| Advance Praise |
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x | |
| About the Editors |
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xiii | |
| Contributors |
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xv | |
| Foreword: Onward and Upward |
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xx | |
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| Preface |
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xxiii | |
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Part I Administration: Key Concepts of Observation Medicine, and Developing and Maintaining an Observation Unit |
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1 Observation Medicine -- Key Concepts: How to Start (and Maintain) an Observation Unit: What You Need to Know: Clinical Issues |
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2 | (9) |
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2 Observation Medicine -- Key Concepts: How to Start (and Maintain) an Observation Unit: What You Need to Know: Administrative Issues |
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11 | (12) |
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3 Observation Medicine Development Over Time |
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23 | (4) |
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4 Observation Medicine Principles |
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27 | (3) |
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30 | (3) |
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6 Staffing Considerations |
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33 | (4) |
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37 | (6) |
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43 | (5) |
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9 Metrics and Performance Improvement: Patient Quality, Safety, and Experience |
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48 | (10) |
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Part II Observation Medicine: Clinical Setting and Education |
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10 The Community Hospital Perspective in a Suburban/Rural Setting |
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58 | (2) |
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11 The Urban Community Hospital |
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60 | (2) |
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12 The Tertiary Care Hospital and Academic Setting |
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62 | (2) |
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13 Observation Medicine and the Hospitalist |
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64 | (2) |
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14 Training and Education - Residents |
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66 | (2) |
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15 Training and Education - Medical Students/Fellows |
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68 | (4) |
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Part III New Developments in Observation Medicine |
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16 Extended and Complex Observation |
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72 | (4) |
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17 Extended Observation Services |
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76 | (2) |
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78 | (10) |
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19 Level of Care Determination: Medical Necessity Risk Stratification |
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88 | (4) |
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20 Accountable Care Organizations |
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92 | (3) |
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21 Acute Medicine in the United Kingdom |
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95 | (3) |
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Subpart IVA Clinical --- Cardiac |
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98 | (9) |
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107 | (7) |
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114 | (7) |
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121 | (6) |
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127 | (11) |
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Subpart IVB Clinical --- Respiratory |
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138 | (5) |
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28 Acute Exacerbation of Chronic Obstructive Pulmonary Disease and Bronchitis |
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143 | (6) |
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29 Community Acquired Pneumonia |
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149 | (4) |
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30 Primary Spontaneous Pneumothorax |
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153 | (5) |
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Subpart IVC Clinical --- Vascular |
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Editor's Comments: Venous Thromboembolic Disease: Deep Vein Thrombosis and Pulmonary Emboli |
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158 | (1) |
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31 Deep Vein Thrombosis (DVT) |
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159 | (6) |
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32 Acute Pulmonary Embolism (PE) |
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165 | (8) |
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173 | (7) |
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Subpart IVD Clinical --- Neurologic |
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34 Transient Ischemic Attack (TIA) |
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180 | (9) |
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189 | (11) |
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200 | (11) |
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211 | (11) |
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38 Central Nervous System (CNS) Shunts |
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222 | (3) |
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Subpart IVE Clinical --- Metabolic, Endocrine |
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225 | (6) |
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231 | (4) |
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41 Electrolyte Abnormalities |
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235 | (9) |
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Subpart IVF Clinical --- Hematologic |
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244 | (6) |
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250 | (7) |
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Subpart IVG Clinical --- Infections |
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44 Skin and Soft Tissue Infections (SSTI) |
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257 | (6) |
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Subpart IV Clinical --- Gastrointestinal |
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263 | (4) |
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46 Upper Gastrointestinal (Gl) Bleeding |
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267 | (4) |
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47 Dehydration, Gastroenteritis, and Vomiting |
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271 | (3) |
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Subpart IVI Clinical --- Genitourinary |
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274 | (6) |
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49 Pyelonephritis and Urinary Tract Infections |
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280 | (4) |
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Subpart IVJ Clinical --- Obstetrics and Gynecology |
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50 Pelvic Inflammatory Disease (PID) |
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284 | (3) |
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287 | (2) |
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52 Hyperemesis Gravidarum |
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289 | (2) |
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Subpart IVK Clinical --- Pediatrics and Geriatrics |
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53 Pediatric Observation Medicine |
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291 | (9) |
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54 Pediatric Observation Medicine at a Children's Hospital |
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300 | (4) |
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55 Geriatric Observation Medicine |
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304 | (5) |
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Subpart IVL Clinical --- Surgical Evaluation |
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309 | (3) |
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Subpart IVM Clinical --- Pain |
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Management and Musculoskeletal |
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57 Pain Management, Including Musculoskeletal and Low Back Pain |
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312 | (6) |
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Subpart IVN Clinical --- Trauma |
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318 | (5) |
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Subpart IVO Clinical --- Toxicology |
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323 | (9) |
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Subpart IVP Clinical --- Psychosocial |
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Editor's Comments on Medical Clearance |
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332 | (1) |
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332 | (7) |
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Subpart IVQ Clinical --- Disasters |
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339 | (9) |
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Subpart VA Financial --- Coding and Reimbursement |
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62 Physician Coding and Reimbursement |
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348 | (7) |
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63 Hospital Coding and Reimbursement |
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355 | (8) |
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Subpart VB Financial --- Case Management |
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64 Determining the Correct Status |
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363 | (3) |
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65 Case Management: Care Coordination |
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366 | (4) |
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Subpart VC Financial --- Medical Necessity, Denials, and Appeals |
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370 | (8) |
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378 | (4) |
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Subpart VD Financial --- The Business of Observation Medicine |
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68 Ensuring Financial Viability: The Business Case for Observation Units |
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382 | (4) |
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69 Observation Services in the Eyes of the Payers |
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386 | (5) |
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70 The Business of Observation Medicine |
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391 | (7) |
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Subpart VIA International --- Africa |
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398 | (5) |
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Subpart VIB International --- Asia |
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403 | (3) |
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Subpart VIC International --- Australia/New Zealand |
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406 | (3) |
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409 | (2) |
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Subpart VID International --- Europe |
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411 | (2) |
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413 | (4) |
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417 | (4) |
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421 | (3) |
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Subpart VIE International --- South America |
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424 | (6) |
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Carlos-Hernan Camargo-Mila |
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Part VII Evidence Basis for Observation Medicine |
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80 The Evidence Basis for Observation Medicine in Adults Based on Diagnosis/Clinical Condition |
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430 | (48) |
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81 The Evidence Basis for Age-Related Observation Care |
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478 | (33) |
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Part VIII Clinical Protocols |
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Author's and Editor's Comments: Protocols and Order Sets |
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511 | (3) |
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514 | (34) |
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Specialized Clinical Protocols |
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547 | (1) |
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83 Spontaneous Pneumothorax |
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548 | (8) |
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84 Snakebites: Rattlesnake Bites |
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556 | (4) |
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85 Snakebites: North American Crotalid Snake (Pit Viper) |
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560 | (5) |
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565 | (2) |
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87 Low-Risk Pulmonary Embolism (PE) |
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567 | (3) |
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Part IX Administrative Policies |
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88 Administrative Policies |
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570 | (32) |
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Subpart XA Order Sets --- Adult |
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89 Medical Center Department of Emergency Medicine Observation Unit Manual: Adult Order Sets by Diagnosis/Clinical Condition |
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602 | (103) |
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90 Adult Order Sets: Electrolyte Abnormalities |
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705 | (8) |
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91 Adult Order Sets: Trauma |
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713 | (16) |
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92 Adult Order Sets: Intravenous Fluids, Laboratory, Radiology, and Special Studies |
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729 | (4) |
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93 Adult Order Sets: Medications |
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733 | (15) |
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94 Adult Order Sets: Generic or General Order Set |
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748 | (4) |
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Subpart XB Order Sets --- Pediatrics |
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95 Pediatric Order Sets: Medications |
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752 | (10) |
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96 Pediatric Order Sets: Generic or General Order Set |
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762 | (4) |
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| Prologue: Observation Medicine Is Not the Same as Observation Status |
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766 | (3) |
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| Index |
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