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Approach to Pediatric Abdominal Pain in the ED: Part II
Abdominal pain is challenging in pediatrics. This two-part series deals with must-not-miss diagnosis and common etiologies of abdominal pain. In this second part, the authors focus on toddlers and older children. -
Hormonal Contraception and HIV: Does DMPA Increase Risk of Transmission?
This special feature includes a review of the evidence for the effect of hormonal and nonhormonal methods on HIV risk.
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Identify and Treat Urologic Injuries at Hysterectomy to Reduce Fistulas
In a large population-based cohort study, genitourinary fistulas were increased significantly if ureteral and/or bladder injuries were not identified and treated at the time of hysterectomy.
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Patients' Views on Adverse Events Following Pelvic Reconstructive Surgery
Patients see poor functional outcomes as severe adverse events following pelvic floor surgery.
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Should Obesity Be a Contraindication to Postpartum Tubal Sterilization?
In this retrospective cohort study of 279 women undergoing postpartum partial salpingectomy after vaginal delivery, the mean operative time for women with a BMI ≥ 30 kg/m2 was only 5.5 minutes longer than the time for women with a BMI < 30 kg/m2.
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Leapfrog Says Patient Safety Measures Improving; Maternity Not So Much
A recent report from the Leapfrog Group and Johns Hopkins found that poor hospital performance on 16 patient safety measures caused more than 161,000 deaths annually, a decrease from 2016. The Spring 2019 Leapfrog Hospital Safety Grades updates the group’s estimate of deaths due to errors, accidents, injuries, and infections, breaking them down by the A through F scores Leapfrog assigns to hospitals. An analysis of 2,600 hospitals reveal that when compared to A hospitals, there was a 92% greater risk of avoidable death at D and F hospitals.
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Work With Community Partners to Develop Solutions for Opioid Use Disorder Patients
While many emergency physicians are reluctant to tackle the issue of addiction, there is growing recognition that EDs offer a huge opportunity to identify patients with opioid use disorders and link them to meaningful care. The obstacles are many, but forward-thinking emergency medicine leaders in regions hit hard by the opioid epidemic are finding paths to success, often in partnership with other agencies or community groups.
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Collaborations Between Health Advocates and Case Managers, Others Can Make a Difference
Case managers and other healthcare providers increasingly are finding that their work includes collaboration and communication with providers and health advocates across the care continuum. For health advocates, these interactions are necessary to help the patient achieve optimal health and function.
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Observe and Take Notes, But Try Not to Judge
Health advocates can collect comprehensive and important information about a patient’s daily life and share the findings with primary care providers. But it can be challenging to walk through someone’s home and listen and observe without judging and wanting to take immediate action.
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How Health Advocates Work With Patients, Case Managers, and Other Resources
A health advocate’s role varies, depending on the patient populations and goals. Health advocates collaborate with the patient’s healthcare team and help everyone reach an agreement on the care transition or any necessary changes.