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Surgery General

Using Readbacks to Enhance Patient Safety

Oct 03, 2013

Normal readback orders have been recommended as a patient safety initiative for physicians, surgeons, and staff in order to reduce the incidence of perioperative complications that can result from ve...

Optimizing Pre-Op Assessments of Geriatric Surgical Patients

Oct 03, 2013

The percentage of Americans aged 65 and older is projected to more than double between 2010 and 2050. In 2006, 35% of inpatient and 32% of outpatient surgical procedures were performed in the elderly,...

IDWeek 2013: Fecal Transplantation in a Pill?

Oct 03, 2013

The Particulars: Studies have suggested that fecal transplantation is effective in about 90% of patients with recurrent Clostridium difficile infection (CDI). This treatment strategy involves rebalanc...

Examining an Innovative Treatment for BPH

Oct 02, 2013

Globally, more than 110 million men suffer from benign prostatic hyperplasia (BPH), a condition associated with frequent urination during the day and night, trouble urinating, and/or urinary retention...

Greenlight HPS – Prostate After Brachytherapy

Sep 30, 2013

The video presents a greenlight HPS photoselective vaporization of the prostate after brachytherapy. Source:  Nikos Bafaloukas, MD, PhD...

Progress Elusive for New Antibiotics

Sep 30, 2013

There has been a desperate need for new antibiotics to treat infections caused by multidrug-resistant gram-negative bacilli (GNB) bacteria. In 2010, the Infectious Diseases Society of America (IDSA) l...

Examining a Protocol for Transfusing Plasma to Severely Injured Patients

Sep 25, 2013

Patients with a trauma-induced coagulopathy account for more than half of hemorrhagic deaths in the United States. About 25% of severely injured patients are already coagulopathic and thrombocytopenic...

Taking Aim at Physician Impairment

Sep 18, 2013

When a critical event occurs in professions other than medicine, detailed investigations are conducted to examine systematic and individual factors that caused or contributed to the event. While these...

Career Plans Among Internal Medicine Residents

Sep 17, 2013

General internists are expected to play a pivotal role in providing healthcare as the population ages, the burden of chronic disease grows, and healthcare reform tries to improve coverage for million...

Guideline Recommendations for Prosthetic Joint Infections

Sep 10, 2013

Research shows that as many as 20,000 of the nearly 1 million total hip arthroplasty (THA) and total knee arthroplasty (TKA) procedures performed in the United States result in a prosthetic joint infe...

Guidelines for CT Use in Lung Cancer Screening

Sep 05, 2013

In August 2011, results of the National Lung Screening Trial (NLST) were published in the New England Journal of Medicine. The study found that low-dose CT (LDCT) screening correlated with a reduction...

Predicting Prolonged Opioid Use After Surgery

Sep 05, 2013

Opioid drug use in patients with chronic pain has been linked to psychological distress and substance abuse. Studies suggest that these factors are often more influential than the intensity of pain pa...

Patient Safety & Pain Management

Sep 04, 2013

According to current estimates, more than 76 million people in the United States suffer from chronic or acute pain. Opioid analgesics are a widely accepted treatment for severe acute pain, but use of ...

Innovative Techniques to Address Bariatric Surgery Complications

Aug 27, 2013

Millions of patients find it extremely difficult to achieve durable weight loss without medical intervention. Many opt for bariatric surgery to achieve a healthier weight, but up to 30% of patients wh...

Functional Outcomes After Treatment for Prostate Cancer

Aug 26, 2013

Studies have shown that patients with localized prostate cancer have favorable long-term overall survival rates and cancer-specific survival regardless of the treatment that is selected. Few prospecti...

Decreasing 30-Day Morbidity Rates in Surgery Patients

Aug 16, 2013

Numerous studies have demonstrated that 30-day postoperative complications resulting from unintended harm adversely affect patients and their families and increase institutional healthcare costs. Seve...

Wide Variation in Blood Transfusion Use

Aug 15, 2013

Current clinical guidelines from three medical societies suggest that the hemoglobin threshold for blood transfusions during surgery should be 7 g/dl or 8 g/dl. These guidelines also note that patient...

UA/NSTEMI: A Guideline Update

Aug 14, 2013

Following the recent FDA approval of new medications to reduce cardiovascular death and heart attack in patients with acute coronary syndromes (ACS) and developments in the literature, the American Co...

Gastric Bypass Surgery for Mild Obesity in Diabetics

Jul 30, 2013

In 2003, a study of more than 1,000 patients who underwent gastric bypass found that one-third of those with diabetes at baseline had normal blood sugars after their surgery and didn’t need medicati...

Improving Skills With Surgical Simulation

Jul 22, 2013

Requirements for surgical proficiency are generally based on an absolute number of procedures completed, but the pace at which people are trained or become proficient in a procedure tends to be highly...

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