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Program targeting superutilizers did not reduce readmission rates in randomized trial

The results suggest that approaches to care management designed to connect patients with existing resources may be insufficient for a medically and socially complex superutilizer population, study authors said.
https://acphospitalist.acponline.org/weekly/archives/2020/01/15/1.htm
15 Jan 2020

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

Checklist use before endotracheal intubation did not improve most outcomes

While use of a preparatory preintubation checklist was not associated with improved survival in critically ill patients, it was associated with decreased hypoxia, a systematic review and meta-analysis found.
https://acphospitalist.acponline.org/weekly/archives/2020/07/08/2.htm
8 Jul 2020

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

Variations, improvement strategies in hospital care for COVID-19

Two new studies looked at the problems of variation in hospital outcomes and transmission in health care settings. Other articles offered strategies to make the most of hospitalists, personalize treatment, predict mortality, and follow the evidence.
https://acphospitalist.acponline.org/weekly/archives/2020/07/22/2.htm
22 Jul 2020

Chief residents run a procedure service

A chief resident-led procedure service celebrates 10 years and reports positive results.
https://acphospitalist.acponline.org/archives/2023/08/16/free/chief-residents-run-a-procedure-service.htm
16 Aug 2023

Errors less likely among ICU residents working longer rather than shorter shifts

Residents made more serious errors while working a schedule that eliminated extended shifts, although the results varied by study site and may have been affected by higher workloads on the shorter shifts.
https://acphospitalist.acponline.org/weekly/archives/2020/07/01/3.htm
1 Jul 2020

Huddle up

Hospital huddles are just the latest iteration in a long tradition.
https://acphospitalist.acponline.org/archives/2023/04/26/free/huddle-up.htm
26 Apr 2023

Testing offers hope, no panacea for COVID-19 control

A review of the currently available tests for COVID-19 and some predictions for the future come from an infectious disease specialist recently interviewed by ACP Internist/ACP Hospitalist.
https://acphospitalist.acponline.org/weekly/archives/2020/05/13/3.htm
13 May 2020

Moving on from readmissions

Some experts are saying it's time for hospitals and payers to shift their focus from preventing readmissions to pursuing other quality objectives.
https://acphospitalist.acponline.org/archives/2022/10/26/moving-on-from-readmissions.htm
26 Oct 2022

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