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The impact of alternative payment models on physician practices has been described in a study published by the RAND Corp. and the American Medical Association.

Pace of Change Has Accelerated in Alternative Payment Models

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Physicians also report increasing complexity of APMs, more financial risk aversion
For patients with acute respiratory failure or shock and hypoactive or hyperactive delirium in the intensive care unit

Neither Haloperidol, Ziprasidone Shortens Delirium in ICU

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No decrease in duration versus placebo for patients with hypoactive, hyperactive delirium in ICU
For acutely ill patients

Oxygen Saturation Should Not Top 96 Percent in Acutely Ill

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Patients with acute stroke or MI should not receive supplemental oxygen if SpO2 ≥90 percent
Treatment with myo-inositol for up to 10 weeks does not reduce the risk for type 1 retinopathy of prematurity or death versus placebo for premature infants younger than 28 weeks of gestational age

Myo-Inositol Does Not Reduce Retinopathy of Prematurity

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No reduction in risk for type 1 ROP or death with myo-inositol versus placebo in preemies <28 weeks
Patients with incident chronic kidney disease in the setting of intensive systolic blood pressure treatment have decreases rather than increases in kidney damage biomarkers

Intensive SBP Tx Cuts Kidney Damage Biomarkers in Incident CKD

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Incident CKD accompanied by decreases in kidney damage biomarkers in setting of intensive treatment
A plan to allow small businesses to use tax-free accounts to provide health coverage for employees was announced today by the Trump administration.

White House Unveils New Insurance Option for Small Firms

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Plan expands health reimbursement arrangements so workers can buy individual health coverage
A streamlined bioinformatics tool can match bloodstream pathogens to a candidate source

Bioinformatics Tool Can ID Source of Bloodstream Pathogens

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Classically non-enteric pathogens identified in gut microbiome, challenging origin of these infections
Interoperability of health care information technology must be improved to facilitate creation of a fully integrated health care system that can improve health and health care at lower cost

Procurement Requirements Drive Interoperability in Health Care IT

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Steps outlined for health systems to establish comprehensive, ongoing procurement strategies
Clostridium difficile spores are able to survive laundering through a commercial washer extractor

Clostridium difficile Spores Survive Laundering of Sheets

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Spores on bed sheets able to survive laundering through a commercial washer extractor
Recommendations on best practices for nasogastric tube placement and verification in pediatric patients have been developed. The best practice recommendations were published online Sept. 6 in Nutrition in Clinical Practice.

Recommendations Developed to Verify NGT Placement in Children

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Recommendations include clinician education, use of gastric pH measurement, radiographs