Search results for "Highlights"
A different kind of hospital ranking
Two physicians explain why their health care think tank has started ranking U.S. hospitals by social responsibility, including whether facilities avoid low-value care and pay their employees equitably.
https://acphospitalist.acponline.org/archives/2022/03/02/a-different-kind-of-hospital-ranking.htm
2 Mar 2022
Sepsis guidelines review old questions, tackle new ones
The lead author of the Surviving Sepsis Campaign's latest guideline update highlighted the most important changes for hospitalists to know, including recommendations on the use of fluid and vasopressors.
https://acphospitalist.acponline.org/archives/2022/01/19/sepsis-experts-review-old-questions-tackle-new-ones.htm
19 Jan 2022
Ward-based program for elderly inpatients associated with improved delirium, but no improvement in other outcomes
A pragmatic cluster randomized trial at four Australian hospitals found that “Eat Walk Engage” did not reduce length of stay or overall hospital-associated complications compared to usual inpatient care.
https://acphospitalist.acponline.org/archives/2022/01/19/ward-based-program-for-elderly-inpatients-associated-with-improved-delirium.htm
19 Jan 2022
Meta-analysis compares mortality benefits of heart failure treatment combinations
Patients taking an angiotensin receptor-neprilysin inhibitor, beta-blocker, mineralocorticoid receptor antagonist, and sodium-glucose cotransporter-2 inhibitor showed the greatest reduction in risk of death, the analysis of heart failure with reduced ejection fraction found.
https://acphospitalist.acponline.org/weekly/archives/2021/12/15/4.htm
15 Dec 2021
Only half of ICU patients with alcohol use disorder received thiamine, despite guidelines
An observational study of ICU patients with alcohol use disorder found that use of thiamine supplementation was 59% for those admitted for alcohol withdrawal, 26% for septic shock, 41% for traumatic brain injury, and 24% for diabetic ketoacidosis.
https://acphospitalist.acponline.org/weekly/archives/2021/12/08/4.htm
8 Dec 2021
Safety-net hospitals sent more patients to postacute facilities under bundled payments
A study of hospitals participating in Medicare's bundled payment program found that those with safety-net status didn't differ from others on postdischarge care cost or quality, but discharged a higher percentage of patients to institutions and a lower percentage to home health care.
https://acphospitalist.acponline.org/weekly/archives/2021/11/24/3.htm
24 Nov 2021
Combating clots in COVID-19
Critical care experts advised on appropriate prophylaxis for ward and ICU patients as part of the CHEST 2021 conference.
https://acphospitalist.acponline.org/archives/2021/11/combating-clots-in-covid-19.htm
15 Nov 2021
Intravenous fluid management
A hypothetical case highlights the many reasons to provide IV fluid.
https://acphospitalist.acponline.org/archives/2021/11/expert-analysis-iv-fluids.htm
15 Nov 2021
Risk for adverse outcomes after early-onset MI appears higher in Black patients
Researchers calculated that 45.7% of race-related disparity in major adverse cardiac events after myocardial infarction (MI) among younger and middle-aged patients was due to lower income, highlighting the importance of social determinants of health.
https://acphospitalist.acponline.org/weekly/archives/2021/09/01/3.htm
1 Sep 2021
Third-party partnerships influenced hospitals' participation in bundled payment programs
Compared to hospitals without third-party partnerships, those that partnered with private consulting firms in Medicare's voluntary Bundled Payments for Care Improvement initiative were more likely to select inpatient clinical episodes with higher target prices, leading to greater savings opportunities, a recent study found.
https://acphospitalist.acponline.org/weekly/archives/2021/08/11/4.htm
11 Aug 2021