Hospital Medicine

Hospital Medicine

Lessons

0.5 hours | ACCME, ANCC
COURSE DESCRIPTION

As part of the National Action Plan for Combating Antibiotic-Resistant Bacteria, hospitals and healthcare systems have been called upon by the White House to implement antibiotic stewardship programs by 2020. The goal of the plan is to ensure the appropriate use of antibiotics and reduce the growing emergence of resistance. A previous guideline on antibiotic stewardship was released in 2007 and focused on the development of programs rather than on specific evidence-based strategies that have been shown to be beneficial in ensuring that such programs are effective and sustainable.

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CME Information

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Evaluation

Standard: Free
0.5 hours | ACCME, ANCC

COURSE DESCRIPTION
Medical malpractice continues to be a significant issue for physicians from all walks throughout the United States, and there are long-standing concerns about those who are claim-prone and complaint-prone. Medical malpractice claims are one useful indicator of patient safety. In the past, researchers have compared physicians who have multiple claims against them with other doctors who have few or no claims. These analyses have identified systematic differences with regard to age, sex, specialty, training and certification, claim and complaint histories, and quality of care. However, only a few studies have looked at the nature of the maldistribution itself. Previous research has been generally limited to claims data from single insurers or states and date back to several decades ago. If claim-prone physicians account for a substantial share of all claims, it would be valuable to reliably identify them before they accumulate troubling track records. Unfortunately, attempts to predict malpractice claims have had mixed results, leading the medical malpractice system to be reactive more than proactive because the focus is placed on dealing with the aftermath of care that has gone wrong.

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CME Information

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Evaluation

Standard: Free

COURSE DESCRIPTION

In the 1980s, the Rule of W mnemonic was first developed to chronicle the most common causes of postoperative fever in the order in which they occur. Over time, the Rule of W has undergone numerous variations, but no research has been conducted to establish how the rule was formed or explore its veracity, including whether or not teaching of the rule may be broadened to include patients without fever. These are important shortcomings because multimodal perioperative analgesia, with drugs like acetaminophen and NSAIDs, has become increasingly common to help decrease rates of postoperative fever. Discussed herein are the findings of a study that aimed to develop a simple, evidence-based mnemonic that can be applied to the teaching and diagnosis of postoperative complications.

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CME Information

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Evaluation

Standard: Free

COURSE DESCRIPTION

According to published research, antibiotics are used in approximately 56% of inpatients who are cared for in hospitals in the United States. However, antibiotic use is deemed inappropriate in nearly half of these cases. The inappropriate use of antibiotics can contribute to significant health issues, including antibiotic resistance, clinical failure, adverse drug events, and excessive costs.

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Evaluation

Standard: Free

COURSE DESCRIPTION

Experts have developed several reference guides to help hospitals implement brief screening and intervention programs, but these tools are usually selected based on the needs of a particular institution. Many hospitals use blood alcohol levels to determine at-risk drinking in trauma patients. The Alcohol Use Disorders Identification Test (AUDIT) is another screening method that offers a cheap and easy alternative to using only blood alcohol levels. AUDIT was originally intended for use in primary care, but its value in the ED and trauma unit has been validated by recent studies. Few direct comparisons have been made between AUDIT and results from blood alcohol level tests in trauma patients.

Activities Included:

CME Information

Content

Quiz

Evaluation

Standard: Free