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Strategies should be adopted to help with implementation of the Choosing Wisely program

Choosing Wisely: How to Implement in Clinical Practice

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Strategies to improve chance of success include familiarization with evidence behind recs
Among hospitalized patients

High Doses of Antibiotic Ups Risk of Over-Anticoagulation

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High-dose amoxicillin/clavulanate combined with warfarin linked to increased risk of INR ≥4
The annual incidence of community-acquired pneumonia requiring hospitalization is 24.8 cases per 10

Considerable Burden for Community-Acquired Pneumonia

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Incidence of community-acquired pneumonia requiring hospitalization is highest in elderly
Use of an arts observation curriculum can help students learn to observe objectively and articulate their observations

Arts Observation Curriculum May Be Beneficial for Medical Students

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Learning to observe objectively and communicate observations important in clinical practice
Among institutional review board members

Progress in Reporting Conflict of Interest Among IRB Members

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Percentage of members who felt another member didn't disclose financial relationships down '05 to '14
Certain electrocardiographic measures may improve prediction of cardiovascular death in patients with chronic kidney disease

ECG Metrics May Predict Cardiac Deaths in CKD Patients

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Stronger as markers for cardiovascular death than for all-cause mortality or noncardiovascular death
For patients with acute myocardial infarction

Weekend Discharge Not Linked to Increased Readmission

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Findings among patients with AMI, congestive heart failure, pneumonia in California
Many health care professionals work when they are sick

Despite Risk to Patients, Health Providers Often Work While Sick

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Main reason is not wanting to let colleagues, patients down
There is considerable regional variation in thrombolysis treatment for ischemic stroke

Regional Variation in Treatment of Ischemic Stroke

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Region accounted for 7 to 8 percent of variation in thrombolysis treatment
New classification of licensure for assistant physicians has been created

Public Opinion Sought on New Licensure for Assistant Physicians

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Missouri State Board of Registration for the Healing Arts seeking public opinion prior to filing rules