Same hospital, different quality
Medicaid beneficiaries have more patient safety events than privately insured patients at the same facilities. A researcher talks about why that might be and what hospitalists can do.
Medicaid beneficiaries have more patient safety events than privately insured patients at the same facilities. A researcher talks about why that might be and what hospitalists can do.
An expert at IDWeek offered advice on managing viral, bacterial, and autoimmune infections—including how to tell them apart.
Giving beta-lactam therapy before vancomycin was associated with an 11% reduction in the odds of in-hospital death among patients with suspected sepsis, a review found.
Using procalcitonin as a biomarker resulted in reduced total antibiotic duration in patients with sepsis compared with a C-reactive-protein-guided protocol and standard care, according to results of a U.K. randomized trial.
The guidance from the American College of Cardiology includes a five-step care pathway for myocarditis, including strategies for diagnosis, risk stratification, and surveillance, and proposes four new stages of disease classification.
A randomized clinical trial found that neurological outcomes at 12 months did not differ in critically ill patients with aneurysmal subarachnoid hemorrhage and anemia assigned to a liberal (mandatory at a hemoglobin level of 10 g/dL or lower) or restrictive (optional at a level of 8 g/dL or lower) transfusion strategy.
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.
Hospital medicine (HM) programs increasingly employ nurse practitioners and physician assistants, but optimizing their role is still a work in progress for many.
Educating patients and acknowledging their existential distress are just two ways hospitalists can better meet the needs of patients with decompensated cirrhosis.
Hypertensive patients who received as-needed blood pressure drugs, particularly IV ones, during a medical hospitalization had higher rates of acute kidney injury than those who didn't get as-needed meds, a retrospective Veterans Affairs study found.
Fever, pneumonia, oral health problems, urinary tract infection, venous thromboembolism, breathing disorders, and gastrointestinal and renal issues were among the complications covered by new advice from the American Heart Association (AHA).
A prospective, observational analysis of 840 influenza-positive patients in U.S. hospitals in the 2022 to 2023 season found that only about half got oseltamivir on the day of admission, and they had significantly lower risk of death or ICU admission than those who got the drug later or not at all.
A position statement from the American Geriatrics Society (AGS) includes policy recommendations and clinical advice for older patients who lack decisional capacity to provide informed consent for a specific medical treatment, who have no advance directive and lack capacity to create one, and who have no surrogate decision-maker.
After medicine makes the transition from the electronic record to the subdermal medical chart, what will you do when your devices are down?
Gen Z brings their slang, and more, to hospital medicine.