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Uncategorized Published - 16 September, 2014    By - Dr. Clemens
Management of persistent pain in the older patient: a clinical review

Published in JAMA. 2014 Aug 27;312(8):825-36 Authors: Makris UE et al IMPORTANCE: Persistent pain is highly prevalent, costly, and frequently disabling in later life. OBJECTIVE: To describe barriers to the management of persistent pain among older adults, summarize current management approaches, including pharmacologic and nonpharmacologic modalities; present rehabilitative approaches; and highlight aspects of the patient-physician […]

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Uncategorized Published - 15 September, 2014    By - Dr. Clemens
The AccuVein Does Not Improve Nurse Placement of IVs

Authors: Aulagnier J et al., Published in Acad Emerg Med 2014 Aug 21:858 In a randomized trial, the AccuVein transillumination device did not improve the speed, success rate, or discomfort of peripheral intravenous cannulation. Ultrasound has been shown to be effective in reducing time needed to obtain IV access (NEJM JW Emerg Med Jan 4 […]

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Uncategorized Published - 15 September, 2014    By - Dr. Clemens
5 ways CEOs can actually change hospital culture

I wanted to share this since most of our readers practice in a hospital setting. Hospital CEOs should focus less on talking about an organization’s culture and more on the elements that make up a hospital’s culture, such as mindset, methods, strategies and structures, former physician John Kenagy, M.D., founder of Kenagy & Associates said. […]

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Uncategorized Published - 15 September, 2014    By - Dr. Clemens
Joint Commission Issues Alert on Tubing Misconnections

The Joint Commission is taking a proactive approach to reducing the potential for accidental medical tubing misconnections when new tubing connectors are introduced beginning in October 2014. In a Sentinel Event Alert issued August 20, titled “Managing risk during transition to new ISO International Organization for Standardization tubing connector standards,” the commission says the risk […]

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Uncategorized Published - 15 September, 2014    By - Dr. Clemens
Regional Anaesthesia for Paediatric Knee Surgery Reduces Pain, Speeds Recovery

Using a femoral nerve block in paediatric patients undergoing knee surgery leads to less opioid use and allows the majority of patients to go home within hours of surgery, according to a study published in the Journal of Pediatric Orthopedics. “Our goal with this technique is to reduce pain, which improves patient outcomes and patient […]

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