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Drugs past their expiration date

by jmiller on January 27, 2016

According to The Medical Letter (Dec. 7), “When no suitable alternative is available, outdated drugs may be effective.  How much potency they retain varies with the drug, the lot, the preservatives (if any), and the storage conditions, especially heat and … learn more

Comfort care for patients dying in the hospital

by jmiller on January 27, 2016

Great review article  (NEJM Dec 24, 2015) that reviews the need for comfort-care skills in hospital practice; setting goals at the end of life: the importance of communication; understanding comfort care; evidence-based management of symptoms in dying patients; pain; … learn more

Understanding variation in 30-day surgical readmission in the era of accountable care: effect of the patient, surgeon, and surgical subspecialties

by jmiller on January 27, 2016

Article concludes:  “Readmission occurred in more than 1 in 10 patients, with considerable variation across surgical subspecialties.  Variation in readmission was overwhelmingly owing to patient-level factors while only a minority of the variation was attributable to factors at the surgical … learn more

Evidence for a standardized preadmission showering regimen to achieve maximal antiseptic skin surface concentrations of chlorhexidine gluconate, 4%, in surgical patients

by jmiller on January 27, 2016

Article concludes: a standardized preadmission shower regimen that includes 118 ml. of aqueous chlorhexidine gluconate, 4%, per shower; a minimum of 2 sequential showers; and a 1-minute pause before rinsing results in maximal skin surface concentrations of chlorhexidine gluconate that … learn more

Consensus statement by the American Assn of Clinical Endocrinologists and Amer Coll Endocrinology on the comprehensive type 2 diabetes management algorithm

by jmiller on January 13, 2016

“Since originally drafted in 2013, the algorithm has been updated as new therapies, management approaches, and important clinical data have emerged.  The 2016 edition includes a new section on lifestyle therapy as well as discussion of all classes of obesity, … learn more

“Effect of hospitalist workload on the quality and efficiency of care” and editorial “Hospital workload: the search for the magic number”

by jmiller on January 13, 2016

Hospitalists per patient is a frequently visited topic for literature searches.  The article concludes, “Increasing hospitalist workload is associated with clinically meaningful increases in LOS and cost.  Although our findings should be validated in different clinical settings, our results suggest … learn more

New Practice: AAMG Plastic Surgery

by Medical Staff Office on December 22, 2015

The Anne Arundel Medical Group Plastic Surgery team is made up of highly-trained surgeons with expertise in all forms of reconstructive surgery, including microsurgery and cosmetic surgery. Located in the AAMC Belcher Pavilion, the team provides inpatient plastic surgery services … learn more

ICD-10 Implementation at AAMC a Success

by Medical Staff Office on December 22, 2015

On Oct. 1, we went live with the federally-mandated ICD-10 diagnosis and procedure codes. The implementation here at AAMC was a huge success. We experienced no delays in payments related to the transition. The coding team has not seen an … learn more

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