The USPSTF recommends that primary care clinicians provide interventions, including education or brief counseling, to prevent initiation of tobacco use in school-aged children and adolescents. Click here to read full text.
News You Can Use
Infectious diseases specialty intervention is associated with decreased mortality and lower healthcare costsby jmiller on June 10, 2014
This article concludes ” ID interventions are associated with improved patient outcomes. Early ID interventions are also associated wtih reduced costs for Medicare beneficiaties and select infections. (CID, Jan) Click here to read full text.
Barry Meisenberg, MD, chair for quality improvement and healthcare systems research, recently submitted a letter to the editor to the New York Times regarding “Treatment Cost Could Influence Doctors’ Advice” article (April 18, 2014). His letter was published in the April 27, 2014 New York Times–continuing the dialogue on Choosing Wisely. Read his letter here.
The rapid increase in cesarean birth rates from 1996 to 2011 without clear evidence of concomitant decreases in materna or neonatal morbidity or mortality raises significant concern that cesarean delivery is overused. Changing the local culture and attitudes of obstetric care providers regarding the issues involved in cesarean delivery reduction will also be challenging This article reviews the indications for primary cesarean and how to mange abnormally progressing labor. (Obstet Gynecol Mar) Click here to view full-text.
This “Clinical Decision Making” article explores understanding the cardiovascular diesease risk functions – Aim, development, and evaluation – through a case vignette on whether to begin ..or not begin statis therapy and when to monitor, or not monitor LDL cholesterol. The article takes the reader through 3 treatment options based on the new guidelines. (NEJM, April 24) Click here to read full text.
Safety and feasibility of a diagnostic algorithm combining clinical probability, d-Dimer testing, and ultrasonography for suspected upper extremity deep venous thrombosisby jmiller on April 24, 2014
Article concludes: The combination of a clinical decision score, D-dimer testing, and ultrasonography can safely and effectively esclude upper extremity deep vein thrombosis. (Ann Intern Med, April). Click here to read full-text.
UpToDate Mobile (Free) and NEW INTRANET Remote Access Now Available to AAMC Medical and Hospital Staffby jmiller on April 10, 2014
UpTodate is now available REMOTELY through the Intranet..and also through FREE mobile app to ALL medical and hospital staff. Easy access to UpToDate by logging in from any computer with an Internet connection. Free UpToDate Mobile app for most leading devices. Free continuing education credits when you research a clinical question using UTD onsite or remotely – including your mobile device. Questions: call or email Joyce Miller, firstname.lastname@example.org, ext 4877. To read more about how to access remotely and obtain the app, click here.
Article concludes: Unplanned readmissions in surgical patients are common in patients experiencing postoperative complications and can be predicted using the ACS NSQIP risk of major complications. Prospective identification of high-risk patients, using the NSQIP complication risk index, may allow hospitals to reduce unplanned rehospitalizations. (JAMA Surgery, March) Click here to view full-text.