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September 2009

Featured Articles

Cover story

Spontaneous awakening trials

How to increase adherence in the ICU

Research is one thing, and practice quite another. It’s been nine years since a New England Journal of Medicine study showed ICU patients recover more quickly when their sedation medication is routinely stopped. It’s been over a year and a half since a Lancet study found that combining this practice, called spontaneous awakening trials, with spontaneous breathing trials further decreased patients’ time on mechanical ventilation and in the ICU. Yet a sizable number of hospitals still don’t do it.

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Patient safety

Lost in transition

Medication discrepancies between hospitals and skilled nursing facilities are common. Learn why and what you can do about it.

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Disaster management

Treatment on the fly

Mobile units help hospitals boost surge capacity

Portable “MASH-like” hospital units are helping communities across the country improve their ability to respond to disasters and other events requiring extra capacity.

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Q&A: John Rumsfeld, FACP

Lowering hospital readmissions by improving care transitions

The Hospital to Home program targets changes by 2012.

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Success story

Hospitalist Web site streamlines signouts, helps communication

At St. John’s Mercy Medical Center in St. Louis, Mo., a hospitalist-developed Web site makes it easy to identify and contact each patient’s attending physician.

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Mindful medicine

Unmasking the patient’s hidden agenda

A patient’s reply of “so-so” regarding her depression leads a doctor to dig deeper.

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Physician profile

A devotion to patients that springs from gratitude

For Suren Pathman, MD, doctoring is all about service.

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Perspectives

Letter from the editor

Studies have shown that critically ill patients who are given “sedation vacations” consisting of spontaneous awakening trials (SATs) and spontaneous breathing trials spend less time on the ventilator and less time in the ICU overall. But many hospitals don’t follow written policy on performing SATs, and a large proportion don’t use SATs in the majority of their patients.

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Newman’s notions

A tick’s tale

People have always been fascinated by medical comedies, medical dramas and medical reality shows. One of the most interesting of the current crop has to be “House, M.D.”—not because it is the most believable, but because it is by far the most inaccurate.

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The student hospitalist

Too much information

A medical student recounts her experience as a patient.

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Your Practice

Coding Corner

Accurate coding for transfer to post-discharge facilities

Accurate ICD-9-CM codes for diagnoses and procedures performed during a hospital stay will only partially determine payment. Discharge status codes must be given equal attention.

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Your Career

Pulse On™ Indianapolis

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Pulse On™ Pocatello, Idaho

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Clinical Medicine

Test yourself

Sedation and ventilation

The following cases and commentary, which address sedation and ventilation, are excerpted from ACP’s Medical Knowledge Self-Assessment Program (MKSAP14).

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FDA update

Propofol, ventilators, infusion sets recalled

Drug recalls, label changes, safety reviews.

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Research news

Journal watch

Recent studies of note.

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In the news

Guidelines on catheter-related infections, and more.

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Hospitalist Archives
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ACP Hospitalist Weekly

From the March 10, 2009 edition

View issue

Cartoon Caption Contest

ACP HospitalistWeekly wants readers to create captions for this cartoon and help choose the winner. Pen the winning caption and win a $50 gift certificate good toward any ACP product, program or service.

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ACP Career Connection

Looking for a new hospitalist position?

ACP Career Connection can help you find your next job in hospital medicine. Search hospitalist positions nationwide that suit your criteria and preferences. Jobs are posted about two weeks before print publication of Annals of Internal Medicine, ACP Internist, and ACP Hospitalist. Exclusive “Online Direct” opportunities are updated weekly. Check us out online.

New ACP Online Clinical Information Page

New ACP Online Clinical Information Page

Sneak a peek at ACPs new and improved Clinical Information page! Test drive the beta version of our redesigned Clinical Information landing page, give us your feedback, and help us make it as easy to use as possible.

Your Opinion Counts

Your Opinion Counts

Twice a year, ACP participates in a journal readership survey of random internists. If you receive one of these surveys in the mail, please indicate if you read our journals and answer the questions about your reading habits of our journals.

Your voice in these surveys is very important to ACP and enables us to continue to produce the high-quality publications that you expect. Find out more.