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Michigan Medicine - University of Michigan


In the drive to decrease low-value care, many don't assess the right impacts on patients

A review of 117 efforts to reduce low-value care found that most measured only the reduction of test and treatment use, while few assessed intended patient benefits or unintended consequences. Only half of ongoing studies aim to measure patient-reported outcomes, highlighting a need for more comprehensive evaluation.

SourceMichigan Medicine - University of Michigan·JournalJournal of General Internal Medicine·DateJun 28, 2019

Reducing overtesting in the emergency department could save millions

A new study published in Annals of Emergency Medicine highlights the potential for emergency departments to reduce low-value imaging tests and associated costs. By analyzing data from a statewide quality network, researchers estimate that implementing benchmark standards could avoid $3.8 million in annual spending on unnecessary care.

SourceMichigan Medicine - University of Michigan·JournalAnnals of Emergency Medicine·DateJun 27, 2019

Lower risk of Type 1 diabetes seen in children vaccinated against 'stomach flu' virus

A new study shows that children who received all doses of the rotavirus vaccine had a 33% lower risk of getting diagnosed with type 1 diabetes. The study, published in Scientific Reports, used nationwide health insurance data and found that the vaccine was associated with a 94% lower rate of hospitalization for rotavirus infection.

SourceMichigan Medicine - University of Michigan·JournalScientific Reports·DateJun 13, 2019

To protect kids and teens from firearm harm, answer these questions first, experts

A team of experts from the Firearm Safety Among Children and Teens (FACTS) consortium has published a list of 26 urgent questions for rigorous studies to address pediatric firearm injury prevention. The questions cover various aspects, including access, storage, and exposure to firearms, as well as the effectiveness of programs and tec...

SourceMichigan Medicine - University of Michigan·JournalJAMA Pediatrics·DateJun 10, 2019

Reducing opioid prescriptions after C-sections

A pain management protocol called Enhanced Recovery After Surgery has been shown to be effective in reducing opioid prescriptions after C-sections. The protocol involves a combination of long-acting opioids and non-narcotic medications to limit inpatient morphine use, resulting in shorter hospital stays and improved patient satisfaction.

SourceMichigan Medicine - University of Michigan·JournalAmerican Journal of Obstetrics and Gynecology·DateJun 5, 2019

A new way to predict complications after larynx cancer surgery

A new technique using laser angiography illuminated blood flow during laryngectomy surgery, identifying patients at highest risk of wound healing issues. This approach may enable surgeons to adjust during surgery or recovery to improve outcomes, with potential interventions including wider tissue removal and extended hospital stays.

SourceMichigan Medicine - University of Michigan·JournalAnnals of Surgical Oncology·DateMay 31, 2019

'Superbugs' found on many hospital patients' hands and what they touch most often

A new study found that nearly a third of hospital room surfaces had antibiotic-resistant bacteria on them, suggesting rapid transmission from patients to their environment. The research team suggests expanding hand hygiene efforts to include patients, as healthcare workers' hands remain the primary mode of microbe transmission.

SourceMichigan Medicine - University of Michigan·JournalClinical Infectious Diseases·DateApr 13, 2019

Hearing loss before 50 may mean higher risk of drug and alcohol issues

A national study reveals that young and middle-aged adults with hearing loss are twice as likely to misused prescription opioids and other substances compared to their hearing peers. Health care providers may need to take special care when treating pain and mental health conditions in deaf and hard-of-hearing patients.

SourceMichigan Medicine - University of Michigan·JournalAmerican Journal of Preventive Medicine·DateMar 25, 2019