Articles Tagged With:
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Low-lying Intrauterine Devices: To Remove or Not to Remove?
It is not uncommon that we receive reports from radiology regarding the location of an intrauterine device (IUD) in a patient that we have sent for a pelvic ultrasound examination for an entirely different reason (e.g., an adnexal mass). These incidental findings of low-lying or malpositioned IUDs are a conundrum for the practitioner.
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Diagnostic Concordance in Breast Biopsies
A comparison of breast biopsy diagnosis by clinical pathologists found a 75% concordance with a consensus-derived expert diagnostic interpretation. Concordance was lowest with the diagnosis of atypical, with under-diagnosis noted in 35% of cases.
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Intrauterine Insemination Outcomes Are Not Affected by Sperm Morphology Parameters
Pregnancy rates following intrauterine insemination are not affected by abnormalities of sperm morphology.
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Using Etonogestrel Implants and LNG-IUDs Past FDA-approved Duration
In this small prospective cohort study, use of the etonogestrel implant and the levonorgestrel intrauterine device for an additional year past their FDA-approved duration was associated with an acceptably low failure rate.
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Mastering the CMS Hospital Infection Control Survey
This new guide from AHC Media helps guide you through the labyrinth of new CMS regulations. -
OnabotulinumtoxinA and the Bladder
ABSTRACT & COMMENTARY: Healthcare providers should thoroughly counsel patients on the risks associated with onabotulinumtoxinA toxin injections.
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Nurse fatigue a ‘huge’ threat to patient safety, but can be addressed
When fatigue is addressed in the healthcare workplace, attention often goes first to physicians and particularly medical residents who are sleep-deprived and overworked. Increasingly, risk managers are focusing on the patient safety threats posed by nurses and other staff members who are too tired to do their jobs properly.
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New type of ED unit focuses on the most critically ill patients, decompressing ED
Much of the discussion surrounding emergency medicine seems to focus on how to keep lower-acuity patients out of the ED, or at least how to move them through to discharge faster. While it is true that many EDs see a high percentage of low-acuity or fast-track patients, there are also EDs that are overwhelmed with patients at the other end of the acuity spectrum. The University of Michigan Health System’s (UMHS) adult ED in Ann Arbor is a case in point.
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Case management can work hand-in-hand with patient advocacy
As health systems, payers, employers, and even unions look for case management-style models for improving their populations’ health, some are hiring RNs to serve in a patient advocate role.
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Case managers work with doctors, other providers to improve care quality
Linking hospital providers with community physicians is challenging for transitional case management, but one organization has found that having the case managers look out for patients both in and out of the hospital helps keep hospital readmission rates at a low range — 3% to 5% — for a senior population.