This “in press” article (Ann Emerg Med) is a joint effort of members of the Quality Improvement and Patient Safety Section and the Informatics Section of the American College of Emergency Physicians to examine the benefits and potential threats to quality and patient safety that could result from the choice of a particular EDIS, its implementatiion and optimization, and the hospital’s or physician group’s approach to continuous improvement of the EDIS. “Specirically, we explored the following areas of potential EDIS concerns: communication failure, wrong order-wrong patient errors, poor data display, and alert fatigue. The authors have developed 7 recommendations to improve patient safety with respect to the deployment of EDISs. Click here to read full text.
News You Can Use
Effectiveness and harms of recombinant human bone morphogenic protein-2 in spine fusion: a systematic review and meta-analysisby jmiller on June 21, 2013
This is a “hot” topic in the orthopedic world… Article concludes: “In spinal fusion, rhBMP-2 has no proven clinical advantage over bone graft and may be associated with important harms, making it difficult to identify clear indications for rhBMP-w. Earlier disclosure of all relevant data would have better informaed clinicians and the public than the initial published trial reports did. (Ann Intern Med, June 18) Click here to read full-text.
Time to treatment with intravenous tissue plasminogen activator and outcome from acute ischemic strokeby jmiller on June 21, 2013
“In a registry representing US clinical practice, earlier thrombolytic treatment was associated with reduced mortality and symptomatic intracranial hemorrhage, and higher rates of independent ambulation at discharge and discharge to home following acute ischemic stroke. These finding support intensive efforts to accelerate hospital presentation and thrombolytic treatment in patients with stroke. (JAMA, June 16) Click here to read full text.
This consensus paper is broken into a number of sections: A summary of concussion and its management; background information on the consensus meeting process; a summary of the specific consensus questions discussed at the meeting; the Consensus paper should be read in conjunction with the SCAT3 assessment tool, the Child SCAT3 and the Concussion Recognition Tool. (J Am Coll Surg, May) Click here for full text.
Dr. Eddie McDevitt and Joyce Miller (medical Librarian) are teaching a “Pubmed Clinic” at a dinner meeting on August 28th at 6 p.m. in the Health Science Pavilion. The purpose of the clinic is to teach you to be a better searcher and to link your search with full-text articles to which the medical library subscribes. If interested, please send an email to firstname.lastname@example.org or call ext. 4877 to sign up. Click here to view a flyer showing scope of clinic.
Concludes: “The time course of VTE in medical patients shows that risk of symptomatic VTE is highest during the first 19 days after hospital admission, and extends into the period after discharge. “ (J Hosp Med, March, 2012) Click here to read full text.
Concludes: “There was a 2.3-fold variatin in emergency physicain adjusted admission rates and 1.7-fold variation at the hospital level. In the new era of cost containment, wide variation in this common, costly decision requires further exploration.” (Ann Emerg Med, June) Click here to read full-text.
This review article (NEJM, Mar 28) reviews the clinical problem; strategies and evidence; management; areas of uncertainty; and guidelines and consensus statement. Click here to read full-text.