Guidelines for the Content of Statistical Analysis Plans in Clinical Trials

While guidance on statistical principles for clinical trials exists, there is an absence of guidance covering the required content of statistical analysis plans (SAPs) to support transparency and reproducibility. Recommendations... read more

Guidelines for the Content of Statistical Analysis Plans in Clinical Trials

iSepsis – A 30ml/kg Bolus: Yes or No -The Results

The results of both surveys are not surprising. This recommendation has never been prospectively tested in a large RCT and has little supporting evidence. Imagine the American Heart Association (AHA) or the American Diabetes... read more

iSepsis – A 30ml/kg Bolus: Yes or No -The Results

A Measure of Physicians’ Motivation to Adopt Medical Devices

This is the first reliable and valid scale to measure physicians' adoption motivation. Future adoption studies assessing the individual level should include the PMA scale to obtain more information about the role of physicians’... read more

A Measure of Physicians’ Motivation to Adopt Medical Devices

Worldwide Survey of the ABCDEF Bundle in the ICU

The current implementation of the ABCDEF bundle varies across individual components and regions. We identified specific targets for quality improvement and adoption of the ABCDEF bundle. Our data reflect a significant but... read more

Worldwide Survey of the ABCDEF Bundle in the ICU

International Survey of Critically Ill Children with Acute Neurological Insults

Margaret Parker, MD, MCCM, speaks with Ericka L. Fink, MD, MS, about the PANGEA study (Prevalence of Acute Critical Neurological Disease in Children: A Global Epidemiological Assessment), published in the April 2017 issue... read more

International Survey of Critically Ill Children with Acute Neurological Insults

Developing an ICU Diary in the Pediatric ICU

Todd Fraser, MD, speaks with Jenny Tcharmtchi, BSN, RN, CCRN, about the article, "Family Experience in the PICU," published in Critical Connections, the Society of Critical Care Medicine's newsletter. Ms. Tcharmtchi... read more

Why are doctors plagued by depression and suicide?

Suicide among medical students and doctors has been a largely unacknowledged phenomenon for decades, obscured by secrecy and shame. Now, it’s beginning to emerge from the shadows. More than 62,000 people, many of them medical... read more

Most physicians are lagging in MACRA understanding and preparedness

A joint survey by the American Medical Association and financial firm KPMG paints a daunting picture for physicians and MACRA, with results showing that fewer than one in four physicians feel well prepared to meet its requirements... read more

Most physicians are lagging in MACRA understanding and preparedness

Fewer Hospital Patients Harmed by Bedsores and Injuries

No one who enters a hospital for care expects to be harmed or sickened accidentally. Unfortunately, preventable errors and mishaps are all too common, occurring during one in six hospital admissions and killing at least 500... read more

Fewer Hospital Patients Harmed by Bedsores and Injuries

Interprofessional Survey of Perceived Barriers and Facilitators to Early Mobilization of Critically Ill Patients in Montreal, Canada

Early mobilization is safe, feasible, and associated with better outcomes in patients with critical illness. However, barriers to mobilization in clinical practice still exist. The objective of this study was to assess the... read more

Interprofessional Survey of Perceived Barriers and Facilitators to Early Mobilization of Critically Ill Patients in Montreal, Canada

Admission to the ICU is Associated With Changes in the Oral Mycobiome

A prospective exploratory study was conducted to characterize the oral mycobiome at baseline and determine whether changes occur after admission to the intensive care unit (ICU). We found that ICU admission is associated... read more

Admission to the ICU is Associated With Changes in the Oral Mycobiome

Experts reveal noisy wards can lead to terrifying hallucinations

How a stay in hospital can tip you over the edge: Experts reveal noisy wards can lead to terrifying hallucinations and even long-term harm. Recognizing the symptoms means patients receive the care they need and can make the... read more

Experts reveal noisy wards can lead to terrifying hallucinations

Protocol Lacking for Post-op Delirium

While 70% of anesthesiologists say they "frequently" or "occasionally" encounter postoperative delirium in their practices, more than three-fourths (77%) lack a process to screen for at-risk patients.... read more

Protocol Lacking for Post-op Delirium

Which Physicians Are the Happiest?

This year's lifestyle survey, as in previous ones, asked whether physicians were happy at home or at work. Of physicians who said they were either very or extremely happy at work, dermatologists and ophthalmologists... read more

Quality of Outpatient Care Delivered to Adults in USA

This cross-sectional survey study measures changes in outpatient quality and patient experience in the United States from 2002 to 2013 to determine whether efforts to improve outpatient quality have been successful. Three... read more

Quality of Outpatient Care Delivered to Adults in USA

Healthcare Providers and Exercise Specialists Struggle With Prescribing Physical Activity

TCTMD asked cardiovascular health professionals how they approach the challenge of prescribing physical activity, their answers may surprise you.... read more

Healthcare Providers and Exercise Specialists Struggle With Prescribing Physical Activity

New tool helps measure how costs of care impact cancer patients

For many patients, the uncertainty and stress that can come with cancer treatment is compounded by what is now known as "financial toxicity", the anxiety and distress that follow health care and medication expenses, often... read more

New tool helps measure how costs of care impact cancer patients

Fear of stigma or sanction keeps many doctors from revealing mental health issues

Even as doctors across America encourage their patients to share concerns about depression, anxiety and other concerns, so they can get help from modern treatments, a new study suggests the doctors may be less likely to seek... read more

Fear of stigma or sanction keeps many doctors from revealing mental health issues

Greater collaboration between ICU nurses and ICU physicians may minimize VAP risk

Greater collaboration between ICU nursing and medicine could help to minimize ventilator-associated pneumonia (VAP), according to a study presented at the ATS 2016 International Conference.... read more

Greater collaboration between ICU nurses and ICU physicians may minimize VAP risk