Delirium is common among elderly hospitalized patients. At home, the incidence is low, but once hospitalized, patient incidence increases to 14–24%, and in intensive-care even higher, 50-80%. Delirium is under-diagnosed and under-treated. In a 2017 study, clinicians failed to list…
Drug-resistant superbugs are a fact – not fiction! According to the Centers for Disease Control and Prevention (CDC), 2 million people a year are infected with antibiotic-resistant bacteria, and over 23,000 of them die as a result. The CDC affirms…
Exogenous oxytocin (Pitocin) may be the most commonly used drug in obstetrics but it is not benign. Its use in clinical practice is riddled with myths, unsubstantiated by science, that perpetuate poor practice habits. Misuse, overuse, and sometimes abuse in…
Medical error is the third leading cause of death in the US and technology failure is to blame 44% of the time. Perinatal clinicians are frequently unaware of the equipment limitations they use routinely. Non-invasive blood pressure machines, pulse oximeters,…
The obstetric malpractice claim of “a delay in treatment of fetal distress” remains the number one factor In over 20% of claims from multiple PIAA resources. The key to avoiding delaying treatment to a fetus in distress is to recognize…
The course focuses on emerging medical techniques, information and technologies, current medicine, as well as review of best practices in the field of radiology. The program features presentations covering ten subspecialties including Musculoskeletal Imaging, Breast Imaging, Breast MRI, Gastrointestinal Radiology,…
Major Depressive Disorder (MDD) is difficult to diagnose, and often undertreated at LGH. In addition, scales that measure depression (ie, PHQ-9) are a not being used consistently. Derail Depression Treatment on Track is a multiplatform quality improvement program designed to:…
According to the CDC, drug overdose deaths are the leading cause of injury deaths in the US, and this death rate more than doubled from 1999 to 2013. Abused drugs included opioid pain killers, stimulants, -and -depressants, and the majority…
While professional society guidelines differ in their grading of the recommendation to administer intravenous tissue plasminogen activator (IV tPA) for treatment of ischemic stroke, there is evidence that giving tPA within established parameters can improve some patients’ outcomes. Patients with…
Studies of antibiotics provided to US children found that over half of all antibiotic prescriptions in the outpatient setting are given for infections that are likely viral rather than bacterial. In such situations, the medication prescribed has no therapeutic benefit…
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