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Primary Care/Hospitalist

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  • Pilot program slashes colorectal SSIs by 33%

    A patient safety team including researchers in the Johns Hopkins Armstrong Institute for Patient Safety and Quality reported a one-third cut in the rate of costly and potentially lethal surgical site infections (SSIs) following colorectal operations after requiring use of a simple safety checklist and urging caregivers to speak up if they see potentially unsafe practices.
  • Codeine & tonsillectony can be a lethal mix

    The Food and Drug Administration (FDA) is reviewing reports of children who developed serious adverse effects or died after taking codeine for pain relief after tonsillectomy and/or adenoidectomy for obstructive sleep apnea syndrome.
  • Same-Day Surgery Manager: Are staff happy, and do you care? You should

    I admit to being more concerned about the above than what is happening with my own staff in my own centers. Deliberate? No. I just don't think of checking on my own staff members to see if their needs are met. I am paying them and providing benefits. Isn't that enough? What else do they need?
  • To ED or Not to ED

    Elderly nursing home patients who were sent to an emergency department for evaluation were 2-4 times more likely than patients who remained at the nursing home to develop an acute respiratory or gastrointestinal infection within the next week.
  • Clinical Briefs By Louis Kuritzky, MD

    In its most recent guidance regarding colon cancer screening (CCS), the American Cancer Society iterated a new position on choice of tests, basically stating that "the best test is the test you can get done."
  • Internal Medicine Alert - Full March 29, 2012 Issue in PDF

  • Effect of Elevated Blood Pressure on Lifetime Risk for Cardiovascular Disease

    Individuals who experienced increases in blood pressure in middle age have an associated higher remaining lifetime risk for cardiovascular disease (CVD), especially if untreated. Decreases in an elevated blood pressure in middle age will result in a significant lowering of the remaining lifetime risk for CVD.
  • Ivermectin Lotion 0.5% (Sklice™)

    A new topical preparation for the treatment of head lice has been approved by the FDA. Ivermectin is a macrocyclic lactone antibiotic that has been used orally both on and off label for head lice since 2001. This new formulation is a topical lotion (oral invermectin is not approved in the United States). It is manufactured by DPT Laboratories and is distributed by Sanofi Pasteur, Inc., as Sklice.
  • Where's the Beef?

    These studies support inclusion of beef in heart-healthy diets.
  • Patients Placed in Contact Isolation Are at Increased Risk for Delirium

    This retrospective study of all non-psychiatric patients admitted to an academic medical center found that although those placed in contact isolation from the time of admission had no increased risk for delirium, patients moved into isolation after admission were twice as likely to develop delirium during the hospital stay.