Articles Tagged With:
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Fair Hearing Process Can Require Outside Help
Exactly when an “investigation” begins under hospital bylaws can be crucial in the peer review process, says John C. Ivins Jr., JD, partner with the Hirschler Fleischer law firm in Richmond, VA.
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Four Rules to Follow in Peer Review
Hospitals can avoid legal liability in the peer review process by following four fundamental “do’s and don’ts,” says Karen Owens, JD, an attorney with Coppersmith Brockelman in Phoenix.
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Legal Risks Abound in Peer Review; Good Process Required
Peer review is vital for ensuring quality care and compliance with standards, but it also brings a wide range of legal liability risks. Adopting the right peer review policies and procedures is only a start; one also must ensure that all parties are following them to the letter.
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The Latest in Genetic Screening for Gynecologic Malignancies
Genetic testing is changing rapidly. With the advent of more sophisticated genetic mutation panels, it is important that providers of women’s healthcare consider appropriate referral and testing for those women at increased risk of malignancy.
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Breast MRI Exams Increase the Biopsy Rate Without Improving Cancer Detection
Compared to women who undergo breast cancer screening with mammography alone, those receiving MRI exams experience a two- to fivefold increased rate of core and surgical biopsy. However, the biopsies have a lower cancer yield rate than mammography alone.
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Obesity and Prolapse: Are They Related?
Women with a body mass index in the overweight and obese range are more likely to experience pelvic organ prolapse compared to women in the normal range.
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Induction of Labor at 39 Weeks
Inducing low-risk obstetrical patients at 39 weeks may be associated with lower rates of cesarean delivery and the need for neonatal respiratory support.
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ECMO vs. Prone Position in ARDS: The Curious Rejection of Evidence-based Practice
Despite credible evidence from a large, randomized, controlled trial and numerous meta-analyses demonstrating improved outcomes, prone position is seldom attempted prior to initiating extracorporeal membrane oxygenation to treat severe acute respiratory distress syndrome.
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Critical Illness-related Corticosteroid Insufficiency: What’s New?
For critically ill patients with sepsis, septic shock, acute respiratory distress syndrome, and major trauma, a multispecialty task force of 16 international experts developed evidence-based recommendations for the diagnosis of corticosteroid insufficiency and use of corticosteroids in the ICU.
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A Perspective on PEEP at 50 Years
Fifty years ago, positive end-expiratory pressure (PEEP) was introduced as an effective technique for improving oxygenation in patients with large intrapulmonary shunt, the hallmark of acute respiratory distress syndrome (ARDS). Although PEEP remains the primary means for stabilizing oxygenation in ARDS, consensus on how to approach setting it remains elusive. This is a narrative review on how our understanding and approach to PEEP has evolved over the past half century.