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SIRS Criteria Could Identify More Patients with Severe Sepsis
Clinical question: Does inclusion of two or more SIRS criteria in the definition of severe sepsis accurately identify patients with higher...
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Trimethoprim-Sulfamethoxazole Use in Older Patients Taking Spironolactone
Clinical question: Does trimethoprim-sulfamethoxazole (TMP-SMX) increase the risk of sudden death in older patients taking spironolactone?...
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Medicare Nonpayment for Hospital-Acquired Conditions May Have Reduced Infection Rates
Clinical question: What was the effect of the Centers for Medicare and Medicaid Services’ (CMS) nonpayment for hospital-acquired conditions?...
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Peri-Operative Phlebotomy Might Cause Significant Blood Loss in Cardiac Surgery Patients
Clinical question: What are the frequency of laboratory testing, the average total blood volume drawn per patient, and the resulting transfusion...
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Clostridium Difficile Infection Rates in the U.S. in 2011
Clinical question: What are the incidence, recurrence rate, and mortality rate of Clostridium difficile infection (CDI) in the U.S.
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CT Angiography Effect on Outcome for Patients with Symptomatic Chest Pain
Clinical question: Does CT angiography (CTA) improve clinical outcomes in patients with new-onset stable chest pain more than functional testing...
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Early Goal-Directed Therapy for Sepsis Offers No Benefit Over Usual Care
Background: Recent trials (ARISE, ProCESS) showed EGDT provided no mortality benefit over usual care. Questions remain about the effectiveness of...
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NSAID Use by Patients on Antithrombotic Therapy Has Bleeding, Cardiovascular Risks
Clinical question: Is there increased risk of bleeding or cardiovascular events when using NSAIDs while on antithrombotic therapy for secondary...
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Hospital Medicine Added Qualification for Physician Assistants
An examination for the new Certificate of Added Qualifications (CAQ) in hospital medicine for physician assistants (PAs) will be offered for the...
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Physician Learns Lessons About Patient Care from Failure
“Are you comfortable talking to him about all this stuff?” my attending asked me casually. “Yeah, of course—sure,” I replied, trying to mimic the...