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March 2018 Briefing – Critical Care

March 2018 Briefing – Critical Care
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Here are what the editors at HealthDay consider to be the most important developments in Critical Care for March 2018. This roundup includes the latest research news from journal articles, as well as the FDA approvals and regulatory changes that are the most likely to affect clinical practice.

Novel Interstitium Has Been Identified in Human Tissues

THURSDAY, March 29, 2018 (HealthDay News) — A previously unrecognized interstitium has been identified in human tissues, according to a study published online March 27 in Scientific Reports.

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EHR Usability Contributes to Possible Patient Harm Events

TUESDAY, March 27, 2018 (HealthDay News) — Electronic health record (EHR) usability may contribute to possible patient harm events, according to a research letter published in the March 27 issue of the Journal of the American Medical Association.

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Condition Readmission Measures Don’t Reflect Overall Quality

TUESDAY, March 27, 2018 (HealthDay News) — Current publicly reported measures may not be good surrogates for overall hospital quality related to 30-day readmissions, according to a study published online March 27 in the Annals of Internal Medicine.

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Ethical Duties ID’d for Short-Term Global Health Experiences

MONDAY, March 26, 2018 (HealthDay News) — In a position paper published online March 27 in the Annals of Internal Medicine, ethical obligations have been detailed for physicians participating in short-term global health experiences (STEGHs).

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Lean Approach May Help Tackle Burnout in Health Care Providers

FRIDAY, March 23, 2018 (HealthDay News) — The Lean approach, which emphasizes reducing waste and improving customer value by focusing on the big picture, can be used to address physician burnout, according to a report published in Medical Economics.

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Unique Risks Associated With Texting Medical Orders

THURSDAY, March 22, 2018 (HealthDay News) — Despite the popularity, convenience, and speed of texting medical orders, there are unique and alarming risks associated with the practice, according to a report published in Drug Topics.

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Higher Myocardial Infarction Care Payments Improve Mortality

THURSDAY, March 22, 2018 (HealthDay News) — Higher 30-day payments for acute myocardial infarction (AMI) care for both inpatient care and in multiple settings after discharge are associated with lower 30-day mortality among Medicare beneficiaries, according to a study published online March 12 in Circulation: Cardiovascular Quality and Outcomes.

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Adjuvant Long-Acting Muscarinic Antagonist Improves Asthma

WEDNESDAY, March 21, 2018 (HealthDay News) — For patients with persistent asthma, the use of long-acting muscarinic antagonists (LAMAs) versus placebo as an adjunct to inhaled corticosteroids, and combined use of inhaled corticosteroids and long-acting β-agonists (LABAs), termed single maintenance and reliever therapy (SMART), are associated with a reduced risk of exacerbations, according to two reviews published online March 19 in the Journal of the American Medical Association.

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Blueprint Being Developed to Address Physician Burnout

WEDNESDAY, March 21, 2018 (HealthDay News) — A new, three-pronged approach is being applied to develop a blueprint for addressing physician burnout, according to a report published in Medical Economics.

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Personal Health Info Found in Recycling at Five Hospitals

TUESDAY, March 20, 2018 (HealthDay News) — A considerable amount of personal health information (PHI) and personally identifiable information (PII) was found in the recycling at five Canadian teaching hospitals, according to a research letter published in the March 20 issue of the Journal of the American Medical Association.

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Decision Characteristics Impact Decision Making in NICU

TUESDAY, March 20, 2018 (HealthDay News) — For parents with an infant in the neonatal intensive care unit (NICU), preferences for parent-centered decision making are positively associated with decisions that involve big-picture goals and have the potential to harm the infant, according to a study published online March 19 in JAMA Pediatrics.

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Prior Authorization Negatively Impacts Clinical Outcomes

MONDAY, March 19, 2018 (HealthDay News) — The burdens associated with prior authorization (PA) are high and include a negative impact on clinical outcomes, reported by 92 percent of physicians, according to the results of a survey conducted for the American Medical Association (AMA).

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Costs Up for Neonates With Vocal Fold Motion Impairment

MONDAY, March 19, 2018 (HealthDay News) — For neonates undergoing congenital heart surgery (CHS), vocal fold motion impairment (VFMI) is associated with increased costs due to increased post-procedure length of stay (PPLOS), according to a study published online March 15 in JAMA Otolaryngology-Head & Neck Surgery.

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Burn Deaths Down From 1989 to 2017 in the United States

THURSDAY, March 15, 2018 (HealthDay News) — Burn injury survival has dramatically increased over the past 30 years, according to a study published online March 9 in the Journal of the American College of Surgeons.

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Gut Bacteria May Be Tied to Brain Dysfunction From Sepsis

THURSDAY, March 15, 2018 (HealthDay News) — Gut bacteria may be tied to sepsis-related brain dysfunction, according to a study published recently in the American Journal of Respiratory and Critical Care Medicine.

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U.S. Spends Twice As Much for Similar Health Care Utilization

TUESDAY, March 13, 2018 (HealthDay News) — Spending on health care is much higher in the United States than other high-income countries, but utilization rates are similar, according to a study published in the March 13 issue of the Journal of the American Medical Association.

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Three-Pronged Approach Can Improve Physician Engagement

MONDAY, March 12, 2018 (HealthDay News) — The three-pronged approach implemented by one practice successfully improved physician engagement, according to an article published in Medical Economics.

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Severity of Nonfatal Firearm Injuries Increased, 1993 to 2014

FRIDAY, March 9, 2018 (HealthDay News) — The severity of hospitalized firearm injuries increased significantly from 1993 to 2014, according to a study published online Feb. 13 in Trauma Surgery & Acute Care Open.

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Backrest Elevation Has No Effect on Sacral Tissue Integrity

FRIDAY, March 9, 2018 (HealthDay News) — Level of backrest elevation is not associated with changes in tissue integrity among critically ill patients receiving mechanical ventilation, according to research published online March 1 in the American Journal of Critical Care.

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Many PICCs Placed Have Dwell Time of No More Than Five Days

WEDNESDAY, March 7, 2018 (HealthDay News) — About 25 percent of peripherally inserted central catheters (PICCs) placed have a dwell time of five days or less, and almost 10 percent of patients with a short-term PICC experience a complication, according to a study published in the February issue of the Journal of Hospital Medicine.

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Pediatric Opioid-Related Hospital, ICU Admissions on the Rise

MONDAY, March 5, 2018 (HealthDay News) — Nationally, the rate of hospitalization and pediatric intensive care unit (PICU) admission for opioid ingestions increased from 2004 to 2015, according to a study published online March 5 in Pediatrics.

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Dexmedetomidine Found to Prevent Delirium in Critically Ill

MONDAY, March 5, 2018 (HealthDay News) — Low-dose dexmedetomidine significantly reduces delirium in critically ill adults, according to a study published online March 2 in the American Journal of Respiratory and Critical Care Medicine.

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Shared Decision-Making Beneficial for Destination Therapy LVAD

FRIDAY, March 2, 2018 (HealthDay News) — A shared decision support intervention is beneficial for patients considering destination therapy left ventricular assist device (DT LVAD) placement, according to a study published online Feb. 26 in JAMA Internal Medicine.

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Bystander Defibrillation Improves Outcome for Public Cardiac Arrest

THURSDAY, March 1, 2018 (HealthDay News) — Bystander automated external defibrillator use in shockable observed public out-of-hospital cardiac arrest (OHCA) is associated with improved survival and functional outcomes, according to a study published online Feb. 26 in Circulation.

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CPAP Non-Adherence Tied to CV, All-Cause Hospital Readmissions

THURSDAY, March 1, 2018 (HealthDay News) — Non-adherence to continuous positive airway pressure (CPAP) is tied to higher rates of hospital readmission for patients with obstructive sleep apnea (OSA), according to a study published in a recent issue of the Journal of Clinical Sleep Medicine.

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