All aboard
Hospitalists look at standardizing the onboarding process.
Chronic kidney disease
Many special considerations apply to coding of chronic kidney disease stages, including the need for a stable creatinine level to determine the patient's baseline.
Two new studies provide potentially practice-changing evidence in shock care
One trial found that basing septic shock resuscitation on capillary refill time was noninferior to usual care, while another found similar mortality in shock patients whether or not they were randomized to automatically receive an arterial catheter within four hours.
New version of the SOFA score developed, validated
The Sequential Organ Failure Assessment (SOFA)-2 score includes the same six organ domains but realigns the scoring within domains and addresses advances in medical care since the original score was developed.
Hospitalist handoffs often suboptimal for patients with limited English proficiency
To improve them, a research team recommended using a standardized tool that incorporates language needs, health literacy, cultural context, and family involvement.
Patient census but not days on service linked with hospitalist decision fatigue
The odds of a decision fatigue event were 1.58 times greater with a patient census above 13 patients, according to a study of 43 hospitalists caring for 2,081 patients.
Take a quiz about the Oct. 29 issue!
Every week, ACP Hospitalist posts a question about the previous week's issue. See how well you remember what you've read compared to other readers.
The s-index
A division chief proposes a new way to measure and reward the service of academic physicians.
Newman's Notions | October 29, 2025 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.
Happy hospitalist coincidences
Patients and editors make some coincidental appearances.
Cefazolin noninferior to cloxacillin for MSSA bacteremia, trial finds
Cefazolin and cloxacillin showed similar efficacy, and adverse events were lower with cefazolin, according to an open-label French trial of patients with nonsevere methicillin-susceptible Staphylococcus aureus (MSSA) bacteremia.
Resuscitation guidance updated by international group of experts
Updates for 2025 from the International Liaison Committee on Resuscitation address postcardiac arrest temperature management and medication use, among other topics in basic and advanced life support.
Targeted tissue perfusion strategy similar to standard care for septic shock
The number of days alive with normal lactate levels and without vasopressors was similar in patients with septic shock who were randomized to a strategy allowing lower-than-recommended mean arterial pressure and those who received standard care, according to a randomized trial in Europe.
Antihistamines linked with delirium in hospitalized older adults
Every 1% absolute increase in first-generation antihistamine prescribing by attending physicians was associated with an 8% increase in odds of delirium among their older inpatients, a cross-sectional study in Canada found.
The far-reaching effects of floods
Deaths and hospitalizations stay elevated for significant periods after flooding events, new data show.
High-intensity care for high utilizers
A Medicaid-funded program for high-need patients in California cut ED visits by half and admissions by a quarter.
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