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Children with suspected child abuse present late to the hospital

Children With Suspected Child Abuse Present to Hospital Late

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Most arrive by nonambulance means, few at designated pediatric-capable major trauma center
Implementation of a family-centered rounds (FCR) checklist and associated provider training is associated with an increase in the number of FCR elements performed

Checklist for Family-Centered Rounds Deemed Beneficial

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Implementing checklist improves delivery of FCRs, impacting quality and safety of care
A fatal case of propofol-induced acute necrotizing pancreatitis has been described in a case report published online April 10 in the Journal of Clinical Pharmacy and Therapeutics.

Fatal Case of Suspected Propofol-Induced Pancreatitis Described

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57-year-old woman developed severe abdominal pain with nausea, vomiting after thyroidectomy
Peak postoperative high-sensitivity troponin T is associated with increased risk of 30-day mortality among patients undergoing noncardiac surgery

Post-Op hsTnT Linked to 30-Day Mortality After Noncardiac Sx

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Increased risk of 30-day mortality for absolute high-sensitivity troponin T change of 5ng/L or higher
Neutrophil-to-lymphocyte ratio can predict 30-day mortality for elderly adults with community-acquired pneumonia

Neutrophil-to-Lymphocyte Ratio Predicts Mortality in CAP

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NLR predicts 30-day mortality for elderly adults admitted with community-acquired pneumonia
The risk of wrong-patient orders is higher in the neonatal intensive care unit (NICU) versus non-NICU pediatric units

More Wrong-Patient Orders in NICU Versus Non-NICU Ped Units

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Reduction in frequency of errors with ID reentry intervention and combined ID, distinct naming
In a case report published online April 17 in the Journal of Clinical Pharmacy and Therapeutics

Case Report Describes Adverse Reaction to Clindamycin

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Patient developed acute generalized exanthematous pustulosis after vancomycin, clindamycin use
A dosage of 1 g intravenous acetaminophen every six hours yields serum concentrations below 10 µg/mL for critically ill multiple-trauma patients

1-g IV Acetaminophen Dose May Be Insufficient in Multiple Trauma

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Administration at recommended dosage yields serum concentrations below 10 µg/mL
Use of an electronic medication administration record application can reduce the rate of medication errors in medication administration recording

Electronic Drug Administration Record App Cuts Errors

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Decline in rate of medication errors in medication administration recording post-implementation
Vertical integration

Vertical Integration Linked to Reduction in Readmissions

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Reduction in readmissions in four of six hospitals, with positive effect for limited number of conditions