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The Agency for Healthcare Research and Quality (AHRQ) in Rockville, MD, has unveiled a clinical decision-support tool for personal digital assistants (PDAs) that is designed to help clinicians deliver evidence-based medicine at the point of care. AHRQs new Pneumonia Severity Index Calculator is an interactive application for Palm Pilots and other PDAs to help physicians decide whether to hospitalize patients with community-acquired pneumonia (CAP). This is the first of what AHRQ anticipates will be several such clinical decision support tools for PDAs.
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While The Leapfrog Groups ambitious campaign to improve patient safety in hospitals has sparked national awareness, few hospitals are close to meeting the groups standards for computerized prescriptions, specially trained intensive care unit (ICU) physicians, and volume thresholds for certain high-risk procedures, according to a study released by the Center for Studying Health System Change (HSC).
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Kiefer D. Goldenseal and the common cold: Is there any evidence? Altern Med Alert 2004;7(5):55-58.
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Greenfield RH. Acupuncture for chronic headache. Altern Med Alert 2004;7(5):58-59.
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Soy as part of a healthy diet. Altern Med Alert 2004;7(Suppl 5):S1-S4.
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Before Virtua Health instituted a Six Sigma project to improve its congestive heart failure program, the hospital systems average length of stay (LOS) was 6.5 days, compared with the Medicare benchmark of 4.2 days. After a pilot project at one of the Marlton, NJ-based nonprofit health care providers four hospitals, the LOS dropped to four days with a savings of $116,000 per year in staff and room costs.
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For case managers working in an acute-care environment, advocacy is a fundamental principle of the services they provide. Advocacy may be described simply as wanting, getting, and doing what is in the best interest of the patient and the family. In practice, however, case managers find themselves acting as advocates not only for the patient and family but for the hospital and provider of care as well.
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A new preadmission program at the University of California (UC) Davis Health System is building a stronger link between hospital and physicians office and identifying issues much earlier in the process issues that might affect length of stay (LOS).
