Articles Tagged With:
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Care Coordination Team Helps Medically Complex Pediatric Cases
A national nursing shortage has affected families of medically complex children in Delaware, leading a Medicaid managed care organization to focus on a care coordination team approach.
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ED Uses Two-stage Triage to Improve Flow
Forrest General Hospital in Hattiesburg, MS, developed a two-stage triage process that has helped improved throughput and many other aspects of care in the ED. -
Fix to ED Overcrowding Includes Hallway Treatment
A hospital in Mississippi has significantly improved its emergency department throughput and reduced the perennial problem of overcrowding in part by embracing a concept that most facilities try hard to avoid: treating patients in hallways and other non-standard areas. -
For Older Patients, Loneliness Might Be Biggest Social Determinant of Health
Loneliness and social exclusion can have a big impact on patients’ health and quality of life, and it is a problem that is compounded by deteriorating health as people grow older.
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Does Every Woman Deserve a High-volume Gynecologic Surgeon?
Generally, gynecologic surgical complications are higher with lower-volume surgeons.
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Vaginal Progesterone vs. Cerclage to Prevent Preterm Birth
SYNOPSIS: A recent indirect comparison meta-analysis has shown that vaginal progesterone is as useful in decreasing preterm birth and its associated adverse outcomes as cervical cerclage in patients with a history of preterm birth and short cervices.
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Intrauterine Devices and Cervical Cancer
In this case-control study, levonorgestrel IUD use was associated with a slightly increased rate of CIN 2 but not CIN 3. Copper IUD use was not associated with CIN 2 or CIN 3.
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Primary HPV Screening: Ready for Prime Time?
In this randomized, controlled trial of more than 25,000 women, participants with negative high-risk human papillomavirus testing at baseline had rates of CIN 3+ at 48 months that were lower compared to negative liquid-based cytology testing.
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USPSTF Recommendation: Screening for Cervical Cancer
The U.S. Preventive Services Task Force (USPSTF) recently updated its recommendations for cervical cancer screening. Practitioners currently following guidelines published by ASCCP (and supported by ACOG) will not find any discrepancies in the new USPSTF position
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What Is Really BRUEing?
In May 2016, the American Academy of Pediatrics (AAP) published clinical practice guidelines titled Brief Resolved Unexplained Events (Formerly Apparent Life-Threatening Events) and Evaluation of Lower-Risk Infants, suggesting a new terminology, an evaluation based on the risk of recurrent events or serious underlying causes, and key action statements (management recommendations) for patients meeting the brief resolved unexplained events (BRUE) definition for lower-risk patients. The authors review and discuss the definitions and key management strategies recommended in these new guidelines.