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female doctor talking with patient on laptop

Using the Electronic Medical Record to Identify Patients at High Risk for Frequent Emergency Department Visits and High System Costs

A small proportion of patients account for a high proportion of healthcare use. Accurate preemptive identification may facilitate tailored intervention. We sought to determine whether machine learning techniques using text from a family practice electronic medical record can be used to predict future high emergency department use and total costs by patients who are not […]

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doctor talking on cell phone stting at his desk, looking at computer

The New Trend in Medicine

During the 4 decades of my clinical training and practice of medicine, I always felt a sense of ownership and full responsibility in caring for my patients. What I have noticed over the past decade is a gradual transformation in our health care delivery system and in the attitude of our trainees. Hospitals are being governed […]

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nurse pushes gurney down hospital hallway

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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Patient flow. In the Biomarkers in Cardiology (BIC)-8 main trial, 902 patients were enrolled. Of these, 20 patients did not have high-sensitivity troponin T (hsTnT) or copeptin values available at admission. Thus, the study population of this BIC-8 substudy consists of 882 patients with complete biomarker results at admission. Patients were divided by their biomarker test. Relative and absolute frequencies are shown in the respective boxes.

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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