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Cases & Commentaries
- Web M&M
Reza Alaghehbandan, MD, MSc, and Stephen S. Raab, MD; March 2013
A woman with abdominal pain, bloating, and weight loss went to her primary physician, who ordered imaging and a biopsy. Lymph node pathology was reported as Castleman disease. A specialist felt the presentation and test results were atypical for this diagnosis. Further testing revealed adult-onset celiac disease.
Weiss GG. Med Econ. May 19, 2006; 83:47-49.
This article provides suggestions for physicians to ensure reliable follow-up on test results, including tracking forms, computerization, and staff compliance with processes.
Journal Article > Study
Development and pilot testing of guidelines to monitor high-risk medications in the ambulatory setting.
Tjia J, Field TS, Garber LD, et al. Am J Manag Care. 2010;16:489-496.
This study reports on the development of standards for laboratory monitoring of high-risk medications (such as anticoagulants) in ambulatory care. Pilot testing revealed that the developed guidelines were not being consistently followed, with infrequently prescribed medications most likely to be monitored inappropriately.