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Vasopressin Use in Septic Shock
Current management of septic shock includes early administration of intravenous fluids, antimicrobial agents, and vasopressor support. While norepinephrine is recommended as the first-line vasopressor for septic shock in the 2016 Surviving Sepsis Campaign guidelines, vasopressin is a second-line vasopressor option that may be added.
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A Review of Atrial Fibrillation and Current Therapeutic Strategies: Part 1
This two-part series presents a review of the current evidence on atrial fibrillation. The first part includes its definition, classification, risk factors, comorbidities, evaluation, and acute management of newly diagnosed patients. The second part will focus on long-term management, including risk factor modification, rate and rhythm control measures, stroke risk stratification, and anticoagulation management.
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Appellate Court Finds Expert’s Affidavit Sufficient Evidence of Triable Issue of Fact
A motion for summary judgment was inappropriate here because of the expert’s substantive affidavit. This expert provided more than a simple declaration stating that the expert was retained and would eventually opine; this expert, who was appropriately qualified, offered a specific opinion on issues of the standard of care, delays in diagnosing and treatment, and deviations of the standard of care.
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Court of Appeals: Plaintiffs Failed to Present Issue of Fact by Not Using Expert Testimony
This case reveals lessons in substance and legal procedure, as the defendant hospital and physicians successfully defeated the medical malpractice claim in multiple forums and prior to the need for a jury.
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Cyber Risks Will Continue to Grow in 2020
With cybersecurity, one of the biggest patient safety threats is ransomware. Ransomware attacks have become easier to launch, and attackers increasingly are targeting smaller healthcare organizations where cyberdefenses may be less sophisticated and employees less savvy about how to spot threats.
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When Will the Next Emerging Infection Hit?
While infection preventionists get caught up in day-to-day concerns of a multifaceted job, there is always the threat of an emerging infection one plane ride away from virtually anywhere on the globe.
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New Approach Needed to Address Workplace Violence
Workplace violence occurs at rates more than four times higher than in other industries. Patients and family are under stress, and often take it out on the physicians, nurses, and other employees. Any solution must begin with collecting data on how violent incidents occur, including near misses.
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2020 to Bring More Focus on Patient Safety, Technology Solutions
Patient safety will be the primary concern for risk managers in 2020 as government regulators and accrediting bodies continue to raise their expectations in this area for healthcare organizations, several experts predict.
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Routine Drug Prophylaxis in Dentistry Usually Unnecessary, May Cause Patient Harm
With antibiotic stewardship now required in hospitals and increasingly normalized in other healthcare settings, dental offices are something out of an outlier.
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‘No Comment’ Is Never the Right Response
When something has gone wrong and your hospital or health system is under scrutiny, it may seem the simplest response is to say nothing. But that can be a huge mistake, because “no comment” never looks good.