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A step back from advance directives

Advance care planning needs to be more than a form in a file, says an intensivist and researcher.
https://acphospitalist.acponline.org/archives/2022/08/31/a-step-back-from-advance-directives.htm
31 Aug 2022

‘No escalation of treatment’ orders common, often ambiguous, small study finds

Researchers interviewed 30 physicians at seven hospitals about “no escalation of treatment” designations and concluded that systems-level interventions to make these orders clearer and more consistent would be helpful.
https://acphospitalist.acponline.org/archives/2022/08/31/no-escalation-of-treatment-orders-common-often-ambiguous-small-study-finds.htm
31 Aug 2022

Latest COVID-19 research looks at plasma antigen levels, oral antivirals, HAIs

Studies found that plasma antigen levels of SARS-CoV-2 were associated with severity of illness, molnupiravir and nirmatrelvir-ritonavir improved outcomes in inpatients with mild-to-moderate illness, and small hospitals were hit hard by a pandemic rise in hospital-acquired infections (HAIs).
https://acphospitalist.acponline.org/archives/2022/08/31/free/latest-covid-19-research-looks-at-plasma-antigen-levels-oral-antivirals-hais.htm
31 Aug 2022

Talking about heart failure

Patients with heart failure often have a hard time wrapping their heads around it. Hospitalists can do a lot to improve communication and education during hospitalization.
https://acphospitalist.acponline.org/archives/2022/08/24/talking-about-heart-failure.htm
24 Aug 2022

Revenues, profits lower among hospitals serving more Black patients, study finds

Hospitals with a higher percentage of Black patients in their Medicare population had average patient care revenues and profits of $1,736 per patient-day and −$17 per patient-day, respectively, versus $2,213 per patient-day and $126 per patient-day at other hospitals, an analysis of 2016-2018 data found.
https://acphospitalist.acponline.org/archives/2022/08/17/revenues-profits-lower-among-hospitals-serving-more-black-patients-study-finds.htm
17 Aug 2022

How much work is too much?

Researchers are working to identify the effects of heavy workload on hospitalists and their care.
https://acphospitalist.acponline.org/archives/2022/08/10/free/how-much-work-is-too-much.htm
10 Aug 2022

New recommendations on managing patients with opioid use disorder from SHM

The Society of Hospital Medicine (SHM) released a consensus statement on the management of opioid use disorder in inpatients, including identification and treatment of the condition, pain management in patients with it, and care transitions.
https://acphospitalist.acponline.org/archives/2022/08/03/free/new-recommendations-on-managing-patients-with-opioid-use-disorder-from-shm.htm
3 Aug 2022

Use your window into heart failure

A new guideline and experts urge hospitalists to maximize heart failure therapies, but also to be aware of their costs.
https://acphospitalist.acponline.org/archives/2022/07/27/free/use-your-window-into-heart-failure.htm
27 Jul 2022

Alert decreased coagulation test orders during lab tube shortage, single-center study finds

A best practice advisory delivered through the electronic medical record during a national shortage of laboratory tubes was associated with an immediate decrease in orders for prothrombin time, international normalized ratio, and partial thromboplastin time.
https://acphospitalist.acponline.org/archives/2022/07/27/free/alert-decreased-coagulation-test-orders-during-lab-tube-shortage-single-center-study-finds.htm
27 Jul 2022

Experts recommend criteria for referring heart failure patients to palliative care

The 25 criteria selected by a group of international experts were divided into six categories: advanced/refractory heart failure, comorbidities, and complications; advanced therapies; hospital utilization; prognosis; symptom burden/distress; and decision making/social support.
https://acphospitalist.acponline.org/archives/2022/07/20/experts-recommend-criteria-for-referring-heart-failure-patients-to-palliative-care.htm
20 Jul 2022

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