Hematology/Oncology
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An Evidence-Based Extubation Bundle Improved Care Outcomes in Mechanically Ventilated Brain-Injured Patients
Implementation of an evidence-based extubation-readiness bundle was associated with a decrease in mechanical ventilation days and pneumonia in brain-injured patients. -
Prognosis of Ventricular Fibrillation in Acute Myocardial Infarction
At this time, ventricular fibrillation (VF) early after acute myocardial infarction (MI) is not an indication alone for an implantable cardioverter-defibrillator (ICD) therapy. However, there is concern that despite the efficacy of mechanical and pharmacological therapy for acute MI, the risk of subsequent sudden cardiac death (SCD) in patients with VF complicating acute MI may be higher and the guidelines should be revisited. -
Hospital Medicine Alert - Full April 2014 Issue in PDF
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Women with Chronic Pelvic Pain Are More Sensitive to All Pain
Compared to normal women and women with endometriosis without chronic pain, women with chronic pelvic pain demonstrate increased pain sensitivity at nonpelvic sites. -
Cost of Unnecessary Hospitalization
A new study shows that using cervical length as an arbiter of whom to admit for suspected preterm labor is a safe and cost-effective method to decrease health care costs. -
Antibiotic Prophylaxis During Gynecologic Surgery: Are We Following the Recommendations?
In this national cohort study, 13% of women undergoing gynecologic surgery where antibiotics were recommended received no antibiotics or the incorrect antibiotics. -
Current Status of Synthetic Mesh in Obstetrics and Gynecology
This special feature will summarize FDA position statements pertaining to mesh use in obstetrics and gynecology.... -
Joint Commission: Intimidating and disrespectful" behavior poisoning patient safety culture in health care
How many infections occur because no one spoke up? -
Overcoming tribal culture wars to improve patient safety
Improving patient safety cultures in health care requires involvement and action at the local level by leaders committed to replacing a "tribal" mentality with a shared vision of a health care team, says Peter Pronovost, MD, PhD, director of the Armstrong Institute for Patient Safety and Quality at Johns Hopkins Medicine in Baltimore.
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Disrespectful behavior also occurs among nurses
A common perception is that a lot of the toxic culture in health care is directed by physicians toward nurses. Surprisingly, nurses appear to observe a hierarchy within their own ranks that may be just as mean spirited, says Elaine Larson, PhD, RN, FAAN, CIC, associate dean for research at the Columbia School of Nursing in New York.