Annals of internal medicine
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Practice Guideline Guideline
Evidence-based clinical practice guideline for the prevention of ventilator-associated pneumonia.
Ventilator-associated pneumonia (VAP) is an important patient safety issue in critically ill patients. ⋯ If effectively implemented, this guideline may decrease the morbidity, mortality, and costs of VAP in mechanically ventilated patients.
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Randomized Controlled Trial Clinical Trial
The effect of a 13-hour curriculum to improve residents' teaching skills: a randomized trial.
Although resident physicians often teach, few trials have tested interventions to improve residents' teaching skills. A pilot trial in 2001-2002 found that 13 trained resident teachers taught better than did untrained control residents. ⋯ Generalist residents randomly assigned to receive a 13-hour longitudinal residents-as-teachers curriculum consistently showed improved teaching skills, as judged by medical student raters. Residents required to participate improved as much as volunteers did.
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Randomized Controlled Trial Clinical Trial
Below-knee elastic compression stockings to prevent the post-thrombotic syndrome: a randomized, controlled trial.
Because only limited evidence suggests that elastic stockings prevent the post-thrombotic syndrome in patients with symptomatic deep venous thrombosis (DVT), these stockings are not widely used. ⋯ Post-thrombotic sequelae develop in almost half of patients with proximal DVT. Below-knee compression elastic stockings reduce this rate by approximately 50%.
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Comment Letter
The patient safety movement will help, not harm, quality.