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Unnecessary Medicine, An Issue With Major Ethical Implications

. Reduction of unnecessary intravenous catheter use. Internal medicine house staff participate in a successful quality improvement project. Postgrad Med J 2004 80(939); 6. Lederle FA, Parenti CM, Berskow LC, Ellingson KJ. The idle intravenous catheter-Arch Intern Med. 1994, 22;154(16):1829-32. Ann Intern Med. 1992 May 1;116(9):737-8 7. Herrero GS, Martinez de Albornoz Torrente P, et al. Use and abuse of intravenous catheters in conventional hospital-An Med Interna. 2006 Oct;23(10):475-7 8. Miron S-D, Labar A, Gutu M, Astarastoae V: Ethical issues of

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Development of a curriculum and training program in Woman Veterans Health for Internal Medical Residents

):55-64. 19. WONG BM, ETCHELLS EE, KUPER A, LEVINSON W, SHOJANIA KG. Teaching quality improvement and patient safety to trainees: a systematic review. Acad Med 2010; 85 (9):1425-1439. 20. KASSIRER JP. Teaching clinical reasoning: case-based and coached. Acad Med 2010; 85 (7):1118-1124.

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Clinical conundrums in management of sepsis in the elderly

emergency laparotomy? Analysis of the American College of Surgeons National Surgical Quality Improvement Program database. J Am Coll Surg 2012;215:503-11. 26. Andriescu L, Patraşcanu E, Dănilă R, Bădic B, Rădulescu C. [Acute surgical pathology in elderly patients]. Rev Med Chir Soc Med Nat Iasi 2005;109:286-9. 27. Baldwin MR, Narain WR, Wunsch H, Schluger NW, Cooke JT, Maurer MS, et al. A prognostic model for 6-month mortality in elderly survivors of critical illness. Chest 2013;143:910-9. 28. Liu YJ, Du P, Rao J

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Hepatitis C screening in commercially insured U.S. birth-cohort patients: Factors associated with testing and effect of an EMR-based screening alert

patients enrolled in the Kaiser Permanente Mid-Atlantic States’ (KPMAS) health system revealed that 14.4% had been HCV antibody-tested between 2003 and 2012.[ 12 ] More recent quality improvement studies reported testing rates of 11% to 47.2%.[ 13 , 14 ] Although HCV testing rates among U.S. birth-cohort patients have been studied extensively, limited data exists to differentiate birth-cohort screening from risk- or liver disease-based testing.The aims of our study were to analyze factors associated with overall HCV-Ab testing in a large birth-cohort population, to

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A Long-Forgotten Tale: The Management of Cardiogenic Shock in Acute Myocardial Infarction

Consider Transport to Hospital? Prehosp Emerg Care. 2016;20:615-622. doi: 10.3109/10903127.2016.1149652. 75. Leick J, Liebetrau C, Szardien S, et al. Door-to-implantation time of extracorporeal life support systems predicts mortality in patients with out-of-hospital cardiac arrest. Clin Res Cardiol. 2013;102:661-669. doi: 10.1007/s00392-013-0580-3. 76. Scholz KH, von Knobelsdorff G, Ahlersmann D, et al. Optimizing systems of care for patients with acute myocardial infarction. STEMI networks, telemetry ECG, and standardized quality

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China may hold answers to addressing cardiovascular disease epidemic

cardiologists and cardiac care team members delivered through WeChat—one of the most widely used social media platforms in China. The College is also committed to helping China monitor national data on cardiovascular health to identify trends over time and track improvements in care. Integrated registries have the potential to be used as powerful tools for identifying education and quality improvement opportunities both globally and at country-specific levels. The ACC’s National Cardiovascular Data Registry has made considerable contributions toward improving the quality of

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Review. Regional Networks in Acute Cardiac Care

. 2011;13:56-67. doi: 10.3109/17482941.2011.581292. 6. Rizzello V, Lucci D, Maggioni AP, et al. Clinical epidemiology, management and outcome of acute coronary syndromes in the Italian network on acute coronary syndromes (INACS Outcome study). Acute Card Care. 2012;14:71-80. doi: 10.3109/17482941.2012.655296. 7. Scholz KH, von Knobelsdorff G, Ahlersmann D, et al. Optimizing systems of care for patients with acute myocardial infarction. STEMI networks, telemetry ECG, and standardized quality improvement with systematic data feedback

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