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CDC: Naloxone Prescribing Has Increased, Still Room for Improvement
While prescriptions for naloxone have increased markedly in recent years, researchers at the CDC report that the overdose reversal drug is not prescribed enough in many areas of the country that need it most. Further, the agency reports that too few physicians are prescribing naloxone in accordance with the CDC’s Guideline for Prescribing Opioids for Chronic Pain.
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Study: Nurses at Higher Risk of Suicide Than General Population
Investigators reported that nurses are at significantly higher risk of suicide than the general population. Many issues common to nursing contribute to symptomatic stress, including conflict in the workplace, lateral violence, a hefty workload, blame for a negative outcome, and witnessing death repeatedly.
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CMS Aims to Slash Inappropriate Use of Advanced Diagnostic Imaging
Beginning in January 2020, the Centers for Medicare & Medicaid Services will require healthcare providers to consult appropriate use criteria through a qualified decision support mechanism before ordering advanced diagnostic imaging tests for Medicare patients.
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Michigan EDs Collaborate to Reduce Excess Use of Certain Imaging Tests
The Michigan Emergency Department Improvement Collaborative has identified low-value imaging as one area that is ripe for improvement across many of its sites. The group is developing and implementing interventions that will improve practice in this area.
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Unique Approach Helps Address Volume, Higher-Acuity Patient Challenges
A multifaceted triage process is credited with helping a California-based ED slash turnaround times and the left-without-treatment rate without requiring additional spending or resources. The approach integrates elements of the provider-in-triage and split-flow models while also using waterfall-style shifts for certain physician/nurse teams.
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Sports-Related Concussion
Concussion is now known to be a significant public health issue, with high rates of emergency department visits and hospitalizations. Much of the current concern surrounding concussions revolves around recognition, early diagnosis, treatment modalities, return-to-play, and prevention of recurrent concussions.
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Are the Changes New, Recent, or Old?
Imagine examining the ECG in the figure below without any accompanying clinical information. How would one interpret this tracing? What might one suspect is going on?
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Imipenem, Cilastatin, and Relebactam Injection (Recarbrio)
The FDA has approved a new antibacterial drug combination for complicated urinary tract infections and complicated intra-abdominal infections.
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Hot Beverages and Esophageal Cancer
In a cohort of more than 50,000 people, there was a higher risk of esophageal squamous cell carcinoma in those who consumed higher quantities of mostly black tea at hotter temperatures.
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Reducing Mortality in Stable Ischemic Heart Disease Patients
A multivariate analysis of a large registry of patients with stable ischemic heart disease revealed that beta-blocker use was associated with lower mortality only when prescribed in the first year after acute myocardial infarction.