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Mashup Score: 16Development and validation of a preliminary multivariable diagnostic model for identifying unusual infections in hospitalized patients - 12 day(s) ago
Diagnostic delay leads to poor outcomes in infections, and it occurs more often when the causative agent is unusual. Delays are attributable to failing to consider such diagnoses in a timely fashion. Using routinely collected electronic health record (EHR) data, we built a preliminary multivariable diagnostic model for early identification of unusual fungal infections and tuberculosis in hospitalized patients. We conducted a two-gate case-control study. Cases encompassed adult patients admitted to 19 Mayo Clinic enterprise hospitals between January 2010 and March 2023 diagnosed with blastomycosis, cryptococcosis, histoplasmosis, mucormycosis, pneumocystosis, or tuberculosis. Control groups were drawn from all admitted patients (random controls) and those with community-acquired infections (ID-controls). Development and validation datasets were created using randomization for dividing cases and controls (7:3), with a secondary validation using ID-controls. A logistic regression model wa
Source: www.bjbms.orgCategories: General Medicine News, Critical CareTweet
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Mashup Score: 10
ClinicalTrials.gov (NCT05424510); first submitted 15 June 2022.
Source: pubmed.ncbi.nlm.nih.govCategories: General Medicine News, Critical CareTweet
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Mashup Score: 10European Society of Anaesthesiology and Intensive Care... : European Journal of Anaesthesiology | EJA - 2 month(s) ago
nd China. Recognising the importance of urgent action, the European Society of Anaesthesiology and Intensive Care (ESAIC) adopted the Glasgow Declaration on Environmental Sustainability in June 2023. Building on this initiative, the ESAIC Sustainability Committee now presents a consensus document in perioperative sustainability. Acknowledging wider dimensions of sustainability, beyond the environmental one, the document recognizes healthcare professionals as cornerstones for sustainable care, and puts forward recommendations in four main areas: direct emissions, energy, supply chain and waste management, and psychological and self-care of healthcare professionals. Given the urgent need to cut global carbon emissions, and the scarcity of evidence-based literature on perioperative sustainability, our methodology is based on expert opinion recommendations. A total of 90 recommendations were drafted by 13 sustainability experts in anaesthesia in March 2023, then validated by 36 experts fro
Source: journals.lww.comCategories: General Medicine News, Critical CareTweet
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Mashup Score: 7
number of patient safety incident reports by 30% from 27 to 35 reports/1000 patient-days without negatively impacting culture of safety as measured by patient-care staff surveys. Methods Single-institution prospective interventional study with 9 ICUs receiving a multifaceted intervention developed using quality improvement methodology during February–April 2022. Study intervention involved creation of patient safety peer-leadership role, feedback process, interactive dashboards for patient safety data, and education resources accessible via quick response codes. Primary outcome was patient safety incident reports/1000 patient-days. Intensive care unit patient-care staff culture of safety was assessed with surveys. Results Intensive care unit patient safety incident reporting increased by 48% after intervention (40 versus 27 reports/1000 patient-days [P = 0.136]). Near misses were the most common incident report. Intensive care unit patient-care staff ratings of patient safety did not c
Source: journals.lww.comCategories: General Medicine News, Critical CareTweet
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Mashup Score: 9Goodhart's law - Wikipedia - 2 month(s) ago
From Wikipedia, the free encyclopedia Charles Goodhart, for whom the adage is named, delivering a speech in 2012Goodhart’s law is an adage often stated as, “When a measure becomes a target, it ceases to be a good measure”.[1] It is named after British economist Charles Goodhart, who is credited with expressing the core idea of the adage in a 1975 article on monetary policy in the United…
Source: en.wikipedia.orgCategories: General Medicine News, Critical CareTweet
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Mashup Score: 6Daily FOAMed Articles from eddyjoemd - 2 month(s) ago
In this page is link relevant quality journal articles that I consider quality FOAMed in the world of Critical Care Medicine. #FOAMed, #FOAM
Source: eddyjoemd.comCategories: General Medicine News, Critical CareTweet
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Mashup Score: 19ACCM Distinguished Investigator, Discovery Grant & Weil Research Grant Recipients, SARI-PREP Update - 3 month(s) ago
This session, held on Monday, January 22, at the Society of Critical Care Medicine’s (SCCM) 2024 Critical Care Congress, honored the Academy of Critical Care…
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Mashup Score: 12CERTAIN - 3 month(s) ago
Checklist for Early Recognition and Treatment of Acute Illness and iNjury.
Source: www.icertain.orgCategories: General Medicine News, Critical CareTweet-
2/2 for two decades we have had these simple nomograms hanging on each ventilator @charlot_summers @niven_alex @roeckler @DrivingPressure @GallodeMoraesMD @PulmCrit @iceman_ex @phlegmfighter @ThinkingCC https://t.co/GV6WCRKYEh see original reference here: https://t.co/0Tsm254l2M https://t.co/Tuhq5gbn0m
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Mashup Score: 3Associations Between Family-Assessed... : Critical Care Medicine - 3 month(s) ago
ICUs at two academically affiliated medical centers in Taiwan. Patients/Participants: Three hundred nine family surrogates responsible for decision-making for critically ill patients at high risk of death (Acute Physiology and Chronic Health Evaluation II scores > 20) from a disease. Interventions: None. Measurements and Main Results: Participants were assessed by the depression and anxiety subscales of the Hospital Anxiety and Depression Scale, the Impact of Event Scale-Revised, 11 items of the Prolonged Grief Disorder (PGD) scale, and the Medical Outcomes Study 36-Item Short-Form Health Survey at 1, 3, 6, 13, 18, and 24 months post-loss. We simultaneously examined associations of four QODD latent classes with physical and mental health-related quality of life (HRQOL) and symptoms of anxiety, depression, post-traumatic stress disorder (PTSD), and PGD assessed over 24 bereavement months using multivariate hierarchical linear modeling. Surrogates’ distinct QODD latent classes assessed a
Source: journals.lww.comCategories: General Medicine News, Critical CareTweet
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Mashup Score: 2Robert A. Winn Diversity in Clinical Trials Award Program - 3 month(s) ago
The Robert A. Winn Diversity in Clinical Trials Award Program (Winn Awards) was created to increase diversity in clinical trials and transform the clinical research landscape. The initiative is comprised of the Robert A. Winn Career Development Award (Winn CDA) for early-stage investigator physicians and the Robert A. Winn Clinical Investigator Pathway Program (Winn CIPP) for medical students. The application for Cohort 3 of the Robert A. Winn Career Development Award (Winn CDA) for early-stage investigator
Source: winnawards.smapply.ioCategories: General Medicine News, Critical CareTweet
Meaningful #AI for detection of unusual #infections in hospitalized patients, the first step towards game changing use of #EHR on principles of “fraud detection”; by amazing @AyssTekin https://t.co/C7BpoVnIKJ #MedTwitter @DrAndreKalil #FOAM #FOAMed @KellyCawcuttMD @PulmCrit https://t.co/s7Jkk3cYpe