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Mental Health Crises and Suicide Rates on the Rise
The United States is experiencing a suicide and mental health crisis that national data show is worsening.
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Early Extubation to Noninvasive Ventilation Does Not Reduce Time to Liberation From All Mechanical Ventilation
In this multicenter, randomized, open-label trial of patients who failed a spontaneous breathing trial, those who were extubated to noninvasive ventilation did not have a shorter time to liberation from any form of mechanical ventilation compared to those who were randomized to protocolized standard weaning.
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Thiamine for Septic Shock: Is There a Benefit?
Based on a retrospective review, septic shock patients who were administered thiamine within 24 hours of admission showed improved lactate clearance and reduced 28-day mortality.
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Liberal Oxygen Therapy in the ICU: Time to Change Practice?
Over the last decade, more clinical studies have shown adverse effects of hyperoxia in different patient populations and its association with increased mortality. In a meta-analysis, investigators synthesized data from 25 randomized, controlled trials comparing a liberal oxygen approach to a conservative approach. They included thousands of patients with sepsis, critical illness, stroke, trauma, myocardial infarction, cardiac arrest, and emergency surgery. The authors found that liberal oxygen therapy was associated with increased in-hospital mortality, 30-day mortality, and mortality at longest follow-up. Read on to learn more details about specific subgroups relevant to ICU practice and to see a review of the current data on oxygen therapy in these patients.
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Healthy Nevada Project Delivers Genetic Results to State Residents
The Healthy Nevada Project is moving forward with its population health and personalized medicine initiatives, delivering genetic results to thousands of state residents. -
Patient-Measured Outcomes Could Be Better, Address Burnout
Hospitals and health systems could more effectively address quality improvement by narrowing the metrics used to those that are meaningful and easy to understand, experts say. -
Hospital Work Environments Tied to Quality and Ratings
The working environment of nurses appears to have a correlation with patient safety and quality, with recent research finding that scores improve when hospitals improve working conditions. -
‘Just Culture’ Can Be Applied to Physician Peer Review
Healthcare organizations are finding that the “just culture” concept can be applied to the physician peer review process. The belief is that individuals should not be blamed for performance errors when the real fault may lie with flawed organizational processes. -
Health System Tackles Drop in Productivity After EMR Introduction
A healthcare system with facilities in California, Texas, and New Mexico successfully addressed the drop in productivity and clinician satisfaction that can come with the introduction of a new EMR. -
EMR Effect on Quality of Care Still a Concern, Can Be Addressed
Seventy-one percent of surveyed physicians say EMRs greatly contribute to physician burnout, and 59% say EMRs need “a complete overhaul.”