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Authors: Holst LB et al., N Engl J Med 2014 Oct 9; 371:1381 Transfusion thresholds of 7 g/dL or 9 g/dL yielded similar outcomes. Patients with septic shock are treated with early antibiotics, rapid fluid resuscitation, vasopressor/inotrope support, and blood transfusions. The Surviving Sepsis guidelines’ recommendation for a transfusion hemoglobin target of 7 to 9 […]
Read MoreThe answer: Gossip! Just because there is nothing you can do to completely eliminate it from your workplace doesn’t mean you shouldn’t do a thing about it. On the contrary, managers can and should take steps to eliminate harmful rumors and gossip from circulating in the workplace. Why? At best, it saps morale. At worst, […]
Read MoreHow are you affecting the culture of consistency within your organization? Much has been written about trust and leadership. Leaders can’t expect to have followers if they themselves are not trustworthy. Leaders know this. And they know that they want trustworthy employees. Who wouldn’t want trustworthy employees? And yet, leaders typically fail to be trustworthy […]
Read MoreWeather factors such as temperature, relative humidity, air pressure, and precipitation did not increase the risk for a low back pain episode, and higher wind and wind gust speed had a minimal effect, according to an Australian case-crossover study published in Arthritis Care & Research. “Many patients believe that weather impacts their pain symptoms,” lead […]
Read MoreProvider progress in transitioning to ICD-10 has been hampered by the most recent delay–enforced via the passage of the Protecting Access to Medicare Act last spring–according to survey results released this week by the Workgroup for Electronic Data Interchange (WEDI). For the survey, conducted in August, WEDI received more than 500 responses, including 324 from […]
Read MoreAlthough bundled payments are an increasingly common way for insurers to pay for care–and can improve quality and lower costs–some industry experts worry that they could have more negative consequences than benefits. One concern is that since bundled payments focus so singularly on costs, they could discourage experimentation of new drugs, devices and procedures, according […]
Read MoreAt least 15 states are considering a revised draft of the Interstate Medical Licensure Compact, which has the support of the AMA. An effort to provide physicians a streamlined path to obtaining medical licensure in multiple states appears to be gaining traction. “There’s momentum,” Humayun Chaudhry, DO, president and CEO of the Federation of State […]
Read MoreDocumentation quiz for managers It’s important to know the kind of language managers should—and should not—use in documentation. Test your knowledge by answering “True” or “False” to the following statements: _____ 1. An employee is caught stealing company equipment. It’s best to list the termination reason as “gross misconduct” since “stealing” could be defamatory. _____ […]
Read MoreThere’s a theme arising in the various conversations I’ve had about leadership lately: The front-line employees are the ones with the real power to transform an organization, leadership just guides them. This, of course, is an intuitive concept, but one that isn’t always embraced by leaders. It’s also a core tenet of a theory — […]
Read MoreAccording to this year’s Severinghaus Lecturer, the labeling approved by the Food and Drug Administration for methadone is wrong. So are the published clinical guidelines for the use of methadone to treat pain and drug addiction in both adult and pediatric patients. The short explanation is that methadone metabolism and clearance are mediated predominately by […]
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