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In the fight to remain competitive in the new era of healthcare, hospitals are buying physician practices and hiring individual physicians as quickly as possible. But as more and more physicians become hospital employees, hospitals may not be taking a hard enough look at their new medical malpractice liabilities. These increased malpractice risks, combined with […]
Read MorePublished in J Pain. 2014 Sep 16. pii: S1526-5900(14)00911-0 Authors: Cajanus K et al Abstract Most clinically used opioids are mu-opioid receptor agonists. Therefore, genetic variation of the OPRM1 gene that encodes the mu-opioid receptor is of great interest for understanding pain management. A polymorphism 118A greater than G (rs1799971) within the OPRM1 gene results […]
Read MorePublished in Langenbecks Arch Surg. 2014 Sep Authors: Heinrich S et al PURPOSE: Perioperative regional anesthesia with consecutive reduction of intra- and postoperative systemic opioid requirements in order to improve oncological result after cancer surgery has only been addressed by a few reports. This hypothesis has never been proved in esophageal cancer with a long-term […]
Read MoreAuthors: 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, […]
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