Fragmentation breeds frequency in COPD care
An expert discusses how the locations patients receive chronic obstructive pulmonary disease (COPD) care are tied to their risk of hospitalization.
Newman's Notions | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.
Thoracic Park
Get ready for the medical remakes of your favorite blockbuster movies.
Opioids | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.
New recommendations on managing patients with opioid use disorder from SHM
The Society of Hospital Medicine (SHM) released a consensus statement on the management of opioid use disorder in inpatients, including identification and treatment of the condition, pain management in patients with it, and care transitions.
Ultrashort antibiotics for pneumonia may work for patients with preserved oxygenation
In hospitalized patients with pneumonia and oxygen saturations of 95% or greater without supplemental oxygen, outcomes were similar with one to two versus five to eight days of antibiotics, leading the authors of a recent study to suggest use of oxygenation levels to identify candidates for early discontinuation.
Patients treated for syncope have similar motor vehicle crash risk as other ED patients
Patients treated in an ED for syncope had a crash rate of 12.2 per 100 driver-years, compared to 13.2 in patients treated in the ED for other conditions and 8.2 in the general population, a retrospective study in Canada found.
Inpatient diagnosis of atrial fibrillation associated with lower use of anticoagulation
Ninety days after being diagnosed with atrial fibrillation, 51.6% of patients diagnosed in the ED were on oral anticoagulants, compared to 50.9% of those diagnosed in the hospital and 67.9% of those diagnosed as outpatients, a Canadian study found.
Clinical Medicine | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.
Use your window into heart failure
A new guideline and experts urge hospitalists to maximize heart failure therapies, but also to be aware of their costs.
Updating heart failure documentation
There are important differences between the 2021 universal definition of heart failure and ICD-10-CM terminology.
High-Value Care | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.
Alert decreased coagulation test orders during lab tube shortage, single-center study finds
A best practice advisory delivered through the electronic medical record during a national shortage of laboratory tubes was associated with an immediate decrease in orders for prothrombin time, international normalized ratio, and partial thromboplastin time.
Procalcitonin algorithm reduced antibiotic use in patients with acute pancreatitis
A randomized trial assigned some patients to a treatment strategy of starting, stopping, or continuing antibiotics based on whether their procalcitonin test value was more or less than 1.0 ng/mL.
Analysis shows good adherence to stroke guidelines in stroke registry hospitals
The Get With The Guidelines study did identify some areas of potential improvement in inpatient stroke care, including more dysphagia screening and use of high-intensity statin therapy.
Postop atrial fibrillation carries same stroke risk as other new-onset atrial fibrillation
Patients who first developed atrial fibrillation within 30 days of surgery were less likely to be prescribed an anticoagulant, despite similar risks of stroke and transient ischemic attack as other patients with atrial fibrillation, a study found.
How to hire millennials
A hospital's culture was a bigger factor in taking or keeping a job than pay or potential for advancement, according to a recent study of hospitalists born after 1982.
Success Story | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.
Familiar faces reduce readmissions
A hospitalist explains how his facility focused a consistent multidisciplinary team on patients who were likely to return to the hospital.
Brief Case | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.
Disseminated histoplasmosis with CNS involvement
A patient progressed from diarrhea and fever to status epilepticus when infection penetrated the central nervous system (CNS).
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