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Hospitals that steward antibiotics well share common factors

Hospitals where pharmacists reported feeling that they are respected by their hospitalist colleagues and considered valuable team members were less likely to overuse antibiotics, a small survey study of antibiotic stewardship programs found.
https://acphospitalist.acponline.org/archives/2023/12/20/hospitals-that-steward-antibiotics-well-share-common-factors.htm
20 Dec 2023

Conservative airway strategy may improve outcomes in comatose patients with acute poisoning

Patients who were randomized to no intubation unless they met an emergency criterion did better on a composite end point of in-hospital death and length of ICU and hospital stay than those treated under routine practice, a French trial found.
https://acphospitalist.acponline.org/archives/2023/12/06/conservative-airway-strategy-may-improve-outcomes-in-comatose-patients-with-acute-poisoning.htm
6 Dec 2023

The many faces of hospital medicine

International hospitalists share their common and unique experiences and challenges.
https://acphospitalist.acponline.org/archives/2023/11/29/free/the-many-faces-of-hospital-medicine.htm
29 Nov 2023

Half-hospitalists to help with rural shortages

One physician proposed a way for himself and others to pursue their passions and provide more coverage for hospital patients.
https://acphospitalist.acponline.org/archives/2023/11/29/half-hospitalists-to-help-with-rural-shortages.htm
29 Nov 2023

Catching postop problems

An expert offers tips on dealing with postoperative fever, urinary retention, nausea and vomiting, acute kidney injury, and atrial fibrillation.
https://acphospitalist.acponline.org/archives/2023/11/22/catching-postop-problems.htm
22 Nov 2023

New report lists 10 steps to improving in-hospital cardiac arrest care

The American Heart Association and international organizations offered the steps with the aim of reducing the high morbidity and mortality and worldwide variation in quality of care found with in-hospital cardiac arrest.
https://acphospitalist.acponline.org/archives/2023/11/22/new-report-lists-10-steps-to-improving-in-hospital-cardiac-arrest-care.htm
22 Nov 2023

ED visits after discharge to SNF cost Medicare $24 million in 2019

Sixteen percent of Medicare patients who were discharged to a skilled nursing facility (SNF) came back to the ED within two weeks, and a quarter of those visits resulted in discharge back to the SNF the same day.
https://acphospitalist.acponline.org/archives/2023/11/01/ed-visits-after-discharge-to-snf-cost-medicare-24-million-in-2019.htm
1 Nov 2023

Position paper calls on CMS to revise plan to pay for sepsis performance

Paying hospitals based on the SEP-1 bundle would divert attention and resources from more effective ways to provide comprehensive sepsis care, said medical groups including the Infectious Diseases Society of America and the Society of Hospital Medicine.
https://acphospitalist.acponline.org/archives/2023/10/25/position-paper-calls-on-cms-to-revise-plan-to-pay-for-sepsis-performance.htm
25 Oct 2023

Virtual rounds after transfers to SNF identified errors in discharge summaries

Hospitalists at two academic hospitals met weekly with clinicians from skilled nursing facilities (SNFs) to discuss patients who had recently been handed off, and they found errors in nearly a quarter of discharge summaries.
https://acphospitalist.acponline.org/archives/2023/10/11/virtual-rounds-after-transfers-to-snf-identified-errors-in-discharge-summaries.htm
11 Oct 2023

AI predictive models shown to be potentially unreliable over time in clinical settings

A simulation study based on ICU data found that using artificial intelligence (AI) to try to improve predictions of acute kidney injury and mortality could actually impair existing models' performance.
https://acphospitalist.acponline.org/archives/2023/10/11/ai-predictive-models-shown-to-be-potentially-unreliable-over-time-in-clinical-settings.htm
11 Oct 2023

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