Which Antithrombotic Strategy Is Best in AF Patients Hospitalized for Coronary Artery Disease?

A large Danish registry study suggests that dual anticoagulant–antiplatelet therapy is as effective as triple therapy including aspirin.

The main finding from this large observational study is that outcomes with a combination of an anticoagulant and clopidogrel are comparable to those of triple therapy with regard to ischemic endpoints as well as bleeding. Possibly more important are the findings that dual antiplatelet therapy alone was associated with increased rates of ischemic stroke and all-cause mortality, and anticoagulant–aspirin therapy with increased mortality. The findings support the results of a small trial (NEJM JW Cardiol Feb 27 2013) suggesting that the optimal regimen for stent recipients with atrial fibrillation is an anticoagulant plus clopidogrel.

Click here for the full article

Predictive Modeling and Adding Nurses Reduce Readmissions

Interested in reducing hospital readmissions? Then these articles may be of interest to you:

Predictive modeling offers the key to understanding which healthcare services most affect utilization, readmissions, and payment, and how to tackle the outliers. These analytics are within the grasp of any healthcare system.

Click here for the full article on predictive modeling

Bumping up nurse staffing levels by three nurse hours per patient day provides a demonstrable and marked reduction in hospital readmissions. But the financial implications of doing so are tricky.

Click here for the full article on adding nurses

sbuim.com Website Support

SBUIM-support

Having an issue with the site? Not sure how to address it? Worry no longer. sbuim.com uses an advanced ticketing system for error reporting that tracks the status of reported issues and alerts you when a fix has been obtained. Visit http://support.sbuim.com to use this service.

The Official Stony Brook Intern Survival Guide

A web-based version is coming!

This version will utilize a Wikipedia–style interface. The new wiki site will be located at http://wiki.sbuim.com and is a project of sbuim.com.

While a date for completion is not yet decided, it is expected that the wiki will be available within the next 1 to 2 months.

Thank you for your patience while this exciting project is planned and completed!

EHRs, Red Tape Eroding Physician Job Satisfaction

Problems with electronic health records systems and the overall burden of rules and regulations imposed by payers and other entities are having a deleterious effect on the professional satisfaction of medical doctors, survey results find.

Click here for the full article

The Importance of Health Informatics

 

The below data details it fairly well…

SP_Stories_Wellpoint_021312.pdf

 

Continue reading

Inflammatory Bowel Disease

Introductory Statistics

Here are the slides to a talk I used to give on statistical analysis. Geared towards physician profiling and the analysis of practice patterns, this presentation explained ways of systematically examining practice data; however, the principles involved are just as applicable to clinical research as they are to health care management.

Special thanks to Dr. I. Alan Fein who significantly contributed to producing this presentation.

Intern Cards

Helpful information for new interns

Sample excerpt:

Intern_Cards.pdf

[gview file=”http://www.sbuim.com/blog/wp-content/uploads/2013/10/Intern-Cards.pdf”%5D

Hyponatremia