The Importance of Timely Goals of Care Discussions

Are We Sure It’s Gout? Reducing Harms of Allopurinol Prescribing

Renal harms from IV contrast: overstated?

Following Guidelines to Optimize Screening Practices​

 

To screen or not to screen? A case of prostate cancer not seen and a patient not heard​​

 

Navigating complex decisions at the end of life

The high cost of incidental findings​ 

NG Tubes: Optional in Some Patients?​

Clarifying drug allergies

Targeting low value care in diabetes management

Early Fluid Resuscitation in Severe Sepsis

An Ampicillin Affliction

The Perils of Well-Intended Protocols

Which postmenopausal women do I order a DEXA scan for? Overuse of DXA in women

Stemming the Tide of Unnecessary Stem Cell Injections

Missing the beat: underutilization of palliative care in heart failure ends in overutilization of advanced therapies​

Empagliflozin and diuretics in the elderly: more harm than good?

Hospital Delrium: A Source of Morbidity And Mortality

HCV and cirrhosis screening

Clarifying the Treatment Plan

Use of ACE-I in a Patient with HFpEF and DM2

Could the severe illness and injury this patient suffered have been avoided?

Overuse of imaging in patients with syncope

An Inappropriate Chest X-ray Leads to a Near-Delay of an Urgently Needed Procedure

Labeling a patient with penicillin allergy: not a benign practice

Unnecessary Quantiferon testing in a Young Man Previously Treated for Latent TB

Optimizing anticoagulants and antiplatelets in high risk patients

Excessive Preoperative Evaluation

Avoiding Opioid Overuse

A Case of Antibiotic Overuse

Treating Asymptomatic Bacteriuria: An All-Too-Common Occurrence

Optimizing screening decisions

Overuse of Continuous Pulse Oximetry in the Hospital

Low back pain: what is the role of imaging?

The optimal amount of steroids in exacerbations of COPD

Managing Medication Overuse Headache

Risks of Opioid and Sedative Prescription in an Elderly Patient

Contrast infiltration after abdominal CT

Evaluation of Painless Jaundice - How Aggressive Should One be?

Cancer Screening with Limited Life Expectancy: When to Stop

Recurrent GI Bleeds: Repeated Endoscopy or Watchful Waiting?

Is a Lower HgA1c Worth the Risk?

Optimizing management of subclinical hypothyroidism

Reflections on stopping screening

Suspected hypoglycemia in an elderly woman: goals for appropriate diabetes management in the geriatric patient

Teachable Moment: Follow Up Chest Radiography Following Acute Bacterial Pneumonia

Prophylactic antibiotics in uncomplicated hand lacerations

Untying the knot of incidental findings

Caring for Patients at the End of Life

Hunting for hidden hypertensive etiologies

Maria Amaya - Do No Harm Project

The perils of perioperative stress testing

Recurrent Diverticulitis: Why Complicate Things?

Polypharmacy in the Hospital

Rethinking red cell transfusion

Vertebroplasty in osteoporotic compression fracture

Discerning the optimal RBC transfusion threshold

Acute hypoxia from a potentially preventable cause

Vertebral Osteomyelitis after Prostate Cancer Screening

Difficulty with Diagnosis in ESRD patients

Unintended consequences of an admission to exclude ACS

Debridement of A Decubitus Ulcer in a Cognitively Impaired Patient

Pre-operative EKGs – pitfalls of unexpected findings

Repeated Prescription-Opioid Overdose in a Geriatric patient

Use of Vertebral Augmentation in Osteoporotic Compression Fractures

Moving beyond “usual care” for heart attack

Clarifying Goals at the End of Life

The Trouble with Well Intended Polypharmacy in the Elderly

Do you know if your patient has a Foley catheter?

The Complicated MRI Queue

Empiric antibiotics – just in case

Unintentional overdose in a patient on high dose opioids

Screening for a Young, Asymptomatic Woman with a Family History of Breast Cancer

Parkinsonism in an elderly patient

Medical-surgical co-management systems

Evaluation of chronic cough – the patient is telling you the diagnosis

Stent placement for benign esophageal strictures

Acute Shellfish Allergy: Is Any Work-up Necessary?

Dangers of multiple health care systems and potential rivaroxaban overdose

The Clinical Conundrum of the Incidentaloma

Prolonging aggressive healthcare in the elderly

Our difficult break-up with proton pump inhibitors

Don’t scratch that itch: Resisting risky medication use in the elderly

Cancer Screening

The Perils of Medication Overuse Headache

Hypnotic Overuse

To CT or not to CT?: Anaphylaxis secondary to IV Contrast

Low Risk Chest Pain 

The Power and Pitfalls of Increasing Access to Data 

Tension Over Too Much Testing

From Low Back Pain to CPR: A Pre-operative Work Up  

​Valvular Repair and Heart Failure