De-escalation, an antimicrobial stewardship concept, involves narrowing broad-spectrum empiric antimicrobial therapy based on clinical data. Current health outcomes evidence is lacking to support de-escalation. Studying Veterans Healthcare Administration pneumonia patients, de-escalation was associated with improved length of stay without affecting 30-day readmission or 30-day Clostridium diffi...

689. Antibiotic Prescribing and Stewardship Opportunities within a Veterans Affairs Dental Care Practice Kimberly Y. Grady, DDS, MPH; Nathan Shively, MD; Cornelius J. Clancy, MD and Brooke K. Decker, MD, CIC; Veteran’s Administration Hospital, Pittsburgh, Pennsylvania, Infectious Diseases, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, University of Pittsburgh, School of Med...

Medical databases serve a critical function in healthcare, including the areas of patient care, administration, research and education. The quality and breadth of information collected into existing databases varies tremendously, between databases, between institutions and between national boundaries. The field of critical care medicine could be advanced substantially by the development of comp...

689. Antibiotic Prescribing and Stewardship Opportunities within a Veterans Affairs Dental Care Practice Kimberly Y. Grady, DDS, MPH; Nathan Shively, MD; Cornelius J. Clancy, MD and Brooke K. Decker, MD, CIC; Veteran’s Administration Hospital, Pittsburgh, Pennsylvania, Infectious Diseases, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, University of Pittsburgh, School of Med...

689. Antibiotic Prescribing and Stewardship Opportunities within a Veterans Affairs Dental Care Practice Kimberly Y. Grady, DDS, MPH; Nathan Shively, MD; Cornelius J. Clancy, MD and Brooke K. Decker, MD, CIC; Veteran’s Administration Hospital, Pittsburgh, Pennsylvania, Infectious Diseases, University of Pittsburgh Medical Center, Pittsburgh, Pennsylvania, University of Pittsburgh, School of Med...

Clinical expertise derived from experience forms the foundation of personal knowledge and skills which is a comprehensive part of healthcare professional’s clinical decision making in practice. 1 Physical therapy (PT) had evolved through an ongoing paradigm shift towards evidence-informed practice (EIP) in all aspects of clinical practice, academic education, scientific research and professiona...

1Department of Plastic Surgery,University of Pittsburgh, Pittsburgh, PA, 2Department of Bioengineering,University of Pittsburgh, Pittsburgh, PA, 3Department of Ophthalmology, University of Pittsburgh, Pittsburgh, PA, 4Department of Ophthalmology, New York University School of Medicine, New York, NY, 5Neuroimaging Laboratory, University of Pittsburgh, Pittsburgh, PA, 6Veterans Administration Pit...

Nianhui Zhang,1 Weizheng Wei,2 Istvan Mody,2,3 and Carolyn R. Houser1,3,4 Departments of 1Neurobiology and 2Neurology and Physiology, and 3Brain Research Institute, David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, California 90095, and 4Research Service, Veterans Administration Greater Los Angeles Healthcare System, West Los Angeles, Los Angeles, California 9...

BACKGROUND By means of the ICONAS project, the Healthcare Agency of an Italian Region developed, and used a standardised questionnaire to quantify the organisational climate. The aims of the project were (a) to investigate whether the healthcare institutions were interested in measuring climate, (b) to estimate the range of applicability and reliability of the instrument, (c) to analyse the dim...

the present study addresses the influence of iran’s post-revolution political structure on the formation of the country’s translated literature system. it examines the translated anglo-american novels pub-lished under two administrations in power after the islamic revolution: 1) the reformist administra-tion, which was a more liberal, leftist administration, seeking to improve iran’s relations ...