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Authors: Clarke H et al., BMJ 2014 Feb 11; 348:g1251 A small but substantial percentage of opiate-naïve patients were still taking pain medications 90 days after major surgery. Annually, more than 200 million patients undergo major surgery worldwide. Many patients require treatment with opiates for moderate-to-severe postoperative pain; most quickly transition off of pain medications. […]
Read MoreAuthors: Paul R et al., Pediatrics 2014 May 1; 133:e1358 A quality improvement initiative resulted in sustained near-perfect adherence to guidelines. In a prospective cohort study, investigators compared adherence to Pediatric Advance Life Support (PALS) sepsis guidelines before and during a quality improvement intervention at a Boston pediatric hospital. The intervention included education, use of […]
Read MoreOnabotulinumtoxinA (Botox, Allergan Inc) continues to relieve migraine headache when given over the long term, according to a retrospective analysis of patients with chronic migraine treated for 9 treatment cycles, 12 weeks apart. “Doctors can now tell their patients that Botox is a safe and effective treatment for chronic migraine, with data now reported over […]
Read MoreA novel extended-release formulation of oxycodone and naloxone in a fixed 2:1 ratio (OXN, Purdue Pharma) may be useful as an abuse-deterrent formulation (ADF) option in the treatment of opioid-experienced patients with chronic low back pain. “Chronic low back pain is a huge public health problem,” Jerry A. Green, MD, from Purdue Pharma, LP, Stamford, […]
Read MoreAuthors: Clarke H et al., BMJ 2014 Feb 11; 348:g1251 A small but substantial percentage of opiate-naïve patients were still taking pain medications 90 days after major surgery. Annually, more than 200 million patients undergo major surgery worldwide. Many patients require treatment with opiates for moderate-to-severe postoperative pain; most quickly transition off of pain medications. […]
Read MoreErrors slow productivity and frustrate everyone. So it’s tempting to chastise or quickly terminate employees who repeatedly make mistakes. But don’t be so quick with that trigger finger. Employees make slip-ups for different reasons—miscommunication, carelessness, lack of training, unfamiliarity with the process and more. Good management means finding out why mistakes occur. First, determine the […]
Read MoreIt’s never easy for managers to confront an employee whose performance is slipping or who has begun making more mistakes. That’s why so many supervisors take a head-in-the-sand approach to slip-ups. One recent survey said only 31% of U.S. employees agreed with the statement that “My manager confronts poor performance.” Confrontation is necessary—for the employee […]
Read MoreAuthors: Leonard JR et al., Pediatrics 2014 May 1; 133:e1179 Risk for death is highest in children with significant concomitant injuries. Researchers examined characteristics of pediatric cervical spine injuries in a secondary analysis of children younger than 16 years treated at 17 pediatric hospitals in the Pediatric Emergency Care Applied Research Network (PECARN). Of 540 […]
Read MoreAuthors: Fakih MG et al., Ann Emerg Med 2014 Mar 20; Guidelines and education reduce unnecessary catheterizations. Catheter-associated urinary tract infection (CAUTI) is the most common healthcare-associated infection, with greater than 560,000 nosocomial cases annually. Investigators recently assessed the effects of an intervention designed to decrease CAUTI risk by reducing inappropriate urinary catheterization. The intervention, […]
Read MoreAuthors: Vos JJ et al., Br J Anaesth 2014 Apr 15; The device is a reasonable substitute for traditional cuff monitoring but is not a replacement for invasive monitoring. New devices offering continuous, noninvasive arterial pressure monitoring compare favorably with intermittent, automated cuff measurement (NEJM JW Emerg Med Mar 11 2014), but how do they […]
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