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Diagnosing Stroke in the ED

Studies suggest that there are missed opportunities to diagnose cerebrovascular causes for stroke symptoms. “While traditional stroke symptoms are rarely missed,” says David E. Newman-Toker, MD, PhD, “clinicians can sometimes overlook or discount non-specific symptoms, such as dizziness or headache.”

Quantifying Misdiagnoses

In the journal Diagnosis, Dr.…

Reducing Post-Op VTE Complications

At Boston Medical Center, researchers learned in 2009 that their institution was a high outlier for postoperative venous thromboembolism (VTE). Their data were derived from the American College of Surgeons’ National Surgical Quality Improvement Pro­gram (ACS NSQIP) database. “After recognizing this fact,” says David McAneny, MD, “we implemented a standardized intervention for reducing postoperative VTE complications.”

The intervention used standardized electronic physician orders to specify early postoperative mobilization and to mandate individualized VTE risk stratification for all patients.…

Health-Related Web Searches: Examining Quality

Most adults in the United States seek health information online, and many report that these searches influence their health-related decisions. About two-thirds of people who obtain health information online begin their inquiries through popular search engines. “The potential problem with this approach is that patients may receive inaccurate or misleading results from these queries,” says Christopher A.…

OPINION ARTICLES

Reducing Post-Op VTE Complications

At Boston Medical Center, researchers learned in 2009 that their institution was a high outlier for postoperative venous thromboembolism (VTE). Their data were derived from the American College of Surgeons’ National Surgical Quality Improvement Pro­gram (ACS NSQIP) database. “After recognizing this fact,” says David McAneny, MD, “we implemented a standardized intervention for reducing postoperative VTE complications.”

The intervention used standardized electronic physician orders to specify early postoperative mobilization and to mandate individualized VTE risk stratification for all patients.…

Health-Related Web Searches: Examining Quality

Most adults in the United States seek health information online, and many report that these searches influence their health-related decisions. About two-thirds of people who obtain health information online begin their inquiries through popular search engines. “The potential problem with this approach is that patients may receive inaccurate or misleading results from these queries,” says Christopher A.…

Standards for Child Surgical Care

Studies indicate that newborns and children who undergo surgery in environments with pediatric expert resources have better outcomes, fewer complications, and shorter hospital stays when compared with those cared for at non-specialized centers. “Millions of children undergo surgery in the United States each year, but some of these patients receive surgical care in environments that are not matched to their needs,” says Keith T.…

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Presiding Over The Death of a Child

I also know that what I just wrote is a rationalization of my own cowardice and inability to give comfort in the face of sudden loss.

I Am Not a Patient Advocate

"In the end, it’s not about the patient—it’s about the integrity of the work. The patient’s recovery is a happy side effect."

Anesthesia vs. Surgery: Can’t We All Just Get Along?

"Anesthesia is one of the few specialties that you must consult and work with but have no control over who is assigned to your cases. "

NEWS BRIEFS

Smart Knife Detects Cancer Cells During Tumor Surgery

An “intelligent knife” that can immediately determine whether tissue is healthy or cancerous was 100% accurate in the first study to test the device in the operating room.

Known as the iKnife, the innovative tool combines electrosurgery with rapid evaporative ionization mass spectrometry.…

Avoiding Readmission After CABG

Researchers from New York suggest that readmissions after CABG may be reduced through careful postoperative surveillance for risk factors and frequent causes of readmission. The study team found that cardiac and pulmonary complications, including pleural effusions, were frequent reasons for readmission.…

Surviving Surgery After Early Stage Breast Cancer

Among patients with early stage breast cancer, breast-conserving therapy with radiation appears to be associated with a better disease-specific survival (DSS) when compared with mastectomy. A large investigation revealed that DSS results were greater among women aged 50 and older with hormone receptor (HR)-positive disease than for younger women with HR-negative disease.…

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