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It's no secret that emergency medicine providers are frustrated by patients who inappropriately come to the ED for primary care, pharmaceuticals, and help with a wide range of social issues.
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Most accredited hospitals have been reporting ORYX performance data to the Joint Commission (JC) on a monthly basis since 2002.
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The Food and Drug Administration (FDA) has made it clear that cell phone applications that aid in clinical decision-making or act as medical devices will soon be subject to the strictest Class II and Class III regulations.
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Previous studies have shown that the use of a multi-part daily rounding checklist reduces errors of omission in the ICU such as failure to discontinue empirically started antibiotics, to perform spontaneous breathing trials to see whether ventilated patients can be weaned and extubated, or to provide prophylaxis against deep venous thrombosis (DVT).
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To determine the risk of potentially unintended discontinuation of common, evidence-based medications for chronic disease, Bell and colleagues examined administrative records for 12 years (19972009) for all hospitalized patients and all outpatient prescriptions in Ontario, Canada.
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This was a prospective, randomized, controlled, multicenter trial that took place between 2007 and 2010 at seven ICUs in Belgium. Inclusion criteria were evidence of nutritional impairment or significant risk for it (measured using a validated and standardized nutritional risk screen questionnaire) and age > 18 years.
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Saddle pulmonary embolism (SPE) is defined as the presence of a thromboembolus located at the bifurcation of the main pulmonary artery.
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In this issue: Medication poisonings in children; rosuvastatin vs atorvastatin for atherosclerosis; saw palmetto for prostate symptoms; using atypical antipsychotics for off-label indications in adults; and FDA actions.
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The "second-look EKG" is a good risk-management strategy, according to Robert Broida, MD, FACEP, chief operating officer of Physicians Specialty Limited Risk Retention Group in Canton, OH. If you are the treating physician for any patient with chest pain being considered for discharge, it is a good practice to have another physician review and initial the EKG before discharge, he advises.
