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Primary Care/Hospitalist

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  • Anorectal Emergencies

    • Anorectal conditions are commonly misdiagnosed on initial evaluation.
    • Assistance with patient positioning, good lighting, and analgesia are often necessary for adequate examination.
    • Imaging is often required in anorectal abscesses to determine their full extent.
    • Anorectal manifestations of STIs may occur in the absence of anal sex.
  • Insulin: A 2014 Primer, Part 2 Insulin Delivery and Insulin Pumps

    In Part 1, the authors reviewed the clinical aspects of insulin dosing and titration for primary care physicians. In this section, the authors review new and emerging insulin products, the practical aspects of writing insulin prescriptions, delivery of insulin, and advanced insulin delivery systems (via pump and patch).
  • Anesthesiologist accused of sexting in surgery -- Take steps to prevent now

    An anesthesiologist was suspended after allegations that he sexted during surgery, at one point sending 45 messages during a single operation.
  • How you can address price-shopping patients

    Healthcare facilities are offering financial counseling and online price estimates to patients who call with questions about cost. Staff members from providers offices also are calling to obtain estimates on behalf of patients.
  • Many hospitals underuse minimally invasive cases

    Hospitals vary substantially in their use of minimally invasive surgery, even when evidence shows that for most patients, minimally invasive surgery is superior to open surgery, a new study shows.
  • ASCs’ surgeries often less costly than hospitals’

    A new study from the Workers Compensation Research Institute (WCRI) reports that the payments for common workers compensation surgeries conducted at ambulatory surgery centers (ASCs) are lower than many of the payments for similar surgeries performed at hospital outpatient settings.
  • But, what have you done for me today?

    A common issue, complaint, concern, and frustration that most of us in healthcare share is the implied But what have you done for me today?
  • CMS sounding alarm: unsafe needle practices

    As outbreaks continue to be reported due to unsafe injection practices and improper use of medication vials, the Centers for Medicare & Medicaid Services (CMS) is telling its surveyors to contact public health departments immediately if they see such flagrant breaches of infection control.
  • Videos help providers check injection practices

    The Centers for Disease Control and Prevention (CDC) continues to investigate outbreaks as a result of unsafe injection practices. These mistakes and knowledge gaps put healthcare providers and patients at risk.
  • Different burden of proof for criminal prosecution

    Criminal prosecutions of physicians for grossly substandard care almost invariably involve the death of multiple patients revealing a pattern of gross negligence or reckless indifference to patient safety, says Ben A. Rich, JD, PhD, professor in the Department of Anesthesiology and Pain Medicine at the University of California Davis Health Systems School of Medicine.