7334. Wells Rule and d-Dimer Testing to Rule Out Pulmonary Embolism: A Systematic Review and Individual-Patient Data Meta-analysis.
作者: Nick van Es.;Tom van der Hulle.;Josien van Es.;Paul L den Exter.;Renée A Douma.;Robbert J Goekoop.;Inge C M Mos.;Javier Galipienzo.;Pieter W Kamphuisen.;Menno V Huisman.;Frederikus A Klok.;Harry R Büller.;Patrick M Bossuyt.
来源: Ann Intern Med. 2016年165卷4期253-61页
The performance of different diagnostic strategies for pulmonary embolism (PE) in patient subgroups is unclear.
7335. Addressing Infection Prevention and Control in the First U.S. Community Hospital to Care for Patients With Ebola Virus Disease: Context for National Recommendations and Future Strategies.
作者: Kristin J Cummings.;Mary J Choi.;Eric J Esswein.;Marie A de Perio.;Joshua M Harney.;Wendy M Chung.;David L Lakey.;Allison M Liddell.;Pierre E Rollin.
来源: Ann Intern Med. 2016年165卷1期41-49页
Health care personnel (HCP) caring for patients with Ebola virus disease (EVD) are at increased risk for infection with the virus. In 2014, a Texas hospital became the first U.S. community hospital to care for a patient with EVD; 2 nurses were infected while providing care. This article describes infection control measures developed to strengthen the hospital's capacity to safely diagnose and treat patients with EVD. After admission of the first patient with EVD, a multidisciplinary team from the Centers for Disease Control and Prevention (CDC) joined the hospital's infection preventionists to implement a system of occupational safety and health controls for direct patient care, handling of clinical specimens, and managing regulated medical waste. Existing engineering and administrative controls were strengthened. The personal protective equipment (PPE) ensemble was standardized, HCP were trained on donning and doffing PPE, and a system of trained observers supervising PPE donning and doffing was implemented. Caring for patients with EVD placed substantial demands on a community hospital. The experiences of the authors and others informed national policies for the care of patients with EVD and protection of HCP, including new guidance for PPE, a rapid system for deploying CDC staff to assist hospitals ("Ebola Response Team"), and a framework for a tiered approach to hospital preparedness. The designation of regional Ebola treatment centers and the establishment of the National Ebola Training and Education Center address the need for HCP to be prepared to safely care for patients with EVD and other high-consequence emerging infectious diseases.
7336. The Internal Medicine Reporting Milestones: Cross-sectional Description of Initial Implementation in U.S. Residency Programs.
作者: Karen E Hauer.;Jerome Clauser.;Rebecca S Lipner.;Eric S Holmboe.;Kelly Caverzagie.;Stanley J Hamstra.;Sarah Hood.;William Iobst.;Eric Warm.;Furman S McDonald.
来源: Ann Intern Med. 2016年165卷5期356-62页
High-quality assessment of resident performance is needed to guide individual residents' development and ensure their preparedness to provide patient care. To facilitate this aim, reporting milestones are now required across all internal medicine (IM) residency programs.
7339. Prognostic Value of Cardiovascular Magnetic Resonance and Single-Photon Emission Computed Tomography in Suspected Coronary Heart Disease: Long-Term Follow-up of a Prospective, Diagnostic Accuracy Cohort Study.
作者: John P Greenwood.;Bernhard A Herzog.;Julia M Brown.;Colin C Everett.;Jane Nixon.;Petra Bijsterveld.;Neil Maredia.;Manish Motwani.;Catherine J Dickinson.;Stephen G Ball.;Sven Plein.
来源: Ann Intern Med. 2016年165卷1期1-9页
There are no prospective, prognostic data comparing cardiovascular magnetic resonance (CMR) and single-photon emission computed tomography (SPECT) in the same population of patients with suspected coronary heart disease (CHD).
7340. Psychological and Behavioral Interventions for Managing Insomnia Disorder: An Evidence Report for a Clinical Practice Guideline by the American College of Physicians.
作者: Michelle Brasure.;Erika Fuchs.;Roderick MacDonald.;Victoria A Nelson.;Erin Koffel.;Carin M Olson.;Imran S Khawaja.;Susan Diem.;Maureen Carlyle.;Timothy J Wilt.;Jeannine Ouellette.;Mary Butler.;Robert L Kane.
来源: Ann Intern Med. 2016年165卷2期113-24页
Psychological and behavioral interventions are frequently used for insomnia disorder.
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