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For patients undergoing head and neck free flap reconstruction

Antibiotic Choice Affects Infection Rate After Head and Neck Sx

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Use of clindamycin, but not extended duration of prophylactic antibiotics, increases infection rate
Evidence is necessary to assess the safety of duty hour limit policies for surgical residents

More Evidence Needed to Assess Impact of Duty Hour Policies

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Rigidity of surgical resident policies may have unintended, detrimental effects on patient
For patients undergoing head and neck surgery

30-Day Unplanned Readmit Rate Low but Costly in Head, Neck Sx

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Predictors of unplanned readmissions include coronary artery disease, chronic renal failure
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
Computerized clinical decision-support capabilities of electronic health records may improve appropriate use of diagnostic radiologic test ordering and reduce test use

EHR Decision Support Ups Radiologic Test Appropriateness

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Harms of computerized clinical decision-support capabilities of EHR rarely assessed
Good communication is key to managing conflict with patients

Guidance Offered for Managing Conflict With Patients

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Good communication is crucial for managing encounters when denying a patient request
For children with tympanostomy tubes who develop otorrhea

Antibiotic-Glucocorticoid Eardrops Found Superior in Acute Otorrhea

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Clinically superior, cost less than oral antibiotics, observation for children with tympanostomy tubes
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