Articles Tagged With: criteria
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Pediatric Sepsis Criteria Focus on Organ Dysfunction Indicators
The new criteria mark the first update to pediatric sepsis criteria in nearly two decades.
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Differentiating MELAS from Bland Ischemic Stroke: Clinicoradiologic Criteria
Stroke symptoms in mitochondrial encephalomyopathy, lactic acidosis, and stroke-like episodes (MELAS) are difficult to diagnose correctly, which leads to missed opportunities to provide MELAS-specific treatment. Delay in diagnosis also complicates efforts to investigate acute treatments for MELAS. Khasminsky et al proposed clinicoradiologic criteria based on a single-center validation study. Although there are methodological limitations, the concepts highlighted by the authors are valuable.
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How Certain is a Negative Echocardiogram for Excluding Infective Endocarditis?
Applying the proposed strict negative criteria for infective endocarditis (IE) on the first echocardiogram indicated this approach largely prevented unnecessary repeat tests unless clinically indicated for continued suspicion of IE.
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Noncompliance with Sepsis Measures Used to Prove Care Was Negligent
Along with growing general awareness, there are several positive developments in ED sepsis care, including laboratory tests helpful in diagnosing sepsis cases that have improved substantially. Also, there are new biomarkers of sepsis that are promising, and new molecular tests allow a lab to identify blood-borne infections in hours instead of the days formerly required for blood cultures to grow.
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Patient Pool Eligible for Lung Cancer Screening Expands Under Amended Criteria
CMS lowers age, smoking history thresholds.
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Clinicians’ Confusion over Brain Death Criteria Persists
There are inconsistencies between standards and institutional protocols and clinical practice. Inconsistencies can erode clinician and public trust in the determination of death by neurologic criteria. Inconsistencies also can cause false-positive determinations in which a patient is incorrectly determined to be dead. Ethicists should advocate for ensuring clinicians involved in the determination of death by neurologic criteria are equipped with appropriate expertise.
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Certain Patients Might Meet Criteria, Still Do Not Receive Formal Sepsis Diagnosis
This study highlights two competing risks: The risk of undertreating sepsis and the risk overresuscitating a patient with another cause of their symptoms.
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A Combination of Both SIRS and SOFA Scores Enhances Recognition of Sepsis in the Emergency Department
Compared with either score alone, using both SIRS and SOFA scores led to earlier and more complete recognition of sepsis in patients presenting to the emergency department.
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Causation Difficult for Plaintiff in ED Malpractice Claim
Generally, plaintiff attorneys find some aspect of care that was arguably beneath the standard of care. Likewise, they can show the ED provider was acting in the scope of his or her employment. However, causation often is a difficult problem.
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Payers, Hospitals Disagree About Whether Patient Meets Inpatient Criteria
Payers are refusing to pay claims for gastric bypass, joint replacement, and even cataract extraction. Why? Because documentation in the record does not support the need for surgery.