Zynx Update June 2012

 

Updated Content


Plan of Care Updates (Immediate Attention Required)
For instructions, click here.

Withdrawn Evidence Links

  • Asthma – Pediatric

    • Admission

      • Nitric oxide, exhaled

  • Bronchiolitis – Pediatric

    • Admission

      • Avoid the use of routine laboratory testing for diagnosis

  • Coronary Artery Bypass Graft Surgery

    • Postoperative

      • For elderly patients, the evidence on the use of sustained mild hypothermia to improve neurocognitive function is insufficient

  • Critical Care Management – Adult

    • Admission

      • Radiograph, chest

  • Deep Venous Thrombosis – Treatment

    • Admission

      • Anti factor Xa level
      • Partial thromboplastin time (PTT), activated

  • Heart Failure

    • Admission

      • Absence of angina

  • Percutaneous Coronary Intervention

    • Venues: Postprocedure, Preprocedure

      • For patients who are intolerant to aspirin, do not give dipyridamole instead of a thienopyridine

  • Perioperative Care

    • Venues: Hospital Preoperative, Postoperative

      • Consider the use of an alpha-2 receptor agonist (eg, cloNIDine) for cardioprotection

  • Sepsis – Pediatric

    • Admission

      • Avoid the routine use of heparin for CVC thrombosis prophylaxis

  • Total Knee Replacement

    • Venues: Postoperative, Starter Plan of Care (based on Postoperative/Discharge)

      • Urinary retention risk assessment

  • Urinary Tract Infection – Adult

    • Admission

      • For patients who have an indwelling urinary catheter, consider the use of a suprapubic urinary catheter to decrease the risk for catheter-associated bacteriuria and UTI

  • Vaginal Delivery

    • Venues: Immediate Postpartum, Starter Plan of Care (based on Immediate Postpartum/Discharge)

      • Constipation risk assessment

Split Evidence Links

  • Patient Problems > Aspiration – Risk of

    • Voice analysis

      • The above activity in the Zynx default plan of care was formerly linked to the “Clinical Assessment” page (evidence ID 206047). The “Clinical Assessment” page was split into the following pages:

        • Swallowing Assessment Tools
        • Swallowing Evaluation


Other Updates
New Modules

  • Personality Disorders

New Evidence Topics

  • Acute Myocardial Infarction/STEMI: Sexual Activity
  • Alcohol Withdrawal: Performance Measures
  • Alcohol Withdrawal: Violent Behavior Risk
  • Asthma – Adult: Clinical Pathway
  • Cesarean Delivery: Breast-feeding Education
  • Cesarean Delivery: Emergency Therapy
  • Chronic Obstructive Pulmonary Disease: Telemedicine
  • Colectomy: Continuum of Care
  • Colectomy: Organizational Interventions
  • Colectomy: Quality Improvement
  • Colectomy: Specialty Provider
  • Colectomy: Staff Education
  • Coronary Artery Bypass Graft Surgery: DVT Prophylaxis
  • Coronary Artery Bypass Graft Surgery: Sexual Activity
  • Critical Care Management – Adult: Enteral Tube Placement Confirmation
  • Critical Care Management – Adult: Performance Measures
  • Critical Care Management – Adult: Risk Reduction Intervention
  • Critical Care Management – Adult: Swallowing Evaluation
  • Critical Care Management – Adult: Ventilator Device and Equipment Maintenance
  • Critical Care Management – Neonatal: Family Support
  • Critical Care Management – Neonatal: Performance Measures
  • Critical Care Management – Pediatric: Ventilator Device and Equipment Maintenance
  • Deep Venous Thrombosis – Treatment: General Recommendations
  • Delirium: Discharge Planning > Performance Measures
  • Delirium: Follow-up
  • Delirium: Injury – Risk of, Physical Injury > Performance Measures
  • Delirium: Risk Assessment
  • Heart Failure: Sexual Activity
  • Heart Valve Replacement: DVT Prophylaxis
  • Heart Valve Replacement: Sexual Activity Education
  • Hip Fracture: Family Support
  • Palliative Care: Assessment Scales
  • Palliative Care: Breathing Pattern – Ineffective > Performance Measures
  • Palliative Care: Consult – Cardiology
  • Palliative Care: Discharge Planning > Performance Measures
  • Palliative Care: Grieving > Performance Measures
  • Palliative Care: Pain > Performance Measures
  • Palliative Care: Patient Assessment
  • Palliative Care: Shared Decision Making
  • Patient Problems: Constipation > Clinical Guideline
  • Patient Problems: Constipation – Risk of > Clinical Guideline
  • Patient Problems: Enteral Tube Placement Confirmation
  • Patient Problems: Face Masks
  • Patient Problems: Humidified Air
  • Patient Problems: Nutrition Deficit > Clinical Guideline
  • Patient Problems: Pressure Ulcer > Clinical Guideline
  • Patient Problems: Pressure Ulcer > Cost
  • Patient Problems: Pressure Ulcer > Quality Improvement
  • Patient Problems: Pressure Ulcer > Resources
  • Patient Problems: Pressure Ulcer > Risk Assessment
  • Patient Problems: Pressure Ulcer – Risk of > Clinical Guideline
  • Patient Problems: Pressure Ulcer – Risk of > Cost
  • Patient Problems: Pressure Ulcer – Risk of > Quality Improvement
  • Patient Problems: Pressure Ulcer – Risk of > Resources
  • Patient Problems: Pressure Ulcer – Risk of > Risk Assessment
  • Patient Problems: Tobacco Use > Clinical Guideline
  • Patient Problems: Ventilator Device and Equipment Maintenance
  • Percutaneous Coronary Intervention: Performance Measures
  • Percutaneous Coronary Intervention: Sexual Activity
  • Percutaneous Coronary Intervention: Time to PCI
  • Perioperative Care: Pain Management
  • Pneumonia – CAP, Adult: Culture – Sputum
  • Pneumonia – CAP, Adult: Duration of Therapy
  • Prematurity – Neonatal: Performance Measures
  • Sepsis – Adult: Radiography
  • Sepsis – Adult: Specialty Team
  • Sepsis – Neonatal: Intraosseous Access
  • Sepsis – Neonatal: Prediction Tool
  • Sepsis – Neonatal: Vascular Access
  • Stroke – Ischemic: ACE Inhibitors
  • Stroke – Ischemic: Angiotensin Receptor Blockers
  • Stroke – Ischemic: Antiadrenergics
  • Stroke – Ischemic: Assessment Scales
  • Stroke – Ischemic: Beta-Blockers
  • Stroke – Ischemic: Coagulation Studies
  • Stroke – Ischemic: Cognitive Impairment Screening
  • Stroke – Ischemic: Colony-Stimulating Factors
  • Stroke – Ischemic: Condition-Specific Evidence > Medications > Calcium Channel Blockers
  • Stroke – Ischemic: Condition-Specific Evidence > Medications > Thrombolysis > Calcium Channel Blockers
  • Stroke – Ischemic: Consult – Cognitive Rehabilitation
  • Stroke – Ischemic: Corticosteroids
  • Stroke – Ischemic: Direct Thrombin Inhibitors
  • Stroke – Ischemic: Diuretics – Thiazide
  • Stroke – Ischemic: Documentation
  • Stroke – Ischemic: Fatigue
  • Stroke – Ischemic: Metabolic Syndrome
  • Stroke – Ischemic: Organizational Policy
  • Stroke – Ischemic: Plan of Care
  • Stroke – Ischemic: Risk Factors
  • Stroke – Ischemic: Screening Scales
  • Stroke – Ischemic: Sexuality Screening
  • Stroke – Ischemic: Vasodilators
  • Stroke – Ischemic: Visual Training
  • Stroke – Ischemic: Vitamin E Supplementation
  • Substance Abuse: Antipsychotic Agents
  • Substance Abuse: Performance Measures
  • Substance Abuse: Quality of Life Assessment Scales
  • Substance Abuse: Restraint Use
  • Total Hip Replacement: Infection Surveillance
  • Total Knee Replacement: Specialty Unit
  • Transient Ischemic Attack: Angiotensin Receptor Blockers
  • Transient Ischemic Attack: Beta-Blockers
  • Transient Ischemic Attack: Direct Thrombin Inhibitors
  • Transient Ischemic Attack: Metabolic Syndrome
  • Transient Ischemic Attack: Practice Model
  • Unstable Angina/NSTEMI: Sexual Activity
  • Vaginal Delivery: Breast Pump
  • Vaginal Delivery: Breast-feeding Education
  • Vaginal Delivery: Emergency Therapy
  • Vaginal Delivery: Risk Factors

 

Back to the Top

> E-mail this page

 


FDA Drug Safety Alerts
 

Click here for FDA Safety Alerts relevant to Zynx evidence.
_
Zynx Update does not address the addition, deletion, or modification of clinical rules, nor does it address the addition of items or the deletion of non–evidence-based items from order sets or plans of care. Zynx Update is intended for use by quality improvement personnel who can review the information provided to help decide if modifications should be made to existing order sets, plans of care, and rules, based on changes to the evidence.