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Hypocoagulopathy

Correct coding and sequencing of codes for patients admitted with hypocoagulopathy can be tricky.

Rounding with laptops may make residents more efficient, small study finds

Residents on one internal medicine team who were given a novel workflow and a mobile laptop for three months were significantly more likely to place progress notes during rounding hours and sign discharge summaries within 24 hours of discharge than comparison control teams.

Hospital medicine a top career choice among new general internal medicine physicians

The percentage of internists seeing patients both in and out of the hospital declined by more than half between 1990 and 2017, according to an analysis of American Board of Internal Medicine certifications and Medicare claims.

Adverse Events | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

One-quarter of hospitalized Medicare patients experienced harm, government report finds

A new report from the HHS Office of Inspector General found that 25% of Medicare patients experienced adverse events or temporary harm events during their hospital stays in October 2018, and 43% of these were deemed preventable.

Hospitalist-led program improved care for patients with opioid use disorder

Use of evidence-based treatment for opioid use disorder during admission increased significantly from 36% before the project to 57% after its implementation, a single-center study found.

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When your patient is on dialysis

A nephrologist ran down the initial steps hospitalists should take after admitting a long-term dialysis patient during a lecture at Internal Medicine Meeting 2022.

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Perioperative Care | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Tips on taking transfers from surgery

Talk directly to the surgeon, peek at the wound, and don't be afraid to call with questions, experts advised.

Flying thrombectomy teams faster than transferring stroke patients

The median time from the decision to pursue endovascular thrombectomy to the start of the procedure was 58 minutes in patients who received thrombectomy from interventionists deployed to them by helicopter and 148 minutes in patients transferred to the hospital, a German study found.

Interpreters pinpoint challenges for heart failure patients with limited English proficiency

Twenty interpreters at a U.S. academic medical center reported in interviews that heart failure etiology, prognosis, and treatment options were difficult to explain clearly to patients with limited English proficiency.

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

Remdesivir, ECMO, recommendations on convalescent plasma in COVID-19

The Solidarity trial concluded that remdesivir didn't significantly reduce mortality in ventilated patients and had a small effect on other hospitalized patients. Another study identified factors predicting which patients would benefit from extracorporeal membrane oxygenation (ECMO). The NIH changed its recommendations on convalescent plasma.

VR training appears effective for teaching management of clinical deterioration

Medical and nursing students had similar stress responses and performance outcomes when learning to manage sepsis patients via virtual reality (VR) or face-to-face simulation.

A different score and factor to consider before surgery

Hospitalists should think beyond the Revised Cardiac Risk Index when providing preoperative assessments, attendees at Internal Medicine Meeting 2022 learned.

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Transitions of Care | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Five steps to a better discharge

Research has shown that patients have a few common priorities at discharge, and hospitalists can tweak their practices to make it more likely these desires are fulfilled.

Continuing aspirin for no reason?

A speaker made the case for anticoagulant monotherapy in selected patients with stable coronary artery disease and atrial fibrillation during a “Things We Do For No Reason” session at SHM Converge 2022.


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