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An integrated system assisted providers at five orthopedic clinics in integrating video-based decision aids to support shared decision-making (SDM) into the care of potential candidates for joint replacement surgery. Group Health Cooperative, a Seattle-based system that provides care and coverage to more than 600,000, distributed decision aids to a portion of eligible patients, mostly the best surgical candidates. It was associated with significant reductions in surgery rates and overall healthcare costs among all potential joint replacement candidates.
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A systematic review and meta-analysis found that the healthcare-associated pneumonia concept was based on low-quality evidence confounded by publication bias and does not accurately identify antibiotic resistant pathogens.
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Recommendations for immunization of adults have been updated.
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At the dawn of this century, world leaders signed a Millennium Declaration with the target of reaching eight specific health-related goals by 2015.
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In a Boston-based survey of travelers, 19% of individuals who were born in, had lived in, or traveled to dengue-endemic countries showed serologic evidence of previous dengue infection.
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Researchers at University of California, San Diego School of Medicine report a three-fold increase in the use of minimally invasive surgery (MIS) nationally for patients with pancreatic disease. Although adaptation of MIS for this difficult-to-reach gland is recent, the growing trend points to improved patient outcomes, such as reduced bleeding and infections.
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As a result of an investigation by the Centers for Disease Control and Prevention (CDC) into a recent outbreak of carbapenem-resistant Enterobacteriaceae (CRE), Advocate Lutheran General Hospital in Park Ridge, IL, changed endoscopic retrograde cholangiopancreatography (ERCP) endoscope reprocessing from automated high-level disinfection to gas sterilization in September 2013.