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Electronic health records are a valuable source of data that can be mined to help practices with quality improvement performance

EHR Data Mining Helps With Quality Improvement

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Data mining tools, including health maintenance alerts, reports, are available in EHR products
Both residents and attending physicians are only partly compliant with national opioid prescribing and monitoring guidelines

Attending Physicians, Residents Similar in Opioid Rx Monitoring

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Residents provide more early refills; also see more patients at higher misuse risk
Hydration during primary percutaneous coronary intervention is associated with a reduction in the risk of contrast-induced nephropathy

Hydration During PCI Cuts Risk of Contrast-Induced Nephropathy

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CIN significantly associated with mortality and need for dialysis; hydration is predictor of CIN
Medical students in personal distress may be more likely to have suboptimal attitudes about self-prescribing and personal responsibility for reporting impaired colleagues

Suboptimal Prescribing Attitudes Could Signal Personal Distress

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Med students experiencing depression, alcohol abuse less likely to report impaired colleagues
Looking up students on Facebook and other social networking sites is associated with ethical concerns

Ethical Implications for Looking Up Applicants on Facebook

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Misinterpretation of content, implicit bias could undermine fair appraisal for applicants
Medicare spending is down in year one of the Pioneer accountable care organization program

Medicare Spending Down in Year One of Pioneer ACO

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Total adjusted per-beneficiary spending down in ACO group versus control group
Most U.S. adults would prefer to be asked for permission to participate in studies assessing usual medical practices

Survey Looks at Patient Attitudes Regarding Informed Consent

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Most respondents want to be asked for permission to participate in studies assessing medical practice
Recently adopted legislation has repealed the sustainable growth rate formula

AMA Announces End of Sustainable Growth Rate Formula

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Legislation includes provisions such as simplification of reporting programs, incentive payments
Significant reductions can be made in operating room time lost due to cancellation on the day of surgery

Quality Improvement Intervention Cuts Lost OR Time

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Instruction sheets, text-message reminders can cut time lost due to cancellation on day of surgery
The strength of the placebo effect may depend on particular DNA

Placebo Response May Depend on Individual DNA

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But more questions than answers exist at this point