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Indiana University School of Medicine


Nursing home quality scorecards don't tell the whole score

A new study finds that government scoring systems for nursing homes do not accurately evaluate the quality of care for residents with behavioral and psychological symptoms related to dementia. The study suggests that facilities with high numbers of cognitively impaired residents receive lower scores despite providing better care.

SourceIndiana University School of Medicine·JournalJournal of the American Medical Directors Association·DateNov 21, 2011

Even mild cognitive impairment appears to substantially increase risk for death

A long-term study found that even mild cognitive impairment substantially increases the risk of death, with a strong impact comparable to other chronic diseases. The study, which followed nearly 4,000 patients over 13 years, suggests that recognition of cognitive impairment in primary care practices should be given higher priority.

SourceIndiana University School of Medicine·JournalAnnals of Internal Medicine·DateSep 5, 2011

IU analysis changing diagnosis and management of initial UTIs in young children

Analysis by Indiana University School of Medicine researchers resulted in changes to American Academy of Pediatrics guidelines for diagnosing and treating initial urinary tract infections in infants and toddlers. The new guidelines argue against exposing young children to painful radiologic tests and prescribing prophylactic antibiotic...

Writing DNR orders takes longer, death more likely when surrogate decision-maker involved

A three-year study of 668 adults found that surrogate decision-making significantly delays writing DNR orders, leading to shorter time frames between decision and cardiac arrest, reduced palliative care, and less time for families to cope with death. Surrogate decision-makers may struggle with complex ethical and communication issues.

SourceIndiana University School of Medicine·JournalJournal of the American Geriatrics Society·DateJul 11, 2011

Electronic medical records improve quality of care in resource-limited countries

A new study conducted in Eldoret, Kenya found that computer-generated reminders about overdue tests yielded a nearly 50% increase in the appropriate ordering of CD4 blood tests. This improvement in quality of care was made possible through the implementation of just-in-time clinician support within electronic medical records.

SourceIndiana University School of Medicine·JournalJournal of the American Medical Informatics Association·DateMar 18, 2011

Adverse neighborhood conditions greatly aggravate mobility problems from diabetes

A study found that living in neighborhoods with poor air quality, traffic noise, and infrastructure issues significantly increases the risk of mobility problems among African Americans with diabetes. The researchers discovered that people with diabetes who live in adverse neighborhood conditions are up to 80 times more likely to develo...

SourceIndiana University School of Medicine·JournalBMC Public Health·DateOct 21, 2010