Texting for hospitalists
Experts are working on strategies to reduce the volume and interruptions of clinical texting.
Newman's Notions | October 16, 2024 | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.
Dr. Poppins
“In every job that must be done, there is an element of fun” includes the geriatric consult service.
Internal medicine residents report high interest, limited competence in hospital medicine
More than half of surveyed residents expected to work in hospital medicine in the future, but only 30% felt confident of their competence to perform procedures or point-of-care ultrasound, and most expressed desire for more instruction in these and other areas.
Teleintensivist care didn't reduce ICU length of stay in Brazilian trial
In Brazilian ICUs without an on-site intensivist, an intervention in which a teleintensivist provided daily multidisciplinary rounds, monthly audit and feedback meetings, and evidence-based clinical protocols did not change patient outcomes compared to usual care.
4 trigger tools compared for identifying med-related readmissions
The original OPERAM tool identified the highest proportion of preventable readmissions related to medications at a Dutch teaching hospital but also required the most expert clinical knowledge.
Wearable sensor reduces heart failure rehospitalization, industry study finds
A temporary wearable device with remote monitoring reduced heart failure readmissions by 38% among high-risk patients, a manufacturer's trial found.
Take a quiz about the Oct. 9 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.
Rating the ratings
A comparison of four U.S. hospital rating systems found discordant scores. Two of the study authors discuss what that means for hospitalists and patients.
Expediting ED-to-hospice transitions
A program doubled the percentage of appropriate patients who transitioned to hospice within 96 hours of presenting to the ED, improving alignment with goals for end-of-life care.
CMS reports demographics, quality, cost from hospital-at-home initiative
Length of stay was longer in patients treated under CMS's Acute Hospital Care at Home initiative than among similar patients in participating hospitals, but complications and postdischarge costs trended lower and patients and clinicians were highly satisfied with care under the waiver.
Electronic feedback on patients whose care was escalated helpful for hospitalists
Most hospitalists at an academic medical center who received electronic feedback about their care for patients who underwent ICU transfers and rapid responses reported being highly or moderately satisfied with the experience, a survey study found.
Overdose risk doubled after patient discharge before medically advised
A Canadian study of whether discharge before medically advised was associated with drug overdose risk found that the overdose rate went up significantly after hospitalization whether the discharge was advised or not, compared to earlier no-overdose periods in the patients' lives.
U.S. heart failure hospitalizations on the rise again after pandemic drop
Admissions with a primary diagnosis of heart failure decreased from 2010 through 2014 but increased from 2014 to 2021, and associated mortality went up from 2012 onward.
Addressing partner, community violence
Hospitalists can help patients who've experienced violence by screening for the problem and offering resources to assist.
FDA approves self-administration of nasal flu vaccine
The FDA announced that the nasal spray vaccine may now be administered by patients and caregivers, among other recent actions. A prescription is still required.
Clinical Newsletters
An electronic newsletter that covers the latest news in internal medicine, delivered directly to your inbox each Tuesday.
An electronic newsletter that focuses on news specific to diabetes, delivered directly to your inbox once per month.
An electronic newsletter that focuses on news specific to gastroenterology and hepatology, delivered directly to your inbox once per month.