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Uncategorized Published - 1 October, 2014    By - Dr. Clemens
Anesthesia Management: California’s Prop. 46 Could Lead to Mandatory Drug Testing of Physicians

A pair of commentaries in the Annals of Internal Medicine comes out strongly against California’s ballot measure, Proposition 46, which, among other things, would mandate hospitals to test physicians for drugs and alcohol. The problems laid out by the authors include: • the potential for false-positive test results; • positive results leading to immediate suspension of a […]

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Uncategorized Published - 1 October, 2014    By - Dr. Clemens
Anesthesia Management: Prescribing Opioids for Chronic Noncancer Pain: AAN Policy Statement

A position paper from the American Academy of Neurology on the prescription of opioids for noncancer pain outlines “best practices” clinicians should follow to reduce patients’ risk for opioid overdose. These practices, published in Neurology, are: • At each patient visit, track pain and function using a validated instrument, and document the dose of all […]

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Uncategorized Published - 30 September, 2014    By - Dr. Clemens
Anesthesia Management: Prognostic Significance of Premature Ectopic Beats

Authors: Qureshi W et al., Am J Cardiol 2014 Jul 1; 114:59 An incidental finding on a screening electrocardiogram might be worth taking seriously. To evaluate the prognostic implications of atrial premature complexes (APCs) and ventricular premature complexes (VPCs) detected on a single 12-lead electrocardiogram (ECG) in healthy individuals, investigators analyzed NHANES III data for […]

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Uncategorized Published - 30 September, 2014    By - Dr. Clemens
Anesthesia Management: CMS: Health spending slowdown is history

The slowdown in health spending growth may be near its end, with an improved economy and increased coverage likely to bring faster growth, according to a report from the Centers for Medicare & Medicaid Services Office of the Actuary published in Health Affairs. Expanded coverage under the Affordable Care Act (ACA) will cut the number […]

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Uncategorized Published - 30 September, 2014    By - Dr. Clemens
Anesthesia Management: ICD-10 switch may raise issues for adverse event reporting

The switch to ICD-10 poses the risk of under-reporting and over-reporting adverse events due to mismatches in codes for Patient Safety Indicators (PSIs), according to research at the Journal of the American Medical Informatics Association. The researchers, from the University of Illinois at Chicago, looked at 23 types of PSIs. They found three had straightforward […]

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Uncategorized Published - 30 September, 2014    By - Dr. Clemens
Anesthesia Management: Bundled payments: Lessons learned

As insurers move forward with bundled payment initiatives, they would benefit from learning from the experiences of programs that haven’t succeeded. Though many bundled payment initiatives have improved quality and lowered costs some aren’t as fortunate. In a new Health Affairs blog post, two policy analysts discuss a bundled payment project they ran, called the […]

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Uncategorized Published - 29 September, 2014    By - Dr. Clemens
3 Instant Anxiety Busters

If you’re on the edge of a freak-out, try these simple interventions to keep calm. When it comes to long-term balance, there’s no shortage of tips and ideas on how to ensure that you’re maintaining healthy stress levels and your work doesn’t completely swamp your personal life. But other times, all that advice to exercise, […]

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Uncategorized Published - 29 September, 2014    By - Dr. Clemens
Sonivate points finger toward future of ultrasound

Ultrasound needs a little more of a human touch. That’s the concept behind SonicEye, a fingertip-worn ultrasound probe developed by Oregon-based start-up Sonivate Medical. The company is moving SonicEye to market with significant backing from the U.S. Department of Defense. Created by miniaturizing the components of standard ultrasound transducer technology, SonicEye is placed on a […]

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Uncategorized Published - 29 September, 2014    By - Dr. Clemens
Opioid-Induced Adverse Effects Hit Social Media

Patients are tweeting and using other social media outlets to vent about their negative experiences with constipation and other opioid-related adverse effects, and about the lack of discussions with their doctor about such gastrointestinal (GI) symptoms. “Our results from this social media platform reveal a need for doctor-patient communication regarding opioid-use GI side effects,” said […]

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Uncategorized Published - 29 September, 2014    By - Dr. Clemens
What Successful Leaders Do in Challenging Times

Given the same set of circumstances, some people create team success and others fail. Great leaders know how to turn tough times into big wins. Here’s how they do it. If there is one thing consistent about business it’s the inconsistent dynamics of business. Great leaders can navigate turbulent business climates just as well as […]

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