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Trends in Prolonged Hospitalizations in the United States from 2001 to 2012

Health policy debate commonly focuses on frequently hospitalized patients, but less research has examined trends in long-stay patients, despite their high cost, effect on availability of hospital beds, and physical and financial implications for patients and hospitals. Methods Using the National Inpatient Sample, a nationally representative sample of acute care hospitalizations in the US, we […]

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male & female nurses stand with arms crossed

Hospital Readmissions Following Physician Call System Change (video)

Reorganizing Physician Teams in a Large Hospital Caused Readmissions to Increase Significantly, According to New Report in The American Journal of Medicine As hospitals try to maintain effective and efficient operations, physician call systems can be a critical element in maintaining quality medical care and financial stability. In a new report published in The American […]

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Prognostic Value of Undetectable hs Troponin T in Suspected Acute Coronary Syndrome

  Background The search for improved strategies for safe and early discharge of patients with suspected acute coronary syndrome in emergency departments is ongoing. This Biomarkers in Cardiology (BIC)-8 biomarker substudy evaluated the usefulness of high-sensitivity troponin T (hsTnT) below or above the limit of detection (LoD) in low-to-intermediate-risk patients with suspected acute coronary syndrome […]

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Spice

Recognizing & Treating People on Spice (video)

Spice is a dangerous street drug that can cause psychotic breaks and even death. It is sold in head shops and known as “synthetic cannabinoids”, but spice is not marijuana. In this interview, Dr. Joseph S. Alpert, editor-in-chief of The American Journal of Medicine, talks about spice and gives advice to clinicians on how to […]

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Optimize Your Electronic Medical Record to Increase Value: Reducing Laboratory Overutilization

Eliminating electronic health record features that facilitate over-utilization is likely to be a safe and effective method of reducing hospital costs. Purpose The purpose of this study is to decrease overutilization of laboratory testing by eliminating a feature of the electronic ordering system that allowed providers to order laboratory tests to occur daily without review. […]

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