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November 2009
Featured Articles
Cover story
Top Docs
Meet our 2009 Top Hospitalists
Welcome to our second annual Top Hospitalists issue.
Your practice
A deviant approach to hospital challenges
Positive deviance is a bottom-up, rather than top-down, approach to solving seemingly intractable problems in an institution or a community. It’s based on the observation that certain individuals or groups (positive deviants) have found better solutions to these problems than their peers have.
Is it observation or inpatient?
Three new ways to answer the age-old question
The question of “observation or inpatient” has perplexed hospital physicians for some time, but it’s recently acquired greater financial significance. Recovery audit contractors paid by Medicare will be looking at hospitals’ one-day admissions to determine whether patients were appropriately admitted or should have been under observation status.
Success Story
Homemade computer program improves glucose control
The Medical University of South Carolina Medical Center in Charleston, S.C., developed a nurse-driven Web-based insulin infusion protocol to manage blood glucose in the intensive care unit, as well as in the rest of the hospital
Perspectives
Letter from the editor
This issue features the results of our second annual Top Hospitalists competition. The 10 hospitalists in our cover feature, chosen by our editorial advisory board, are a varied group of professionals working in different ways to make the field of hospital medicine better. You may recognize some of the names and faces of our Top Ten, but we also hope that some will be new to you.
Newman’s notions
Fight the noise
We all know the difficulty in functioning within a noisy hospital. But in hospitals we don’t always have the option of suggesting that we move our discussion to a quiet coffee shop instead. Noise pollution in hospitals is an issue that confronts us all as hospital workers.
Your Practice
Technology traps
The hazards of invasive arterial pressure monitoring
Our columnist outlines 10 possible sources of error.
Coding Corner
Using observation services
Hospitals often struggle to achieve compliance with CMS’ regulations for determining whether a patient should be classified as an inpatient or an outpatient with observation services.
Clinical Medicine
Test yourself
Hematology/oncology
The following cases and commentary, which address hematology/oncology, are excerpted from ACP’s Medical Knowledge Self-Assessment Program (MKSAP15).
FDA update
Tracheal tubes, catheters, defibrillators recalled; lymphoma drug approved
Recalls, label changes, safety reviews
Research news
Journal watch
Recent studies of note.
In the news
Test result documentation in discharge summaries, and more.
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ACP Hospitalist Weekly
From the March 10, 2009 edition
- Current, validated med lists reduce errors on hospital admission
- Use of probiotics helps lower ventilator-associated pneumonia rates
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.
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
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
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.