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Solving the schedule puzzle

A team of two hospitalists took over scheduling for their busy program.

A strategy for long stays

Patients with extended hospitalizations got continuity and targeted help under a new program.

Down-shifting for academic hospitalists

Fewer shifts were possible, and popular, one academic hospital found.

Half-hospitalists to help with rural shortages

One physician proposed a way for himself and others to pursue their passions and provide more coverage for hospital patients.

New report lists 10 steps to improving in-hospital cardiac arrest care

The American Heart Association and international organizations offered the steps with the aim of reducing the high morbidity and mortality and worldwide variation in quality of care found with in-hospital cardiac arrest.

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Catching postop problems

An expert offers tips on dealing with postoperative fever, urinary retention, nausea and vomiting, acute kidney injury, and atrial fibrillation.

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Buprenorphine, cannabis, and other periop challenges

Perioperative medication management is particularly tricky when it comes to patients who are already taking drugs for chronic pain.

Iron/EPO combination beats other options for reducing transfusions

A review looked at trials comparing erythropoiesis-stimulating agents (EPO), iron, combination therapy with iron and EPO, hypoxia-inducible factor prolyl hydroxylase inhibitor, or vitamin D3 with controls on rates of red blood cell transfusion in the ICU.

Review offers guidance on selecting medications for COPD

Researchers suggest ways for clinicians to assess cognitive function, manual dexterity/strength, and peak inspiratory flow before choosing an inhaled medication delivery system for patients with chronic obstructive pulmonary disease (COPD).

Two common assessment methods highlight link between frailty and postoperative delirium

An analysis of elective surgery patients ages 70 years or older found that those assessed as frail by the frailty index or frailty phenotype had double the risk of postoperative delirium versus those who weren't frail.

Hospital medicine programs strategize responses to growth in clinical workload

Interviews with hospital medicine leaders from academic medical centers that experienced clinical growth in the past five years found that they are dealing with mismatches in supply and demand for teaching and clinical care roles.

Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Finding a better way to handle inpatient substance use

Many addiction medicine clinicians don't know whether their institutions have policies for responding to suspected substance use during a hospitalization, and those that do often disagree with them.

Photo courtesy of Dr Huxley-Reicher

Surgical devices, ventilators, dialysis machines recalled

The FDA also approved first-time generics for spironolactone oral suspension and calcium gluconate, among other actions.

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