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For accountable care organizations (ACOs)

Guidance Offered for Ethical Referrals Within ACOs

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Influencing referrals should be transparent, with appropriate metrics and the right incentives
Working long hours may raise the risk for alcohol abuse

Working Long Hours? Beware Risky Alcohol Consumption

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Researchers find link between long hours on the job and excess alcohol consumption
Malpractice litigation relating to complications from tracheotomies can result in high award amounts

Study Examines Trends in Tracheotomy Malpractice Suits

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Settlements and award verdicts high; pediatric cases more often named in favor of plaintiff
From 1988 to 2012

Antenatal Corticosteroid Use Up, Even When Not Optimal

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From 1988 to 2012, increase in optimal, suboptimal, and questionably appropriate use
Trends show that diabetes incidence has stayed higher in recent decades than it was in the 1970s

Obesity Up in Past Decade, but Diabetes Incidence Stable

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Risk of new-onset diabetes higher in the 1990s and 2000s than in the 1970s
A wide range of physician-reported rationales drive overrides of best practice alerts for blood product transfusions

Rationale for Overriding Best Practice Alerts Highly Diverse

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In blood product transfusions BPAs, physicians justify overrides with wide range of rationales
A diagnosis of metabolic syndrome is associated with higher risk of endometrial cancer

Metabolic Sx Tied to Higher Risk of Endometrial Cancer

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Excess weight likely a big factor, but other conditions also appear to matter
For patients with rosacea

Propranolol, Doxycycline Combo Safe, Effective in Rosacea

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Greater reduction in assessment of rosacea clinical score with combination treatment
For children with community-acquired pneumonia

No Negative Consequences of Guidelines for Antibiotic Therapy

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No change in length of stay, total costs, inpatient pharmacy costs among children with pneumonia
Guidelines have been developed for clinical documentation and interrelated issues. The position paper has been published online Jan. 13 in the Annals of Internal Medicine.

Guidelines Presented for Clinical Documentation in 21st Century

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Recommendations provided for clinicians, provider institutions, government regulators, payers