Clinical, patient experience and cost impacts of performing active surveillance on known methicillin-resistant Staphylococcus aureus positive patients admitted to medical-surgical units

Goldsack JC, DeRitter C, Power M, Spencer A, Taylor CL, Kim SF, Kirk R, Drees M Am J Infect Control 2014 Oct;42(10):1039-43 PMID: 25278390 Abstract BACKGROUND: There is a large and growing body of evidence that methicillin-resistant Staphylococcus aureus (MRSA) screening programs are cost effective, but such screening represents a significant cost burden for hospitals.

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Vessel perforation during withdrawal of Trevo ProVue stent retriever during mechanical thrombectomy for acute ischemic stroke

Leishangthem L, Satti SR J. Neurosurg. 2014 Oct;121(4):995-8 PMID: 24926655 Abstract The authors report a case of an intracranial extravasation during the withdrawal of a Trevo ProVue stent retriever device in a patient being treated for acute ischemic stroke. An 82-year-old woman developed sudden left hemiparesis and aphasia during an urgent cardiac catheterization procedure for

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Interunit handoffs of patients and transfers of information: a survey of current practices

Kessler C, Scott NL, Siedsma M, Jordan J, Beach C, Coletti CM Ann Emerg Med 2014 Oct;64(4):343-349.e5 PMID: 24910108 Abstract STUDY OBJECTIVE: We describe the current state of emergency department to inpatient handoffs and assess handoff best practices between emergency physicians and hospitalist medicine physicians. METHODS: A survey was distributed electronically to emergency medicine and

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Overall ED efficiency is associated with decreased time to percutaneous coronary intervention for ST-segment elevation myocardial infarction

Jones CW, Sonnad SS, Augustine JJ, Reese CL Am J Emerg Med 2014 Oct;32(10):1189-94 PMID: 25130569 Abstract BACKGROUND: Performance of percutaneous coronary intervention (PCI) within 90 minutes of hospital arrival for ST-segment elevation myocardial infarction patients is a commonly cited clinical quality measure. The Centers for Medicare and Medicaid Services use this measure to adjust

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Causal inference for community-based multi-layered intervention study

Wu P, Gunzler D, Lu N, Chen T, Wymen P, Tu XM Stat Med 2014 Sep;33(22):3905-18 PMID: 24817513 Abstract Estimating causal treatment effect for randomized controlled trials under post-treatment confounding, that is, noncompliance and informative dropouts, is becoming an important problem in intervention/prevention studies when the treatment exposures are not completely controlled. When confounding is

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The development of a validated checklist for femoral venous catheterization: preliminary results

Riesenberg LA, Berg K, Berg D, Davis J, Schaeffer A, Justice EM, Tinkoff G Am J Med Qual 2014 Sep-Oct;29(5):445-50 PMID: 24045368 Abstract Femoral venous catheterization is a common, invasive procedure, which may lead to serious complications. Validated checklists are central to teaching and assessing procedural skills and may result in improved health care quality.

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Maternal activity restriction in pregnancy and the prevention of preterm birth: an evidence-based review

McCarty-Singleton S, Sciscione AC Clin Obstet Gynecol 2014 Sep;57(3):616-27 PMID: 25022998 Abstract Activity restriction is one of the most common practices used for the prevention of preterm birth. Despite the lack of evidence to support the efficacy of activity restriction, and newer data that highlight potential harms to the mother, the intervention is still prescribed.

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Failure mode and effects analysis of the universal anaesthesia machine in two tertiary care hospitals in Sierra Leone

Rosen MA, Sampson JB, Jackson EV, Koka R, Chima AM, Ogbuagu OU, Marx MK, Koroma M, Lee BH Br J Anaesth 2014 Sep;113(3):410-5 PMID: 24833727 Abstract BACKGROUND: Anaesthesia care in developed countries involves sophisticated technology and experienced providers. However, advanced machines may be inoperable or fail frequently when placed into the austere medical environment of

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Endovascular recanalization of native chronic total occlusions in patients with failed lower-extremity bypass grafts

Wrigley CW, Vance A, Niesen T, Grilli C, Velez JD, Agriantonis DJ, Kimbiris G, Garcia MJ, Leung DA J Vasc Interv Radiol 2014 Sep;25(9):1353-9 PMID: 25060042 Abstract PURPOSE: To investigate the feasibility, safety, and outcome of endovascular recanalization of native chronic total occlusions (CTOs) in patients with failed lower-extremity bypass grafts. MATERIALS AND METHODS: Retrospective

Continue reading Endovascular recanalization of native chronic total occlusions in patients with failed lower-extremity bypass grafts