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Cleveland Clinic Journal of Medicine
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Cleveland Clinic Journal of Medicine

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Practice Management

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    Test ordering: Balancing the good for the many with the good for the one
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine December 2022, 89 (12) 672-673; DOI: https://doi.org/10.3949/ccjm.89b.12022

    Three articles this month address how we order clinical tests, one on the question of treating the patient with asymptomatic bacteriuria, the others on the advantages and disadvantages of standing orders for “daily labs” for inpatients.

  • You have access
    Should ‘daily labs’ be a quality priority in hospital medicine?
    Caleb J. Murphy, MD, MBA and Andrew W. Schram, MD, MBA
    Cleveland Clinic Journal of Medicine December 2022, 89 (12) 685-688; DOI: https://doi.org/10.3949/ccjm.89a.22036

    Evidence shows that unnecessary daily testing is only a minor contributor to anemia and healthcare costs for most inpatients. The effect on patient experience has not been definitively established.

  • You have access
    Laboratory stewardship should be a priority in every hospital
    Anita J. Reddy, MD, MBA and Walter H. Henricks, MD
    Cleveland Clinic Journal of Medicine December 2022, 89 (12) 691-692; DOI: https://doi.org/10.3949/ccjm.89a.22068

    Considerations include indirect costs, downstream testing or other workup based on minor abnormalities uncovered during daily testing, and shortages in staff and supplies.

  • You have access
    There should be more GOLD in the EMR
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine May 2022, 89 (5) 232-233; DOI: https://doi.org/10.3949/ccjm.89b.05022

    We can do better at making the clinical note a useful tool for communication in the electronic medical record.

  • You have access
    The underappreciated role of documentation in improving COPD care
    Solmaz Ehteshami-Afshar, MD, MSc and Naseema Merchant, MD
    Cleveland Clinic Journal of Medicine May 2022, 89 (5) 249-251; DOI: https://doi.org/10.3949/ccjm.89a.21044

    Despite the importance of providing guideline-concordant care, there are still barriers to implementing evidence-based recommendations in providing care for patients with chronic obstructive pulmonary disease.

  • You have access
    Does my hospitalized patient need an NPO-after-midnight order preoperatively?
    Cleveland Clinic Journal of Medicine April 2022, 89 (4) 223;

    The following article in the February 2022 issue contained an error: Chapman T, Sinz E, McGillen B. Does my hospitalized patient need an NPO-after-midnight order preoperatively? Cleve Clin J Med 2022; 89(2):69–70. doi:10.3949/ccjm.89a.21061

  • You have access
    Does my hospitalized patient need an NPO-after-midnight order preoperatively?
    Tyler Chapman, DO, Elizabeth Sinz, MD, MEd and Brian McGillen, MD, FACP, SFHM
    Cleveland Clinic Journal of Medicine February 2022, 89 (2) 69-70; DOI: https://doi.org/10.3949/ccjm.89a.21061

    Delays and postponements of surgical procedures are common, and NPO-after-midnight orders in these situations can result in prolonged periods without oral intake.

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    Is it safe to start steroids at home for a COPD exacerbation after virtual assessment in the COVID-19 era?
    Achintya D. Singh, MBBS, MD, Agrima Mian, MD and James K. Stoller, MD, MS
    Cleveland Clinic Journal of Medicine April 2021, 88 (4) 213-215; DOI: https://doi.org/10.3949/ccjm.88a.20194

    Yes. Corticosteroids are beneficial, and virtual visits are appropriate, especially in this pandemic.

  • You have access
    Cleveland Clinic Journal of Medicine: Evolution and a look ahead
    James S. Taylor, MD, FAAD
    Cleveland Clinic Journal of Medicine January 2021, 88 (1) 11-13; DOI: https://doi.org/10.3949/ccjm.88a.20187

    Cleveland Clinic is 100 years old and has had a medical journal for 90 of those years.

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    The Clinic and the Journal: Respecting the past and welcoming the future
    Brian F. Mandell, MD, PhD
    Cleveland Clinic Journal of Medicine January 2021, 88 (1) 6-8; DOI: https://doi.org/10.3949/ccjm.88b.01021

    This year is the 100th anniversary of the founding of Cleveland Clinic.

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