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Study finds early skill decay after paracentesis training in residency

In a study of internal medicine residents who underwent paracentesis simulation training, performance on the Paracentesis Competency Assessment Tool significantly declined three months later.
https://acphospitalist.acponline.org/weekly/archives/2020/09/30/3.htm
30 Sep 2020

Reducing returns to the ED

A transition clinic smoothed care for patients, the ED, and hospitalists, a study found.
https://acphospitalist.acponline.org/archives/2023/06/14/reducing-returns-to-the-ed.htm
14 Jun 2023

New frailty risk score for hospitals developed using ICD-10 codes

The score has low discriminative ability at the individual level but provides hospital-level data about the prevalence of frailty among inpatients.
https://acphospitalist.acponline.org/weekly/archives/2018/05/09/3.htm
9 May 2018

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

Excess days in acute care may improve performance measurement for hospitals

A study found that replacing 30-day readmission rates with a measure of excess days in acute care would change about a quarter of penalties for targeted conditions under the Hospital Readmissions Reduction Program.
https://acphospitalist.acponline.org/weekly/archives/2020/10/21/4.htm
21 Oct 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

CDC recommendations on COVID-19 vaccine boosters, new data on vaccine effectiveness

Several groups in the U.S., including health care workers, are now eligible to receive a booster dose of the Pfizer-BioNTech COVID-19 vaccine at least six months after completing the initial two-dose series.
https://acphospitalist.acponline.org/weekly/archives/2021/09/29/1.htm
29 Sep 2021

Putting discharge first

Asking hospitalists to prioritize discharging patients first didn't speed throughput and caused other issues, a study found. The authors discussed what their findings mean for clinicians, administrators, and researchers.
https://acphospitalist.acponline.org/archives/2023/03/29/free/putting-discharge-first.htm
29 Mar 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

Growing an HM division

Hospitalist leaders at some facilities have moved their groups out from under the umbrella of general internal medicine to launch divisions of hospital medicine, in what they see as an evolutionary step for the field.
https://acphospitalist.acponline.org/archives/2022/07/13/free/growing-an-hm-division.htm
13 Jul 2022

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