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TV screens, ‘WalkRounds’ promote safety messages
Discussing mistakes in its Safety Matters newsletter is only one way that Brigham and Women’s Hospital in Boston encourages patient safety.
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Risk managers should disclose errors to staff, not just to the patient
Most hospitals have embraced the idea of disclosing medical errors to the patient and family members, but Brigham and Women’s Hospital in Boston goes a step further by informing all staff about these incidents. The policy could provide information to be used against the hospital in litigation, the risk manager says, but educating staff and improving patient safety are worth the risk.
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Clinicians Are Skeptical of Early Warning Systems for Sepsis
While early warning systems for sepsis lead to clinical action, clinicians are skeptical and do not perceive them to be beneficial.
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Bedside Ultrasound: Is It a Reliable Tool for Guiding Resuscitation in Patients with Undifferentiated Hypotension?
The use of bedside ultrasound for patients with undifferentiated hypotension in the emergency department substantially changed the plan of care and reduced physician diagnostic uncertainty.
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Initial Choice of Fluid for Sepsis Resuscitation May Affect Mortality
The use of balanced salt solutions rather than isotonic saline or colloids may improve in-hospital mortality in patients admitted with septic shock.
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Open Lung Biopsy in Critically Ill Patients
ABSTRACT & COMMENTARY: The procedure is associated with complication of persistent air leak and a significant hospital mortality of 54%.
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Severe Asthma Exacerbation in Pediatric Patients
MONOGRAPH: A small subset of children present in extremis requiring second- and third-line medications and airway management. Here is how to treat them.
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Recurrence Rate for Placental Abruption
A study from the Netherlands involving more than 1 million patients has shown that recurrence of placental abruption happens more frequently in those patients whose first abruption occurred at term and/or in their first pregnancy, as well as in those with a history of hypertension.
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Hormone Replacement Therapy Controversies: Have We Harmed Women?
The interpretation of hormone replacement therapy in postmenopausal women has varied dramatically before and after the publication of the Women’s Health Initiative study in 2002. New studies question the validity of the conclusions reached by the investigators.
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Molecular Diagnostics: A Step Forward in Breast Cancer Treatment?
Use of a gene-expression assay to predict prognosis may reduce the need for adjuvant chemotherapy in some women with early stage invasive breast cancer.