, the problem is resulting in adverse consequences for clinicians and patients.
      PubDate: Wed, 04 Apr 2018 10:34:00 -040
  • Colorado Program Significantly Reduces Opioid Prescribing in 10 EDs During
           Six-month Period
    • Abstract: A pilot group of 10 EDs in Colorado has shown impressive reductions in opioid prescribing by encouraging the use of alternatives to opioids (ALTO) in the care of five key pain pathways. Between June and November 2017, the pilot sites reduced the use of opioids by 36% when compared to the same six-month period in 2016. The Colorado Hospital Association, which championed the initiative, is moving to expand the ALTO approach used in the pilot to other hospitals in the state.
      PubDate: Wed, 04 Apr 2018 10:33:00 -040
  • Surgeon General: Clinicians Must End Addiction Stigma, Use Evidence-based
    • Abstract: During a recent town hall, the surgeon general stressed the importance of recognizing that substance use disorder is a chronic disease that must be treated with the same skill, compassion, and urgency that clinicians use to treat other chronic health conditions.
      PubDate: Wed, 04 Apr 2018 10:25:00 -040
  • Alarming Increases in ED Visits for Opioid Overdoses Highlight Need for
           Robust Solutions
    • Abstract: While it is clear that more action must be taken to address the problem, some states already have taken steps to respond to the epidemic in a coordinated way.
      PubDate: Wed, 04 Apr 2018 10:22:00 -040
  • Skin Infestations: Fungal and Scabies
    • Abstract: Although cutaneous fungal infections rarely are life-threatening, they are common, and they are irritating. This article provides an in-depth look at common rashes caused by fungi and scabies.
      PubDate: Tue, 03 Apr 2018 15:54:00 -040
  • What Form of AV Block'
    • Abstract: The long lead II rhythm strip shown in the figure was obtained from a hemodynamically stable patient. The rhythm was diagnosed as showing second-degree AV block, Mobitz Type II. Do you agree with that assessment'
      PubDate: Tue, 03 Apr 2018 11:33:00 -040
  • Clinical Briefs
    • Abstract: In this section: comparing GLP-1 agonists; weighing two treatments for extended venous thromboembolism; and considering fracture risks possibly associated with inhaled corticosteroids.
      PubDate: Tue, 03 Apr 2018 11:29:00 -040
  • Ibalizumab-uiyk Injection (Trogarzo)
    • Abstract: Ibalizumab-uiyk, in combination with other antiretrovirals, is indicated for the treatment of HIV-1 in heavily treatment-experienced adults with multidrug-resistant HIV infections failing their current regimens.
      PubDate: Tue, 03 Apr 2018 11:23:00 -040
  • After Myocardial Infarction, Increased Risk for Ischemic Stroke Persists
           for 12 Weeks
    • Abstract: This study establishes that the elevated short-term risk of stroke extends beyond 30 days and remains elevated for up to 12 weeks following acute myocardial infarction.
      PubDate: Tue, 03 Apr 2018 11:18:00 -040
  • Stroke Risk in Atrial Fibrillation: A Moving Target'
    • Abstract: An investigation of patients in a national database with atrial fibrillation, no comorbidities, and not on aspirin or anticoagulants showed that the clinical features that make up the CHA2DS2-VASc score change over time and can increase a patient’s risk for stroke, which could affect therapy decisions. Thus, the CHA2DS2-VASc score should be reassessed periodically and appropriate therapeutic actions taken promptly.
      PubDate: Tue, 03 Apr 2018 11:15:00 -040
  • Elderly May Not Benefit From Statins for Primary Prevention
    • Abstract: In an examination of the data from the much-publicized Systolic Blood Pressure Intervention Trial (SPRINT), the author found no benefit of statin therapy for primary prevention of cardiovascular events or all-cause mortality.
      PubDate: Tue, 03 Apr 2018 11:09:00 -040
  • Prior Auth Reform Underway: ‘The Problem Is Real, and It Continues
           to Get Worse’
    • Abstract: The incoming chairman of the American Medical Association discusses the challenges surrounding prior authorization reform.
      PubDate: Thu, 29 Mar 2018 15:33:00 -040
  • Patients Converted to Medicaid: Uninsured Now Under 2%
    • Abstract: Many patients have come to The Ohio State University Wexner Medical Center uninsured — but left with Medicaid coverage. Prior to 2014, the uninsured population was around 6%. Today, it’s under 2%. In-house financial counselors obtain the needed verifications for pending Medicaid applications and routinely enroll all types of patients into Medicaid.
      PubDate: Thu, 29 Mar 2018 15:28:00 -040
  • Poor Productivity' It’s Often Outside Patient Access Control
    • Abstract: Payer updates or provider processes often are to blame for inefficiency in patient access. This makes it very tough to measure or improve productivity for anyone.
      PubDate: Thu, 29 Mar 2018 15:22:00 -040
  • Assess Service Skills by Asking How Applicant Handled Difficult Customers
    • Abstract: One applicant couldn’t stop yawning as she struggled to answer the question. Her body language — full of shrugs and slouches — sent a message that she couldn’t care less about the customers she’d interacted with. Others have blatantly rolled their eyes to show just how frustrated they’d gotten with a particularly annoying customer.
      PubDate: Thu, 29 Mar 2018 15:18:00 -040
  • Underinvestment in Patient Access' Lack of Compelling Data Could
    • Abstract: Hospitals don’t invest in patient access the way facilities invest in clinical areas. One reason is lack of data. Understandably, hospital executives want to see more data that can support these financial decisions.
      PubDate: Thu, 29 Mar 2018 15:15:00 -040
  • Surprise Medical Bills Trigger Disputes, Dissatisfaction With Patient
    • Abstract: Surprise medical bills from out-of-network providers are making headlines and angering patients. They also cause some pretty big problems for patient access.
      PubDate: Thu, 29 Mar 2018 15:12:00 -040
  • Community Hospital Uses Mobile App to Improve Communications, Accelerate
    • Abstract: For cases in which time-to-treatment is a critical factor, improved communication between prehospital providers and ED staff can enable clinicians in the ED to be better prepared to expedite needed treatment. 
      PubDate: Wed, 28 Mar 2018 09:14:00 -040
  • Community Health Worker Program Cuts Costs, Admissions for Heart Failure
    • Abstract: After total healthcare costs decreased by 79% for at-risk heart failure patients who were followed after discharge by a team of RN continuum case managers and community health workers, Sentara RMH Medical Center expanded the program.
      PubDate: Wed, 28 Mar 2018 09:07:00 -040
  • Interactive Post-discharge Calls Improve Outcomes, Save Time for Case
    • Abstract: Readmissions have dropped and patient satisfaction has increased among patients at UAB Medicine who receive interactive post-discharge follow-up calls.
      PubDate: Wed, 28 Mar 2018 09:02:00 -040
  • Don’t Let Use of Technology Violate Patient Confidentiality
    • Abstract: Every case management department should have a firm policy that prohibits staff from posting anything related to work, including photographs, on social media.
      PubDate: Wed, 28 Mar 2018 08:59:00 -040
  • Embrace Technology, But Use Caution
    • Abstract: Today’s essential equipment, such as laptops or cellphones, can be a roadblock to building rapport with patients if they are not implemented correctly.
      PubDate: Wed, 28 Mar 2018 08:57:00 -040
  • Throw Away Paper Notes and Move Into World of Technology
    • Abstract: The technology revolution can be a boon to case managers by saving time and making their jobs easier — but there are pitfalls to relying too much on electronic tools.
      PubDate: Wed, 28 Mar 2018 08:53:00 -040
  • Report: Many At-risk Americans Aren’t Seeking Cholesterol Control
    • Abstract: Investigators uncover striking gap between awareness and treatment.
      PubDate: Wed, 28 Mar 2018 08:00:00 -040
  • Research Examines Use of Tenofovir Gel in Women
    • Abstract: As HIV infection continues to be a major public health issue, tenofovir gel is being researched as a topical pre-exposure prophylaxis strategy for HIV prevention in women.
      PubDate: Tue, 27 Mar 2018 21:40:00 -040
  • Provider Training May Boost Rates of HPV Vaccination
    • Abstract: Results of a recent study indicate a training intervention to aid provider communication about HPV vaccines with teen patients and their parents increased initiation and completion of the vaccine series.
      PubDate: Tue, 27 Mar 2018 21:36:00 -040
  • Get up to Speed in Addressing Urinary Tract Infections
    • Abstract: Research presented at the 2017 annual meeting of the Infectious Diseases Society of America indicates that women at risk of urinary tract infection (UTI) who increased their water intake by drinking an additional three pints of water a day were almost half as likely to get infections as women who did not.
      PubDate: Tue, 27 Mar 2018 21:32:00 -040
  • Prevalence of HSV-2 Is Falling, Data Show
    • Abstract: Two of the most common viruses, herpes simplex virus-1 (HSV-1) and herpes simplex virus-2 (HSV-2), are steadily declining in the U.S. population.
      PubDate: Tue, 27 Mar 2018 21:27:00 -040
  • No Link Found Between Progestin-only Birth Control Methods and Depression
    • Abstract: Results of a new review of all available data indicate no evidence to support a link between progestin-only birth control and depression.
      PubDate: Tue, 27 Mar 2018 21:21:00 -040
  • Programs Aim to Make LARC a Choice for Women
    • Abstract: The success of the Contraceptive CHOICE Project in removing financial barriers to contraception, promoting the most effective methods of birth control, and reducing unintended pregnancy is no longer an isolated event.
      PubDate: Tue, 27 Mar 2018 17:31:00 -040
  • Research Links Depression to Atrial Fibrillation
    • Abstract: More evidence demonstrates that mental health and heart health are closely related.
      PubDate: Tue, 27 Mar 2018 15:05:00 -040
  • Depressed Nurses Prone to Medical Errors
    • Abstract: New study shows depression is a leading cause of medical errors 
      PubDate: Tue, 27 Mar 2018 00:00:00 -040
  • Head Injury Patients Benefit by Bypassing Other EDs to Get to Trauma
    • Abstract: Even though head injury patients do better if they are transported to designated trauma centers, nearly half end up first at emergency departments without those specialized care programs.
      PubDate: Mon, 26 Mar 2018 00:00:00 -040
  • ED Visits Up for Opioid Overdoses; What Staff Can Do to Help
    • Abstract: Emergency department (ED) visits for overdoses continue to rise, and public health officials are asking ED staff to do more to resolve the issue.
      PubDate: Mon, 26 Mar 2018 00:00:00 -040
  • Medication Improvements Sought for Children Treated at
           ‘High-Risk’ EDs
    • Abstract: Citing emergency care as high risk for children, a multidisciplinary panel estimates that the medication error rate in pediatric patients is three times the rate for adult patients in the emergency department.
      PubDate: Mon, 26 Mar 2018 00:00:00 -040
  • Heart Attacks Up at Your ED' You Might Blame the Weather
    • Abstract: If your emergency department has been seeing a lot of heart attacks recently, you might blame weather events. Consider the ups and downs in March, when four nor’easters in three weeks brought frigid weather interspersed with spring-like temperatures.
      PubDate: Mon, 26 Mar 2018 00:00:00 -040
  • Wound Care Management
    • Abstract: Primary care physicians usually can care for minor wounds in their offices. This article highlights key elements in first-line management.
      PubDate: Fri, 23 Mar 2018 14:37:00 -040
  • Into the Gray: Local IRBs Must Define Research
    • Abstract: It’s only fitting, with the revised Common Rule in limbo, that there should remain some uncertainty about what constitutes human research — and what doesn’t.
      PubDate: Fri, 23 Mar 2018 14:12:00 -040
  • A Twist in the Use of Spices: Prebiotic Effect
    • Abstract: SYNOPSIS: Seven spices were found to contain numerous antioxidant phytochemicals and have an overall, but variable, prebiotic effect on 88 known species of microbiome bacteria.
      PubDate: Fri, 23 Mar 2018 14:10:00 -040
  • Five Years in the Making, FDA Issues Final Rule on Data and Devices
    • Abstract: The FDA issued a final rule, effective Feb. 21, 2019, to revise regulations about accepting data from clinical studies involving medical devices.
      PubDate: Fri, 23 Mar 2018 14:10:00 -040
  • The Search for Justice in the Human Genome
    • Abstract: With sequencing of the human genome completed at the turn of this century, there was the heady expectation that the summit to great cures was about to be climbed like the iconic spiral staircase of DNA.
      PubDate: Fri, 23 Mar 2018 14:05:00 -040
  • Cardiovascular Nutrition Demystified
    • Abstract: The authors of this review of key nutritional studies compiled evidence-based information on foods and dietary patterns that support cardiovascular health and demystified those that have incorrectly been identified as beneficial to cardiovascular health.
      PubDate: Fri, 23 Mar 2018 14:00:00 -040
  • Preparation, Communication Key to Establishing IRB of Record
    • Abstract: The first time the Vanderbilt University and Medical Center IRB served as an IRB of record was 15 years ago — a decade before the concept began to catch on with multisite clinical trials and large IRBs.
      PubDate: Fri, 23 Mar 2018 13:58:00 -040
  • Medical Cannabis and Chronic Pain
    • Abstract: The authors of this systematic review investigating the effects of medical cannabis (MC) on chronic pain in adults found that there is limited evidence to support the use of MC in treating neuropathic pain and that there is insufficient evidence that MC improves other types of chronic pain.
      PubDate: Fri, 23 Mar 2018 13:56:00 -040
  • Smart Checklists Keep IRB on Track With Study Reviews
    • Abstract: As an IRB office prepared for accreditation, staff looked for methods to increase compliance. An answer quickly formed: use the IRB’s electronic system to develop smart checklists.
      PubDate: Fri, 23 Mar 2018 13:54:00 -040
  • Try These Strategies for Improving Review Consistency
    • Abstract: One IRB office created simple rules and a process to improve workflow efficiency. Using Toyota lean methodology, the office standardized interpretation of regulations and institutional policies. 
      PubDate: Fri, 23 Mar 2018 13:49:00 -040
  • Mediterranean Diet and Frailty Risk
    • Abstract: The authors of a review and meta-analysis involving four studies and more than 5,000 community-dwelling adults over the age of 60 years concluded that greater adherence to the Mediterranean diet was associated with a reduced risk of frailty.
      PubDate: Fri, 23 Mar 2018 13:49:00 -040
  • Code of Ethics for IRBs Working With Indigenous Tribes
    • Abstract: IRBs and researchers must recognize that “the truth comes from many places” if they want to work in good faith with Native American tribes.
      PubDate: Fri, 23 Mar 2018 13:40:00 -040
  • Respect Tribal Sovereignty in Indigenous Research
    • Abstract: In what may help overcome a history of well-earned distrust by indigenous people, a research collaborative has developed a curriculum to teach IRB members and others the distinct cultural issues that arise in studying Native Americans.
      PubDate: Fri, 23 Mar 2018 13:33:00 -040
  • Evidence-based Management of Atrial Fibrillation in the Emergency
    • Abstract: This article provides an overview of atrial fibrillation (AF) and evidence-based guidance on controversial aspects of AF workup and management in the emergency department. The evidence is provided to help safely reduce unnecessary testing and expand the emergency provider’s management armamentarium to include electrical and pharmacologic conversion in recent-onset AF patients.
      PubDate: Fri, 23 Mar 2018 13:26:00 -040
  • A Possible New Treatment for HTLV-1-associated Myelopathy
    • Abstract: Mogamulizumab reduces central nervous system inflammation and improves spasticity in patients with HTLV-1-associated myelopathy.
      PubDate: Fri, 23 Mar 2018 13:08:00 -040
  • Parsonage-Turner Syndrome: Where’s the Lesion'
    • Abstract: SYNOPSIS: This careful analysis of MRI imaging of the brachial plexus in patients with well-defined Parsonage-Turner Syndrome showed that the lesions are in peripheral branches of the brachial plexus and not in the roots or cords.
      PubDate: Fri, 23 Mar 2018 13:06:00 -040
  • Lessons Learned From a Failed Anti-amyloid Trial for Alzheimer’s
    • Abstract: Despite the disappointing results in EXPEDITION 3, modifications of clinical trials for Alzheimer’s disease (AD) should be undertaken and trials targeting preclinical or early AD should continue with anti-amyloid agents.
      PubDate: Fri, 23 Mar 2018 13:03:00 -040
  • Postpartum Headache May Be a Symptom of a Serious Problem
    • Abstract: Consultation for acute postpartum headache resulted in the diagnosis of a secondary cause of headache in almost three out of four women, with almost half of the secondary headaches due to a hypertensive disorder of pregnancy or to cerebrovascular disease.
      PubDate: Fri, 23 Mar 2018 12:55:00 -040
  • Coprescription of Triptans and SSRI-type Medications and the Serotonin
    • Abstract: A recent study provided reassurance that the use of triptan antimigraine medications with selective serotonin reuptake inhibitor and selective norepinephrine reuptake inhibitor antidepressants is safe.
      PubDate: Fri, 23 Mar 2018 12:52:00 -040
  • Autoimmune Encephalitis: Not Rare and Increasing
    • Abstract: Detection of autoimmune encephalitis is increasing over time. According to the results from this population-based study, its prevalence and incidence are comparable to infectious encephalitis.
      PubDate: Fri, 23 Mar 2018 12:49:00 -040
  • Negligent Presurgery Procedure Results in Fatal Pulmonary Arrest, $5.5
           Million Verdict
    • Abstract: This case illustrates the need for communication in the healthcare industry. In this case, a breakdown in communication occurred interhospital, intrahospital, and between patient and medical professional.
      PubDate: Fri, 23 Mar 2018 09:23:00 -040
  • Physician on Probation Places Patient in Unnecessary Coma, Yielding $9
           Million Verdict
    • Abstract: The patient was left untreated for a month before a second opinion was obtained.
      PubDate: Fri, 23 Mar 2018 09:19:00 -040
  • Hospital and Cardiology Group to Pay $20.75 Million
    • Abstract: A Pennsylvania hospital and cardiology group have agreed to pay the government $20.75 million to settle a False Claims Act lawsuit alleging that they knowingly submitted claims to the Medicare and Medicaid programs that violated the Anti-Kickback Statute and the Physician Self-Referral Law.
      PubDate: Fri, 23 Mar 2018 09:08:00 -040
  • $3.5 Million Settlement Highlights Risk Analysis
    • Abstract: A health system’s recent settlement with the government shows how providers still are dropping the ball on compliance issues that everyone should understand by now.
      PubDate: Fri, 23 Mar 2018 09:02:00 -040
  • Tips on Career Advancement Include Finance, Enterprise Risk Management
    • Abstract: Patient safety should be a top priority for risk managers hoping to advance their careers, and financial management may be another way to set yourself apart from the crowd.
      PubDate: Fri, 23 Mar 2018 08:52:00 -040
  • EHRs Can Work Against You in Court
    • Abstract: Electronic health records can be used against you in court. The record may provide evidence contrary to what the defendant claims.
      PubDate: Fri, 23 Mar 2018 08:45:00 -040
  • Hospital Liability Possible with EHR-related Claims
    • Abstract: While it may be hard to imagine the physician or hospital being held liable under the circumstances alleged in the eClinicalWorks litigation, it is only a short step to scenarios in which liability is quite possible.
      PubDate: Fri, 23 Mar 2018 08:40:00 -040
  • Lawsuit Claims EHR Dangerous to Patients, Could Affect Hospitals
    • Abstract: An electronic health record vendor is facing a class-action lawsuit claiming that faults in the product’s software threaten patient safety, and hospitals using the EHR could become entangled in the litigation. 
      PubDate: Fri, 23 Mar 2018 08:34:00 -040
  • Study: Clergy May View End-of-Life Decision-making Differently From
           Clinical Team
    • Abstract: Most U.S. clergy reject the legalization of physician-aided dying, found a recent study.
      PubDate: Thu, 22 Mar 2018 15:06:00 -040
  • Is Surrogate Acting in Own Self-Interest, the Patient’s, or
    • Abstract: Possible conflicts of interest should be on a clinical team’s radar if surrogates make decisions that appear to conflict with patients’ known preferences. However, there are many more likely explanations.
      PubDate: Thu, 22 Mar 2018 15:02:00 -040
  • Ethics of Unilateral ‘Do Not Attempt Resuscitation’ Orders in
           Pediatric Care
    • Abstract: A unilateral “do not attempt resuscitation” order only is appropriate in very limited circumstances in pediatric care, according to a recent paper.
      PubDate: Thu, 22 Mar 2018 14:54:00 -040
  • Medical Students Engaged by Advance Care Planning Training, but Few Act
    • Abstract: An educational session successfully engaged medical students in learning about advance care planning conversations, both professionally and personally, found a recent study.
      PubDate: Thu, 22 Mar 2018 14:47:00 -040
  • Early DNR Status Adversely Affects Hospitals’ Quality Metrics
    • Abstract: Higher mortality due to DNR rates results in classification of some hospitals as performance outliers, researchers found. 
      PubDate: Thu, 22 Mar 2018 14:43:00 -040
  • Nurses, Physicians Consider Different Factors to Decide on Family Presence
           During Resuscitation
    • Abstract: Nurses and acute care physicians consider different factors for making decisions on family presence during resuscitation, found a recent study.
      PubDate: Thu, 22 Mar 2018 14:38:00 -040
  • Ethicists Have More Evidence That Consults Are Effective, But Outcomes
    • Abstract: Ethics consults are linked to high satisfaction and more likelihood of consensus, but outcomes used are inconsistent, found a recent study.
      PubDate: Thu, 22 Mar 2018 14:29:00 -040
  • Physicians Say Prior Auths Hurting Patients’ Clinical Outcomes
    • Abstract: Prior authorizations harming patients’ clinical outcomes by delaying necessary care, according to 92% of physicians recently surveyed by the AMA.
      PubDate: Thu, 22 Mar 2018 12:00:00 -040
  • Tennessee Nursing Home Pays to Resolve FCA Claims of Substandard and
           Worthless Care
    • Abstract: Spring Gate Rehabilitation and Health Care Center and the federal government have reached an agreement to resolve allegations brought against Spring Gate under the federal False Claims Act and Tennessee’s equivalent statute.
      PubDate: Thu, 22 Mar 2018 00:00:00 -040
  • Wheaton College Wins Fight Against ACA’s Contraceptive Mandate
    • Abstract: The U.S. District Court for the Northern District of Illinois has issued a permanent injunction preventing the federal government from enforcing on Wheaton College, a Chicago-area Christian liberal arts school, the Affordable Care Act's contraceptive mandate. The injunction follows a four-year legal fight.
      PubDate: Thu, 22 Mar 2018 00:00:00 -040
  • Pennsylvania Hospital and Cardiology Group Will Pay Millions to Settle FCA
    • Abstract: Hamot Hospital, a University of Pittsburgh Medical Center affiliate, and Medicor Associates Inc., a regional physician cardiology group practice, will pay the U.S. government $20.75 million to settle claims that they violated the Stark Law on physician self-referrals and the Anti-Kickback Statute.
      PubDate: Thu, 22 Mar 2018 00:00:00 -040
  • DC Court Rules on Limits on Medicaid DSH Payments
    • Abstract: The U.S. District Court for the District of Columbia recently vacated a Centers for Medicare and Medicaid Services (CMS) final rule. That rule would have limited hospitals’ Medicaid disproportionate share hospital payments based on Medicare or private insurer payments they received. This decision follows a Missouri court that likewise found CMS exceeded its Medicaid Act authority.
      PubDate: Thu, 22 Mar 2018 00:00:00 -040
  • Hospitals Besieged by Opioid OD Patients
    • Abstract: With U.S. emergency rooms being overrun with opioid patients, the national epidemic is putting pressure on myriad aspects of healthcare delivery. Infection prevention is no exception.
      PubDate: Wed, 21 Mar 2018 15:27:00 -040
  • Wash Your Hands — or People Die
    • Abstract: A new study of 26 French nursing homes found that a multifaceted hand hygiene program including staff, residents, and visitors did indeed reduce mortality.
      PubDate: Wed, 21 Mar 2018 15:22:00 -040
  • The Whole (Genome) Picture: New Tools for Outbreaks
    • Abstract: With whole genome sequencing, the chromosome of the bacteria that is common across an outbreak can be broken down in much greater detail.
      PubDate: Wed, 21 Mar 2018 15:18:00 -040
  • New Guidelines for the Formidable Challenge of C. Diff
    • Abstract: With input from the CDC, the IDSA and SHEA guidelines recommend fecal transplant for recurrent cases, outline new testing strategies, and recommend new first-line antibiotics.
      PubDate: Wed, 21 Mar 2018 15:13:00 -040
  • Antibiotic Stewardship Begins at the Bedside
    • Abstract: Antibiotic stewardship programs in hospitals have become a critical priority to stave off multidrug-resistant organisms. However, when officials began sounding the alarm about the issue, some infection preventionists — and certainly bedside nurses — felt it wasn't in their sphere of influence.
      PubDate: Wed, 21 Mar 2018 15:07:00 -040
  • The Quest for Zero: Vanderbilt Awarded APIC Top Honor
    • Abstract: Infection control at Vanderbilt has moved well beyond the historical stereotype of the IP crunching numbers in some isolated silo.
      PubDate: Wed, 21 Mar 2018 14:57:00 -040
  • Infectious Disease Alert Updates
    • Abstract: Online Sex and Sexually Transmitted Diseases; Swingers Come Out; HIV-positive Patients Require Hepatitis B Vaccine
      PubDate: Wed, 21 Mar 2018 14:51:00 -040
  • Adjuvanted Recombinant Hepatitis B Vaccine (Heplisav-B)
    • Abstract: Heplisav-B is a new hepatitis B vaccine approved by the FDA in November 2017.
      PubDate: Wed, 21 Mar 2018 14:45:00 -040
  • Influenza Vaccine: High Dose or Standard Dose'
    • Abstract: High-dose inactivated influenza vaccine was superior to standard-dose vaccine in providing protection against influenza or pneumonia-associated hospitalizations.
      PubDate: Wed, 21 Mar 2018 14:41:00 -040
  • Refugee Screening
    • Abstract: Screening and potential treatment of refugees prior to travel to the United States effectively reduces the burden of infection.
      PubDate: Wed, 21 Mar 2018 14:37:00 -040
  • SIRS Criteria vs. qSOFA for Predicting Short-term Mortality From Sepsis
    • Abstract: A meta-analysis that included 38 studies found the SIRS criteria had a higher sensitivity than qSOFA in predicting short-term mortality from sepsis. SIRS criteria remain useful as a screening tool for sepsis and as a prompt to initiate diagnostic work-up and treatment.
      PubDate: Wed, 21 Mar 2018 14:25:00 -040
  • Neuroimaging Before Lumbar Puncture'
    • Abstract: The investigators retrospectively evaluated ESCMIID, IDSA, and Swedish guidelines for neuroimaging in 815 adults with acute bacterial meningitis. Swedish guidelines omit altered mental status and immunosuppression as indications for imaging prior to lumbar puncture. Adherence to Swedish guidelines resulted in decreased mortality and more favorable outcomes.
      PubDate: Wed, 21 Mar 2018 14:21:00 -040
  • Permanent His-bundle Pacing Cardiac Resynchronization: The Way Nature
    • Abstract: When used as either a primary alternative to biventricular pacing or a rescue therapy for failed biventricular pacing, permanent His-bundle pacing was associated with significant QRS narrowing, an increase in left ventricular ejection fraction, and an improvement in New York Heart Association functional class.
      PubDate: Wed, 21 Mar 2018 14:14:00 -040
  • Age-stratified NT-proBNP Thresholds Identify Acute Heart Failure
    • Abstract: In patients presenting to the ED with acute dyspnea, age-based NT-proBNP cutpoints help diagnose acute heart failure.
      PubDate: Wed, 21 Mar 2018 14:10:00 -040
  • Are Beta-blockers Indicated for Heart Failure at all LVEF Levels'
    • Abstract: A meta-analysis of 11 trials of beta-blockers for heart failure showed that beta-blockers increased left ventricular ejection fraction and reduced cardiovascular mortality in patients in sinus rhythm with baseline ejection fractions < 50%, including those in the 40-49% range.
      PubDate: Wed, 21 Mar 2018 14:02:00 -040
  • CABG vs. PCI in Diabetes With Multivessel Coronary Artery Disease and LV
    • Abstract: A propensity score-matching analysis of all patients undergoing coronary angiography in Alberta, Canada, identified a subgroup with diabetes, multivessel coronary artery disease, and left ventricular ejection fraction < 50% who were undergoing revascularization and could be separated into a group undergoing percutaneous coronary intervention (PCI) and another coronary artery bypass grafting (CABG). At five years' follow-up, the CABG group experienced significantly fewer major cardiac or cerebral vascular events compared to PCI and a low risk of stroke that was similar to that observed with PCI.
      PubDate: Wed, 21 Mar 2018 13:55:00 -040
  • TAVR in Lower-risk Patients: How Low Should We Go'
    • Abstract: A meta-analysis of studies comparing transcatheter aortic valve replacement (TAVR) to surgical aortic valve replacement over a two-year follow-up in low surgical risk patients exhibits a higher mortality in the TAVR group, prompting the authors to recommend caution in applying TAVR to low-risk patients until randomized trials are completed.
      PubDate: Wed, 21 Mar 2018 13:49:00 -040
  • ED-based Universal Screening Helps Identify Patients at Risk for Suicide
    • Abstract: Can a universal screening approach for suicide be implemented efficiently in a busy emergency setting where taking care of acute problems is the primary focus' Parkland Hospital & Health System in Dallas has demonstrated that it can, and administrators there believe their approach could be adapted for use in other hospital systems.
      PubDate: Fri, 16 Mar 2018 14:15:00 -040
  • JAHF Age-friendly Initiative Showing Results
    • Abstract: Hospitals are reporting positive results from a program sponsored by The John A. Hartford Foundation, a nonprofit, nonpartisan organization in New York City that works to improve conditions for the care of older adults in the healthcare system.
      PubDate: Fri, 16 Mar 2018 14:09:44 -040
  • Want a Case Management Revolution' Here’s How It’s Done
    • Abstract: Using a homegrown seven-day case management program, a Florida hospice gives case managers more time to work with patients, improving quality and efficiency of care.
      PubDate: Fri, 16 Mar 2018 14:05:00 -040
  • Here’s How Complex Case Management Can Work
    • Abstract: A case management complex care team handles a health system’s most challenging patients by working toward a number of goals, including using a risk stratification tool to triage patients who could benefit the most.
      PubDate: Fri, 16 Mar 2018 13:58:00 -040
  • Complex Care Teams Can Take Case Management to New Levels
    • Abstract: Patients with unusually difficult obstacles to transitions can end up with long lengths of stay or too many ED visits and rehospitalizations. A complex care team is one way to solve this problem.
      PubDate: Fri, 16 Mar 2018 13:40:09 -040
  • NOTICE: April 2018 was the final issue of this publication.
    • Abstract: We will continue providing valuable clinical and pharmacological updates in Internal Medicine Alert and Primary Care Reports.
      PubDate: Fri, 16 Mar 2018 11:38:00 -040
  • NOTICE: April 2018 was the final issue of this publication.
    • Abstract: We will continue providing valuable clinical and pharmacological updates in Internal Medicine Alert and Primary Care Reports.
      PubDate: Fri, 16 Mar 2018 11:37:00 -040
  • Clinical Briefs
    • Abstract: In this section: improving cardiovascular outcomes in type 2 diabetes patients; digging deeper into penicillin allergies; and treating osteoporosis.
      PubDate: Thu, 15 Mar 2018 16:40:00 -040
  • Apalutamide Tablets (Erleada)
    • Abstract: Apalutamide is indicated for the treatment of patients with non-metastatic, castration-resistant prostate cancer.
      PubDate: Thu, 15 Mar 2018 16:35:00 -040
  • Providers Facilitate Transmission of Resistant Organisms
    • Abstract: A closer look at the role providers play in the transmission of carbapenem-resistant Enterobacteriaceae.
      PubDate: Thu, 15 Mar 2018 16:26:00 -040
  • Physician Burnout: A Multi-specialty Perspective
    • Abstract: Although different specialties address the problem of physician burnout, studies suggest the most effect is gained from organizational interventions.
      PubDate: Thu, 15 Mar 2018 16:21:00 -040
  • Another Reason to Get the Flu Shot Every Year
    • Abstract: In a case-control study, among older adults, repeated vaccination for influenza was twice as effective in preventing severe influenza compared to non-severe influenza in patients who were admitted to the hospital.
      PubDate: Thu, 15 Mar 2018 16:11:00 -040
  • Respiratory Distress in Pediatric Patients
    • Abstract: Respiratory diseases are common in pediatrics, and providers need to have an in-depth knowledge of the presentation, diagnostic approach, and therapeutic options to optimize outcomes.
      PubDate: Wed, 14 Mar 2018 20:20:00 -040
  • Feds Unhappy About Duodenoscope Reprocessing
    • Abstract: FDA issues warning letters to leading manufacturers regarding federally mandated studies assessing contamination risk.
      PubDate: Wed, 14 Mar 2018 10:30:00 -040
  • CHI Goes to Data to Improve Quality and Safety
    • Abstract: The nation’s third-largest nonprofit healthcare system realized double-digit improvement in several key quality and safety measures in just 12 months by starting with its data.
      PubDate: Wed, 14 Mar 2018 09:14:00 -040
  • CAUTIs More Expensive Than Previously Thought
    • Abstract: Catheter-associated urinary tract infections (CAUTIs) generally are thought to cost hospitals about $1,000 each, but new research suggests the actual cost may be much higher.
      PubDate: Wed, 14 Mar 2018 09:10:00 -040
  • Strict Safety Briefings Reduce CAUTIs, CLABSIs, and Falls
    • Abstract: Daily safety briefings are not a new concept, of course, but Baptist Memorial Hospital-Memphis (TN), a flagship hospital for Baptist Memorial Healthcare System, found a way to make them particularly effective.
      PubDate: Wed, 14 Mar 2018 09:05:52 -040
  • Avoid ‘Hypothetically’ and Lounge Gossip
    • Abstract: People can let their guard down in the doctors’ lounge and chat about what they’ve seen in records or what the peer review committee is considering. That’s a very bad move, says Christopher Metzler, PhD, chief growth officer and CEO of FHWFit, a global healthcare conglomerate in Washington, DC.
      PubDate: Wed, 14 Mar 2018 08:59:38 -040
  • Fair Hearing Process Can Require Outside Help
    • Abstract: Exactly when an “investigation” begins under hospital bylaws can be crucial in the peer review process, says John C. Ivins Jr., JD, partner with the Hirschler Fleischer law firm in Richmond, VA.
      PubDate: Wed, 14 Mar 2018 08:54:00 -040
  • Four Rules to Follow in Peer Review
    • Abstract: Hospitals can avoid legal liability in the peer review process by following four fundamental “do’s and don’ts,” says Karen Owens, JD, an attorney with Coppersmith Brockelman in Phoenix.
      PubDate: Wed, 14 Mar 2018 08:50:00 -040
  • Legal Risks Abound in Peer Review; Good Process Required
    • Abstract: Peer review is vital for ensuring quality care and compliance with standards, but it also brings a wide range of legal liability risks. Adopting the right peer review policies and procedures is only a start; one also must ensure that all parties are following them to the letter.
      PubDate: Wed, 14 Mar 2018 08:44:00 -040
  • The Latest in Genetic Screening for Gynecologic Malignancies
    • Abstract: Genetic testing is changing rapidly. With the advent of more sophisticated genetic mutation panels, it is important that providers of women’s healthcare consider appropriate referral and testing for those women at increased risk of malignancy.
      PubDate: Tue, 13 Mar 2018 20:27:00 -040
  • Breast MRI Exams Increase the Biopsy Rate Without Improving Cancer
    • Abstract: Compared to women who undergo breast cancer screening with mammography alone, those receiving MRI exams experience a two- to fivefold increased rate of core and surgical biopsy. However, the biopsies have a lower cancer yield rate than mammography alone.
      PubDate: Tue, 13 Mar 2018 20:23:00 -040
  • Obesity and Prolapse: Are They Related'
    • Abstract: Women with a body mass index in the overweight and obese range are more likely to experience pelvic organ prolapse compared to women in the normal range.
      PubDate: Tue, 13 Mar 2018 20:19:00 -040
  • Induction of Labor at 39 Weeks
    • Abstract: Inducing low-risk obstetrical patients at 39 weeks may be associated with lower rates of cesarean delivery and the need for neonatal respiratory support. 
      PubDate: Tue, 13 Mar 2018 20:15:00 -040
  • ECMO vs. Prone Position in ARDS: The Curious Rejection of Evidence-based
    • Abstract: Despite credible evidence from a large, randomized, controlled trial and numerous meta-analyses demonstrating improved outcomes, prone position is seldom attempted prior to initiating extracorporeal membrane oxygenation to treat severe acute respiratory distress syndrome.
      PubDate: Tue, 13 Mar 2018 16:22:00 -040
  • Critical Illness-related Corticosteroid Insufficiency: What’s
    • Abstract: For critically ill patients with sepsis, septic shock, acute respiratory distress syndrome, and major trauma, a multispecialty task force of 16 international experts developed evidence-based recommendations for the diagnosis of corticosteroid insufficiency and use of corticosteroids in the ICU.
      PubDate: Tue, 13 Mar 2018 16:17:00 -040
  • A Perspective on PEEP at 50 Years
    • Abstract: Fifty years ago, positive end-expiratory pressure (PEEP) was introduced as an effective technique for improving oxygenation in patients with large intrapulmonary shunt, the hallmark of acute respiratory distress syndrome (ARDS). Although PEEP remains the primary means for stabilizing oxygenation in ARDS, consensus on how to approach setting it remains elusive. This is a narrative review on how our understanding and approach to PEEP has evolved over the past half century.
      PubDate: Tue, 13 Mar 2018 15:56:00 -040
  • CDC Releases Sweeping Report on Traumatic Brain Injuries in Children
    • Abstract: Agency identifies care gaps and offers solutions on how to close those gaps.
      PubDate: Tue, 13 Mar 2018 15:20:00 -040
  • ED Malpractice Claims Allege Failure to Obtain Translator
    • Abstract: According to one expert: “An entire case can be brought around one inadvertent slip-up."
      PubDate: Tue, 13 Mar 2018 09:05:00 -040
  • Will Antibiotics for Appendicitis Become Standard of Care for ED'
    • Abstract: Antibiotics instead of surgery is a reasonable approach for some patients with early uncomplicated appendicitis, according to the authors of a recent study; however, it is not the standard of care.
      PubDate: Tue, 13 Mar 2018 08:54:00 -040
  • Plaintiff Attorney Could Depict ‘Early Adopters’ of New ED Treatment
           Approaches as Reckless
    • Abstract: New treatment approaches may be good options for a particular ED patient, but a bad outcome can trigger malpractice litigation alleging the standard of care was violated.
      PubDate: Tue, 13 Mar 2018 08:46:00 -040
  • Untwisting the Myths: A Medicolegal Review of Testicular Torsion
    • Abstract: Testicular torsion (TT) is a urologic emergency with potentially devastating consequences and costs for providers and patients alike. With an annual incidence of approximately 4.5 per 100,000 males aged 1-25 years, TT is an uncommon medical condition, yet is the third most common cause of medical malpractice suit in this demographic. Because of varying presentations and physical exam findings, along with diagnostic imaging subject to individual interpretation, ED providers may miss this time-sensitive diagnosis.
      PubDate: Tue, 13 Mar 2018 08:38:00 -040
  • Once on Leadership Track, Registrars Remain on Team
    • Abstract: The chance for growth within patient access gives employees a sense of loyalty and ownership. This makes it more likely they will stay in the department.
      PubDate: Fri, 09 Mar 2018 10:07:00 -050
  • Offer Growth to High Performers or Risk Losing Them
    • Abstract: Patient access departments need creative ways to encourage their best employees to become future leaders. High-performers are given specific goals to reach, put in charge of special projects, and invited on a multi-day retreat.
      PubDate: Fri, 09 Mar 2018 10:04:00 -050
  • Establish ‘No Meeting’ Days to Create Time for Patient Access
    • Abstract: Patient access leaders at Novant Health eliminated meetings one day each week, and use the time to make in-person rounds. The department reports higher employee engagement scores, better use of non-productive time spent in meetings, and valuable feedback from employees.
      PubDate: Fri, 09 Mar 2018 10:01:00 -050
  • Careful Screening Needed for Cross-trained ED Registrars
    • Abstract: About 25 of 150 registration associates at Albany (NY) Medical Center are cross-trained to work in multiple registration areas, including the ED. This helps the ED cope with sudden volume surges, but some employees ask to be cross-trained just because they want overtime.
      PubDate: Fri, 09 Mar 2018 09:56:00 -050
  • Hand Hygiene: Just Do It
    • Abstract: Healthcare workers who ignore the constant admonition to wash their hands between patients may inadvertently spread multidrug-resistant superbugs while drawing a citation from a visiting Joint Commission surveyor.
      PubDate: Fri, 09 Mar 2018 09:56:00 -050
  • Nursing Group Calls for National Action on Shootings
    • Abstract: Gun violence has blurred the line between healthcare concerns and public health, as recurrent mass shootings now have a nursing group calling for national action to prevent the attacks.
      PubDate: Fri, 09 Mar 2018 09:52:00 -050
  • Flu Vaccine Myths and Conspiracies
    • Abstract: In another falsehood pushed by antivaccine advocates, there has been an erroneous claim on the internet that the flu vaccine has somehow “caused” the current severe influenza season.
      PubDate: Fri, 09 Mar 2018 09:48:00 -050
  • Fast-paced, Unpredictable ED Registration Not for Everyone
    • Abstract: Patient access often struggles to find registrars well-suited to the hectic and tense ED setting. To weed out poor fits for this role, inform prospective candidates that patients are disruptive and occasionally violent, they’ll be on their feet throughout the shift, and they must keep track of patients waiting and those arriving by ambulance.
      PubDate: Fri, 09 Mar 2018 09:45:00 -050
  • Emerging Infections Threaten Healthcare Workers
    • Abstract: In another grim reminder that healthcare workers are on the frontlines against emerging infections, an outbreak of Lassa viral hemorrhagic fever in Nigeria has infected 14 medical staff and killed four of them.
      PubDate: Fri, 09 Mar 2018 09:43:00 -050
  • Act as ‘Gatekeeper’ Against Medical Necessity Claims Denials
    • Abstract: Patient access departments continue to see medical necessity-related claims denials due to increasing and complex payer requirements. Ensure all tests, procedures, and hospital stays have been verified for medical necessity and be sure to educate employees on how to interpret medical necessity checks.
      PubDate: Fri, 09 Mar 2018 09:39:00 -050
  • Do You Have a Toxic Employee'
    • Abstract: Toxic employees in healthcare can undermine patient and worker safety while driving off your best and brightest employees, a corporate psychologist tells Hospital Employee Health.
      PubDate: Fri, 09 Mar 2018 09:36:00 -050
  • How Can Your Department Better Measure Patient Experience'
    • Abstract: Patient access departments are assessing the customer service they provide by creating their own satisfaction surveys, conducting peer-to-peer critiques, and recording all registration interactions.
      PubDate: Fri, 09 Mar 2018 09:35:00 -050
  • Prepare for Changes to Hazardous Drug Standards
    • Abstract: The deadline to adopt new requirements for protecting healthcare workers potentially exposed to hazardous drugs has been extended, giving employee health professionals more time to define their role in medical surveillance and other areas.
      PubDate: Fri, 09 Mar 2018 09:21:00 -050
  • Employee Health Steps Up in a Rough Flu Season
    • Abstract: Employee health professionals stepping up to protect workers and patients during a severe flu season can become part of the outbreak they are trying to prevent.
      PubDate: Fri, 09 Mar 2018 09:14:00 -050
  • FDA Approves Breast Cancer Gene Home Detection Test
    • Abstract: Although it may be a promising advancement, the agency granted its blessing with plenty of caveats.
      PubDate: Thu, 08 Mar 2018 12:55:00 -050
  • FDA Actions
    • Abstract: In this section: The agency approves a new drug for prostate cancer and expands the indication for a non-small cell lung cancer treatment.
      PubDate: Thu, 08 Mar 2018 09:16:00 -050
  • Influenza A Renders This Year’s Flu Vaccine Ineffective
    • Abstract: This year’s flu vaccine was only 36% effective, according to the CDC.
      PubDate: Thu, 08 Mar 2018 09:13:31 -050
  • What About Aspirin for PCI Patients'
    • Abstract: Should clinicians continue using aspirin for patients with prior percutaneous coronary intervention who are undergoing noncardiac surgery' The answer appears to be yes based on the results of a new study from Canada.
      PubDate: Thu, 08 Mar 2018 09:11:29 -050
  • Comparing Treatments for Cancer-associated VTE
    • Abstract: Researchers have determined that edoxaban was noninferior to dalteparin regarding the composite outcome of recurrent VTE or major bleeding, although recurrent VTE was lower and bleeding was higher with edoxaban.
      PubDate: Thu, 08 Mar 2018 09:09:00 -050
  • Aspirin Matches Xarelto Efficacy Regarding VTE Prophylaxis After Knee or
           Hip Surgery
    • Abstract: The authors of a recent study concluded that among hip or knee arthroplasty patients who receive five days of postoperative rivaroxaban, extended prophylaxis with aspirin was not significantly different from rivaroxaban in the prevention of symptomatic venous thromboembolism.
      PubDate: Thu, 08 Mar 2018 09:06:42 -050
  • Study: Opioids No Better for Long-term Pain Control Than Nonopioids
    • Abstract: Patients receiving nonopioid medications reported less pain intensity than those receiving opioids.
      PubDate: Wed, 07 Mar 2018 16:00:00 -050
  • ED Visits for Suspected Opioid Overdoses Skyrocket
    • Abstract: A new analysis from the CDC reveals troubling trends across all demographics and regions.
      PubDate: Wed, 07 Mar 2018 15:45:00 -050
  • Help Us Help You!
    • Abstract: Share your expert opinion and help us tailor future articles to meet your professional needs. Please take our reader survey at [link] and tell us which topics intrigue you most.
      PubDate: Tue, 06 Mar 2018 14:49:36 -050
  • Community Hospital Uses Mobile App to Improve Communications, Accelerate
    • Abstract: To improve communications between EMS providers and the ED, The Valley Hospital in Ridgewood, NJ, adopted an app that enables prehospital providers to notify the ED electronically that a patient is on the way, along with any key clinical information. The approach replaces the need for phone or radio notifications, which can tie up ED-based staff or get missed when the ED is busy.
      PubDate: Tue, 06 Mar 2018 14:28:00 -050
  • Flu Season Strains ED Capacity Across Country
    • Abstract: Still, by the end of February, data show that flu activity remained widespread in every state except Oregon and Hawaii, and health officials warn frontline providers that flu activity is likely to remain elevated for several more weeks.
      PubDate: Tue, 06 Mar 2018 14:23:00 -050
  • Three-tier Accreditation Process for Geriatric EDs is on the Launch Pad
    • Abstract: In recognition of the fact that older adults present unique care needs, ACEP has taken a leading role in a new effort to provide Geriatric Emergency Department Accreditation to EDs that meet the standards spelled out in the Geriatric Emergency Department Guidelines, a series of recommendations the ACEP board of directors and several other national emergency medicine and geriatrics organizations endorsed in 2014.
      PubDate: Tue, 06 Mar 2018 14:20:00 -050
  • Avoiding Costs, Risks Through Reduced Hospitalization Among Older Adults
    • Abstract: New research suggests that transitional care nurses with geriatrics training can help facilitate the discharge of older patients who present to the ED for care. Investigators found that such interventions can reduce hospitalization in this patient group, enabling patients to avoid hospital-associated risks such as functional and cognitive declines and healthcare-associated infections.
      PubDate: Tue, 06 Mar 2018 14:15:00 -050
  • Promising News About Zika Vaccine
    • Abstract: Clinicians look forward to confirmation of vaccine efficacy in a large population.
      PubDate: Tue, 06 Mar 2018 13:52:51 -050
  • Influenza Increases Rate of Myocardial Infarction
    • Abstract: The proportion of patients who succumb to influenza pneumonia vs. those who incur bacterial pneumonia subsequent to pneumonia vs. all other incident pneumonias that occur concomitantly with flu season is not readily discernible.
      PubDate: Tue, 06 Mar 2018 13:50:00 -050
  • Obstructive Sleep Apnea: Oral Appliances
    • Abstract: The diversity of treatment options currently available should stimulate optimism that the consequences of obstructive sleep apnea can be improved successfully in most patients.
      PubDate: Tue, 06 Mar 2018 13:47:02 -050
  • Inhaled Corticosteroids and Fracture Risk
    • Abstract: Clinicians should strive to use the minimum inhaled corticosteroids necessary to achieve symptomatic improvements in COPD patients.
      PubDate: Tue, 06 Mar 2018 13:44:43 -050
  • Rivaroxaban vs. Aspirin for Prevention of VTE
    • Abstract: Might direct oral coagulants offer some advantage for extended venous thromboembolism (VTE) thromboprophylaxis in patients undergoing knee or hip arthroplasty who are known to suffer an increased risk of VTE in the immediate postoperative period'
      PubDate: Tue, 06 Mar 2018 13:41:51 -050
  • Comparing GLP-1 Agonists
    • Abstract: There are more similarities than differences among the seven currently available glucagon-like peptide-1 (GLP-1) receptor agonists. The most recently FDA-approved GLP-1 receptor agonist, once-weekly semaglutide (Ozempic), was compared in a head-to-head trial to once-weekly exenatide-ER (Bydureon).
      PubDate: Tue, 06 Mar 2018 13:39:00 -050
  • Advanced Management of Opioid Overdose in the Emergency Department
    • Abstract: This article aims to provide acute care providers with advanced techniques in the management of opioid overdoses, including the use of naloxone, the opioid receptor antagonist, as well as harm reduction management strategies aimed at long-term risk mitigation in this vulnerable population.
      PubDate: Mon, 05 Mar 2018 17:28:00 -050
  • Planning Your Success
    • Abstract: Following last month's strong response to useful tips on saving money, our columnist decided to offer some more information about putting everyone on the same page and ensuring financial success.
      PubDate: Mon, 05 Mar 2018 14:50:00 -050
  • Misunderstood Overtime Rules Could Cost ASCs Thousands of Dollars
    • Abstract: Within the past seven years, federal lawsuit filings regarding wage overtime rules have increased by 30%, a trend that should jar surgery centers into taking preventive actions.
      PubDate: Mon, 05 Mar 2018 14:45:00 -050
  • The Challenge of Improving the Nursing Hiring Pipeline
    • Abstract: Any program designed to increase the number of new nurses who go into ambulatory nursing must address early exposure to ambulatory care in nursing schools. Developing an ambulatory nursing residency program is one possible solution. It might not be feasible for every ASC, but there are some smaller steps administrators could take to improve orientation and training of new nurses or training of experienced nurses who are new to ambulatory care.
      PubDate: Mon, 05 Mar 2018 14:42:00 -050
  • Helping New Nurses Thrive in ASC Setting
    • Abstract: New nurse graduates could be a great solution to filling staff needs at ASCs if they are supported through training programs and their preceptors.
      PubDate: Mon, 05 Mar 2018 14:37:00 -050
  • Where to Find Reprocessing Guidelines
    • Abstract: When an ASC begins revamping its reprocessing program, a good place to start is with guidelines that can be found easily. Here are some suggestions based on recommendations from federal agencies and other professional organizations.
      PubDate: Mon, 05 Mar 2018 14:29:00 -050
  • Put Reprocessing Compliance on This Year’s To-do List
    • Abstract: Surgery centers that fail to pay close attention to their reprocessing processes could end up causing dangerous — even fatal — infections. Although the rate of infection from endoscopy is low, it’s likely that some infections related to reprocessing problems are not reported because patients do not attribute their illness to a procedure they might have undergone several weeks earlier. Experts recommend creating site-specific reprocessing guidelines based on federal and/or other expert recommendations.
      PubDate: Mon, 05 Mar 2018 14:21:00 -050
  • Fidget Spinner Parts, Batteries Dangerous to Small Children
    • Abstract: Parents who use fidget spinners to manage stress might really have something to freak out about if their young children swallow the devices’ button batteries.
      PubDate: Mon, 05 Mar 2018 00:00:00 -050
  • New Blood Test Helps Determine Which Head Injuries Should Be CT Scanned
    • Abstract: Help is on the way for emergency department (ED) clinicians trying to determine which potential concussion patients should be scanned.
      PubDate: Mon, 05 Mar 2018 00:00:00 -050
  • AMI in Young Women Usually Presents With Chest Pain, Other Symptoms
    • Abstract: Despite conventional wisdom that young women with acute myocardial infarction (AMI) present with an entirely different set of complaints than young men, a new study found that chest pain was the predominant symptom for both sexes.
      PubDate: Mon, 05 Mar 2018 00:00:00 -050
  • TV Trauma Care Isn’t Real, But Its Effect on Patient Satisfaction
           Might Be
    • Abstract: Imagine if your trauma unit was like a television show: Most patients would be rushed to a surgical suite, about a fourth of patients would suffer dramatic deaths, and half of the survivors would leave the hospital in less than a week, no matter the extent of their injuries.
      PubDate: Mon, 05 Mar 2018 00:00:00 -050
  • Update: Brutal Flu Outbreak Has Finally Peaked
    • Abstract: Activity is still high in many states, and vaccination is still recommended.
      PubDate: Mon, 05 Mar 2018 00:00:00 -050
  • What Can Be Said With LBBB'
    • Abstract: The ECG in the figure was obtained from a patient with new-onset chest pain. It was interpreted as showing complete left bundle branch block (LBBB). Thus, the provider reasoned that “it is impossible to tell if anything acute is going on because there is LBBB.” Do you agree with that assessment'
      PubDate: Fri, 02 Mar 2018 11:40:00 -050
  • Clinical Briefs
    • Abstract: In this section: Managing postprandial glucose excursions in diabetic patients, strategies for improving long-term outcomes for obesity patients, and effectively treating Crohn's disease.
      PubDate: Fri, 02 Mar 2018 11:36:00 -050
  • Vancomycin HCl for Oral Solution (Firvanq)
    • Abstract: Vancomycin oral solution is indicated for adults and pediatric patients < 18 years of age for Clostridium difficile-associated diarrhea and enterocolitis caused by Staphylococcus aureus (including methicillin-resistant strains).
      PubDate: Fri, 02 Mar 2018 11:29:00 -050
  • Aerobic Exercise and Cognitive Impairment
    • Abstract: Progressive aerobic exercise training appears to be a low-risk and effective intervention for improving cognitive function in community-dwelling adults with mild subcortical ischemic vascular cognitive impairment.
      PubDate: Fri, 02 Mar 2018 11:20:00 -050
  • Type 2 Diabetes Is Reversible
    • Abstract: Type 2 diabetes is reversible (or can be put in remission) in a primary care practice through an intense low-carbohydrate weight management program.
      PubDate: Fri, 02 Mar 2018 11:14:00 -050
  • Late-breaking News
    • Abstract: Breaking news regarding the Zika outbreak in Puerto Rico.
      PubDate: Fri, 02 Mar 2018 09:48:00 -050
  • Proposed ‘Conscience’ Rule Could Interfere With Patient Care
    • Abstract: In mid-January 2018, the Trump administration took two steps to expand and enforce federal “conscience” protections, which allow individuals and organizations in the healthcare field to refuse to provide or be involved with services, information, and referrals to which they have religious or moral objections.
      PubDate: Wed, 28 Feb 2018 18:06:00 -050
  • Be Vigilant for Zika Infection
    • Abstract: Clinicians are urged to maintain vigilance regarding the Zika virus in women of reproductive age.
      PubDate: Wed, 28 Feb 2018 17:58:00 -050
  • More Women Opting for Outpatient Laparoscopy for Hysterectomies
    • Abstract: Hysterectomy is the second most common procedure performed for women in the United States. Laparotomy followed by inpatient hospitalization has been the traditional surgical approach. A recent report suggests that fewer women are opting for traditional procedures.
      PubDate: Wed, 28 Feb 2018 17:48:00 -050
  • Women Who Breastfeed for Six Months or Longer Found to Have Reduced
           Diabetes Risk
    • Abstract: Breastfeeding for six months or longer cuts the risk of developing type 2 diabetes nearly in half for women throughout their childbearing years, according to results of a long-term observational study.
      PubDate: Wed, 28 Feb 2018 16:54:00 -050
  • Cervical Cancer Screening May Be Less Effective in Obese Women
    • Abstract: Results from a large retrospective study of women undergoing cervical cancer screening indicate that overweight and obese women had an increased risk of cervical cancer compared to normal weight women.
      PubDate: Wed, 28 Feb 2018 16:46:00 -050
  • What Effect Do Antibiotics Have on Hormonal Contraception'
    • Abstract: Data do not support drug interactions between hormonal contraceptives and non-rifamycin antibiotics.
      PubDate: Wed, 28 Feb 2018 16:31:00 -050
  • Compliance Measures for the Case Manager’s Daily Practice —
           Part 3
    • Abstract: In the last two issues, we reviewed the areas of compliance in the Conditions of Participation for utilization review and began our discussion on the CoP for discharge planning. In this issue, we will continue our discussion of the areas of compliance for discharge planning.
      PubDate: Fri, 23 Feb 2018 10:54:00 -050
  • EDs Confront Surge in Hospitalizations and Deaths From Flu-related
    • Abstract: With flu widespread in every state except Hawaii, frontline providers have been busy this year trying to stay ahead of what is shaping up to be a robust flu season.
      PubDate: Fri, 23 Feb 2018 10:45:00 -050
  • AHA Requests Delay of Application Deadline for Bundled Payments Program
    • Abstract: The American Hospital Association has asked CMS to delay the March 12 deadline for hospitals to apply for the Bundled Payments for Care Improvement Advanced program and to furnish more detailed information on how the program would work.
      PubDate: Fri, 23 Feb 2018 10:40:00 -050
  • Don’t Do the ‘Same Old Thing’ When It Comes to Bundled
    • Abstract: Case managers can’t just keep doing the same old thing when bundled payments arrangements begin. Because the hospital is taking a financial risk by participating, case managers must ensure patients receive everything they need in a timely manner and move through the continuum quickly and safely.
      PubDate: Fri, 23 Feb 2018 10:36:00 -050
  • Improve Your Outcomes by Reducing Variations in Care
    • Abstract: With bundled payments and other quality initiatives, hospitals should constantly improve their processes. A multidisciplinary team from the hospital works with community physicians and post-acute providers to develop protocols. 
      PubDate: Fri, 23 Feb 2018 10:27:00 -050
  • Use Data to Identify Opportunities, Monitor Progress to Make Bundled
           Payments Work
    • Abstract: Success under bundled payments requires using past data to identify opportunities for improvement and analyzing current trends to uncover problematic situations and make changes in real time.
      PubDate: Fri, 23 Feb 2018 10:21:00 -050
  • It Takes Collaboration and Consistency for Success in Bundled Payments
    • Abstract: It takes a lot of planning and oversight for hospitals to succeed financially under bundled payment initiatives, which work best when representatives from all levels of the healthcare continuum work together.
      PubDate: Fri, 23 Feb 2018 10:16:00 -050
  • Get On the Bundled Payments Bandwagon — Even if Your Hospital
           Isn’t Participating
    • Abstract: Even though the latest rounds of bundled payments are voluntary, the shift toward value-based reimbursements continues — meaning hospitals and their case management staffs still should focus on improving patient care, reducing readmissions, and containing costs at the same time.
      PubDate: Fri, 23 Feb 2018 10:10:00 -050
  • Ultrasound-guided Nerve Blocks in the Emergency Department
    • Abstract: Ultrasound-guided nerve blocks offer effective and safe alternatives to systemic analgesics to manage pain in the ED. This article reviews the literature supporting the use of ultrasound-guided nerve blocks in the ED and describes how to perform some of the most basic nerve blocks.
      PubDate: Tue, 20 Feb 2018 10:12:00 -050
  • Chiropractic Spinal Manipulation for Migraine
    • Abstract: Chiropractic spinal manipulation offers no benefit over placebo for migraineurs.
      PubDate: Mon, 19 Feb 2018 17:12:00 -050
  • Noncow Milk for Young Children: An Observational Study Regarding Height
    • Abstract: Data from more than 5,000 Canadian children reveals a dose-dependent association between drinking noncow milk and lower height in early childhood.
      PubDate: Mon, 19 Feb 2018 17:07:00 -050
  • Plant-pharmaceutical Interactions in the Scientific Literature
    • Abstract: Case reports and observational studies revealed that certain medical conditions and a select few botanical medicines have adverse plant-pharmaceutical interactions.
      PubDate: Mon, 19 Feb 2018 17:02:00 -050
  • B Vitamins and Lung Cancer Risk
    • Abstract: These researchers investigated the use of supplemental vitamin B6, folate, and B12 and the risk of lung cancer in 77,118 participants in the Vitamins and Lifestyle cohort, finding an increased risk of lung cancer in men, which was exacerbated by smoking.
      PubDate: Mon, 19 Feb 2018 16:58:00 -050
  • Indiana Becomes Second State to Tie Work Requirements to Medicaid
    • Abstract: On February 2, the Department of Health and Human Services announced that it approved a waiver request by the state of Indiana to include work requirements in its Healthy Indiana Plan. This comes on the heels of approved changes to Kentucky’s Medicaid program, which also instituted work requirements.
      PubDate: Mon, 19 Feb 2018 00:00:00 -050
  • Doctor Gets Prison Sentence, Ordered to Pay Restitution for Healthcare
    • Abstract: Syed Imran Ahmed, a former surgeon in Brooklyn and Long Island hospitals, recently received a 13-year prison sentence and was ordered to pay over $7 million in restitution. He was found guilty of healthcare fraud, making false statements related to healthcare matters, and money laundering.
      PubDate: Mon, 19 Feb 2018 00:00:00 -050
  • Dialysis Provider Fresenius to Pay $3.5M to Settle HIPAA Violations
    • Abstract: Fresenius Medical Care North America (FMCNA) will pay $3.5 million to the U.S. Department of Health and Human Services (HHS) Office for Civil Rights to settle Health Insurance Portability and Accountability Act violations. FMCNA also will adopt a “comprehensive corrective action plan,” according to an HHS press statement.
      PubDate: Mon, 19 Feb 2018 00:00:00 -050
  • “Granston Memo” May Signal New Direction for Government in Qui
           Tam Cases
    • Abstract: The U.S. Department of Justice has circulated an internal memo signaling that it may intervene—by seeking dismissal—in more lawsuits brought under the federal False Claims Act's qui tam provisions. Those provisions allow “whistleblowers” to file suit on the government’s behalf and receive a portion of damages. They are aimed at reining in fraud involving government programs such as Medicaid.
      PubDate: Mon, 19 Feb 2018 00:00:00 -050
  • A Review of Heart Failure and Current Therapeutic Strategies
    • Abstract: The management of heart failure falls primarily on the primary care physician. Because of the Medicare financial penalty on hospitals for readmissions, primary care physicians need to be cognizant of the updated treatment options and work with colleagues across multiple disciplines to prevent unnecessary hospitalizations and improve outcomes.
      PubDate: Sat, 17 Feb 2018 12:12:00 -050
  • Salivary microRNA as Biomarker to Predict Prolonged Concussion Symptoms
    • Abstract: In a prospective cohort study of pediatric patients, aged 7 to 21 years, diagnosed with concussion, salivary microRNAs were found to be a potential biomarker for predicting prolonged concussion symptoms.
      PubDate: Fri, 16 Feb 2018 14:51:00 -050
  • HIPAA Restricts Some Photography, but Not All
    • Abstract: Photography in healthcare settings is difficult to control but could lead to HIPAA violations if not monitored. How much one should try to control people taking pictures and video can be difficult to determine.
      PubDate: Fri, 16 Feb 2018 14:49:00 -050
  • HIPAA Allows Choice in Password Security, But Use Caution
    • Abstract: HIPAA allows a great deal of choice in how to secure data with passwords, but one must choose carefully to ensure the information is protected from both casual snooping and sophisticated hacking.
      PubDate: Fri, 16 Feb 2018 14:46:00 -050
  • Treatment for Autoimmune Small-fiber Neuropathy
    • Abstract: The cause of most cases of small-fiber neuropathy is uncertain, but many patients have accompanying autoimmune biomarkers. In a carefully selected group of such patients, intravenous immunoglobulin treatment appears to provide benefit.
      PubDate: Fri, 16 Feb 2018 14:42:00 -050
  • Negligent Transport of Patient Leads to Paraplegia, $8.05 Million Verdict
    • Abstract: This case highlights the needs for thorough training of nurses who use patient lifting equipment.
      PubDate: Fri, 16 Feb 2018 14:32:00 -050
  • Jury Awards $2 Million for Negligent Hand Surgery
    • Abstract: Improper placement of screw required three more surgeries to correct and caused lost wages and permanent disfigurement.
      PubDate: Fri, 16 Feb 2018 14:29:00 -050
  • Proceedings From the International Stroke Conference, Los Angeles,
           February 2018
    • Abstract: Message from the editor: The following reviews of studies presented at the 2018 International Stroke Conference were written after my personal attendance at the presentations, followed by review of the simultaneous publications in the journals Stroke, The New England Journal of Medicine, JAMA Neurology, and the Journal of the American Medical Association.
      PubDate: Fri, 16 Feb 2018 14:28:00 -050
  • Infectious Disease Alert Updates
    • Abstract: Food Tray Contamination With MRSA/VRE; Hospital Ice Machines Contaminated With Bacteria; Significance of Toxocara Serologies'
      PubDate: Fri, 16 Feb 2018 12:14:00 -050
  • What Do the Urinary Microbiota and Incontinence Have to Do With Each
    • Abstract: Increased diversity of the microbiota in women is associated with urgency urinary incontinence symptoms but not with stress urinary incontinence symptoms.
      PubDate: Fri, 16 Feb 2018 12:08:00 -050
  • Does Adding Rifampin to Standard Therapy Improve Outcomes in Patients With
           Staphylococcus aureus Bacteremia'
    • Abstract: The addition of rifampin to standard therapy failed to provide significant benefit to patients with bacteremia due to Staphylococcus aureus.
      PubDate: Fri, 16 Feb 2018 12:04:00 -050
  • New Agent for Treatment of Chagas Disease Disappoints in Clinical Trial
    • Abstract: A randomized, controlled trial of E1224 (a ravuconazole prodrug) in different doses and durations was studied in adult patients with chronic indeterminate Chagas disease. Parasite clearance was observed in treated patients, but the response was transient in most patients.
      PubDate: Fri, 16 Feb 2018 11:59:00 -050
  • $3.77 Million to Resolve Kickback, Medical Necessity Claims
    • Abstract: A laboratory and the owner of a lab management services company agreed to pay a total of $3.77 million to resolve claims that they were involved with illegal kickbacks and filed claims for services that were not medically necessary.
      PubDate: Fri, 16 Feb 2018 11:50:00 -050
  • Lawsuit Calls HHS ‘Overly Restrictive’ on Charges for Secure
    • Abstract: Medical record retrieval firm Ciox Health is suing the Department of Health and Human Services for “unlawfully ... and capriciously” restricting the fees healthcare providers and their medical record vendors can charge for gathering and disseminating HIPAA-protected health information.
      PubDate: Fri, 16 Feb 2018 11:47:00 -050
  • NIST Provides Guidance on HIPAA Passwords
    • Abstract: HIPAA regulations require healthcare entities to enact procedures for creating, changing, and safeguarding passwords, but they don’t specify the details or the required complexity of the passwords. The HHS Office for Civil Rights looks to the National Institute of Standards and Technology for guidance, so risk managers also should, one expert suggests.
      PubDate: Fri, 16 Feb 2018 11:41:00 -050
  • Make Background Screens Thorough and Efficient
    • Abstract: Healthcare organizations are improving their ability to screen job applicants for criminal backgrounds and other disqualifying factors, but it is important to screen volunteers and others just as effectively.
      PubDate: Fri, 16 Feb 2018 11:32:00 -050
  • Former CNO Alleges Understaffing, Violence at Psychiatric Hospital
    • Abstract: In her lawsuit against Aurora Santa Rosa Hospital, former chief nursing officer Teresa Brooke alleges she was fired for complaining about unsafe conditions for patients and staff.
      PubDate: Fri, 16 Feb 2018 11:28:00 -050
  • Nurse Sues Health System for Firing After Safety Complaints
    • Abstract: A hospital and health system in California is facing a lawsuit from a nurse who says she was fired for blowing the whistle on unsafe working conditions that threatened patients and staff.
      PubDate: Fri, 16 Feb 2018 11:20:00 -050
  • Red Light Says ‘Not Now’ for Nurses in Critical Work
    • Abstract: Red lights at nursing workstations can improve patient safety. The lights signal others not to interrupt during critical work.
      PubDate: Fri, 16 Feb 2018 11:15:00 -050
  • Hospital Takes Safety Score From ‘C’ to ‘A’ With
           Targeted Improvements
    • Abstract: Two hospitals in Wisconsin undertook a concerted effort to improve patient safety after receiving a “C” from The Leapfrog Group, raising their scores to an “A” over two years.
      PubDate: Fri, 16 Feb 2018 11:11:00 -050
  • Mefloquine: Still Effective and Still Safe for Malaria Chemoprophylaxis
    • Abstract: Mefloquine is known as an effective agent for malaria chemoprophylaxis. However, concerns about serious adverse effects have limited its use. Now, a careful review of data suggests that fatal outcomes related to mefloquine prophylaxis are very rare.
      PubDate: Fri, 16 Feb 2018 11:03:00 -050
  • MRSA Infections May Lead to Prolonged Impairment of Lymphatic Vessel
    • Abstract: In the first study to investigate the potential interactions between bacterial infections and lymphatic function, researchers found that methicillin-resistant Staphylococcus aureus toxins killed muscle cells critical to the pumping of lymph fluid and led to prolonged lymphatic dysfunction months after the bacteria had been cleared.
      PubDate: Fri, 16 Feb 2018 10:55:00 -050
  • Prolonged vs. Short Duration Infusion of Beta-lactam Antibiotics: The
           Verdict Is In
    • Abstract: When compared to shorter infusion duration, prolonged infusion of anti-pseudomonal β-lactam antibiotics was associated with reduced mortality.
      PubDate: Fri, 16 Feb 2018 10:47:00 -050
  • Caregiver Knowledge Affects Mortality of Patients With Left Ventricular
           Assist Devices
    • Abstract: How well caregivers understand the patient’s illness affects mortality rates of patients with left ventricular assist devices, found a study.
      PubDate: Fri, 16 Feb 2018 10:30:00 -050
  • Ethics of Withholding Fertility Services From Prospective Parents
    • Abstract: Fertility programs may withhold services from prospective parents due to valid concerns that they’ll be unable to care adequately for offspring, according to an updated position statement from the American Society of Reproductive Medicine.
      PubDate: Fri, 16 Feb 2018 10:27:00 -050
  • Physicians Rely on Device Reps, but Have Ethical Concerns
    • Abstract: Surgeons are concerned about conflicts of interest and patient safety due to the increasing presence of device representatives in operating rooms. However, the surgeons also rely on those reps, found a recent study.
      PubDate: Fri, 16 Feb 2018 10:23:00 -050
  • Nonessential Meds, Including Vitamins, Often Continued in Dying Patients
    • Abstract: Nonessential medications, such as vitamins, often are continued in actively dying, hospitalized patients, concluded a recent study.
      PubDate: Fri, 16 Feb 2018 10:03:00 -050
School of Mathematical and Computer Sciences
Heriot-Watt University
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