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Best Career Moves in QI Involve Patient Safety, Leadership
The role of quality improvement professionals continues to evolve, and that means career advancement will depend on having the right training and credentials. -
How a Hospital Went From ‘F’ to ‘A’ in Leapfrog Scores
That first “F” was a bit of a reality check, says Katrina S. Shelby, JD, MBA, associate hospital administrator for quality and accreditation at Arrowhead Regional Medical Center in Colton, CA.
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Five Steps to an Improved CMS Star Ratings System
The methodology CMS uses for hospital star ratings on the Hospital Compare website could be improved if the agency makes five key adjustments, suggests David Levine, MD, FACEP, senior vice president for advanced analytics and informatics with Vizient. -
Pediatric Abdominal Ultrasound: A Comprehensive Guide to Making the Diagnosis — Part II
Ultrasound is evolving rapidly as the ideal imaging modality for many common pediatric complaints. In the second part of this series, the authors discuss point-of-care use of ultrasound for concerns regarding the kidneys, ovaries, testicles, gallbladder, and small bowel obstruction. The ability to make critical diagnoses safely and rapidly with ultrasound is an invaluable clinical tool to facilitate and improve pediatric care.
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All About Cesarean Delivery
A collection of articles and letters to the editors suggests that postpartum ultrasound evaluation of uterine wall thickness is of little value in predicting uterine wall complications in subsequent pregnancies, that two-layer closure of the uterus during cesarean delivery probably is better than single-layer closure, and that staple closure of the skin in patients with three or more previous cesarean deliveries is associated with more wound complications than suture closure.
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Is Human Placentophagy Safe? What Patients Should Know
In this cross-sectional study of U.S. women who delivered at home or at a birth center, 30.8% consumed their placenta, and, of those, 58% consumed the placenta in a raw form. The most common reason for consuming placenta was to prevent or treat postpartum depression. There was no association between placentophagy and neonatal hospitalization or death within six weeks of birth.
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Recommendations for Surgical Treatment of Pelvic Organ Prolapse
This is a summary of the 2017 International Consultation on Incontinence recommendations for surgical treatment of pelvic organ prolapse.
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Management of Pain Associated With Intrauterine Device Placement
With long-acting reversible contraceptive methods (intrauterine devices and implants) showing an increased proportion of users each year at the expense of permanent and short-acting hormonal methods, it makes sense to consider how best to improve the IUD placement experience, particularly for young nulliparous women.
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Medical Center Says CMS Star Ratings Miscalculated
The Centers for Medicare & Medicaid Services (CMS) disputes the findings, but two industry professionals who helped the medical center conduct the analysis tell Hospital Peer Review that CMS weighted specific categories more heavily than others, skewing the overall ratings.
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Is Intoxicated Patient ‘Just Another Drunk,’ or Someone With Unsuspected Critical Illness?
About 1% of patients who arrived to the ED for uncomplicated alcohol intoxication required critical care resources during their encounter, according to a recent study.