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The effects of selective digestive tract decontamination (SDD) and selective oropharyngeal decontamination (SOD; SDD without systemic antibiotics), which are measures for preventing ICU-acquired infections, on patient outcomes and microbial resistance patterns remain unsettled and controversial.
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To determine whether relationships existed between the use of clinical information technology (CIT) and measures of patient outcomes, Amarasingham and colleagues conducted a cross-sectional study of urban hospitals in Texas using the questionnaire-based Clinical Information Technology Assessment Tool, which measures a hospital's level of automation based on the interactions of its physicians with the information system.
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The goals of this study were fourfold: 1) to increase implementation rates of evidence-based interventions that have been shown to reduce ICU mortality and morbidity; 2) to design tools to promote team communication and team building; 3) to develop prompts that could be incorporated into an ICU progress note to promote consistent use of these measures; and 4) to provide "real time"' feedback regarding progress.
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In this issue: Individualization of therapy with pharmacogenetics; the rate vs rhythm debate; the FDA's Risk Evaluation and Mitigation Strategy; FDA actions.
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Primary care physicians often are confronted with patients presenting with either gross or microscopic hematuria. Either situation demands a clinical investigation.
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FDA warning on topical anesthetics; antipsychotics increase sudden cardiac death; the step up vs step down debate; treating pain, fatigue, mood, and sleep in fibromyalgia; FDA Actions.
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