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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
For older patients undergoing percutaneous coronary intervention

Drug-Eluting Beat Bare Stents in Older Patients Undergoing PCI

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Reductions in myocardial infarction, repeat revascularization for DES versus bare metal stents
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
A simple age

Age, Creatinine, Ejection Fraction Predict Post-MI Survival

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ACEF score is not significantly different from that based on 12 risk factors; predicts mortality after PCI
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
Many patients still undergo routine preoperative testing before cataract surgery despite recommendations against it

Many Cataract Patients Undergo Unnecessary Pre-Op Testing

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Probability of undergoing testing mainly linked to ophthalmologist managing pre-op assessment
Fifteen-year survival is comparable for bioprosthetic and mechanical prosthetic valve replacement

Longevity of Bioprosthetic Valve Replacement Assessed

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15-year survival similar for patients using mechanical prosthetic, bioprosthetic replacement valves
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