Archives October 2015 Cover Story Which chest pain patients can go home? Research on risk algorithms and tests helping to identify unnecessary hospitalizations. Quality Improvement Taking better care of transgender patients Hospitals working to improve resources, education, and training for transgender care. Clinical Medicine Maintain vigilance for MERS Updated criteria, expert advice on when to suspect Middle East respiratory syndrome. Clinical Medicine Change in the air for oxygen delivery High-flow oxygen gaining ground in adult ICUs. Patient Safety Mandatory flu vaccines work but can raise issues for workers More hospitals requiring flu shots for health care workers. Morning Report Acute decompensated heart failure Morning Report, a new feature, discusses the clinical and administrative aspects of a fictional but realistic hospital case from admission to discharge. Success Story Engaging a team to stop C. diff A 528-bed acute care hospital reduced C. diff rates by 53% over 2 years. Q&A Panel picks appropriate uses for PICCs An expert discusses new collaborative recommendations. Coding Corner ICD-10: New documentation opportunities Depression, sepsis, respiratory failure, stroke, and heart disease are discussed. Newman's Notions Morpheus For thousands of years, ancient civilizations in Asia Minor have been cultivating the opium poppy. Letter from the Editor Letter from the Editor This month's issue includes a cover story on determining admission or discharge for chest pain and articles on improving care of transgender patients, remaining on the alert for Middle East respiratory syndrome, and more. Test Yourself MKSAP quiz on chest pain Cases involving chest pain are presented. FDA Update New cholesterol drug class; FDA investigates gadolinium Details on the latest recalls, warnings, and approvals. Recent Research Recent Research Beta-blockers and mortality in afib and sepsis, corticosteroids in CAP, dual versus triple antiplatelet therapy, and more. In the News In the News Unnecessary telemetry, CAP rates and causes, sepsis and acute kidney injury, and more.