Illustration by David Rosenman
Newman's Notions | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

The ACO SNF waiver

Learn how an accountable care organization (ACO) can help get your patient into a skilled nursing facility (SNF).

New combo antibiotic shows success against complicated urinary tract infections

Microbiologic and clinical recovery occurred in 70.6% of hospitalized patients randomized to an investigational beta-lactam and beta-lactamase inhibitor combination for urinary tract infection compared to 58% of patients given meropenem, an industry-funded trial found.

Hospital clinicians don't often use antibiograms when prescribing, survey finds

Among 193 respondents from seven U.S. health care systems, 26.9% of hospital clinicians said they used antibiograms more than once a month and 16.1% did not know that their facility had an antibiogram available.

Review looks at optimal dosing for rapid reversal of vitamin K antagonists

A fixed-dose regimen of four-factor prothrombin complex concentrate was associated with lower mortality and fewer thromboembolic events compared with a variable-dose regimen, the systematic review and meta-analysis of anticoagulant reversal found.

Studies look at outcomes with drug use and heart failure, infective endocarditis

Almost 10% of patients with acute heart failure tested positive for drug use, a French study found, while an analysis of U.S. patients who injected drugs and underwent surgery for infective endocarditis found that 79% had relapsed and 68% had died by five years.

Photo courtesy of Dr Sahetyare able to prove something then itll get incorporated in the next guidelines

Get with the latest ARDS guideline

Recent changes to acute respiratory distress syndrome (ARDS) guidance, including some controversy over neuromuscular blockers, are explained by an expert.

Image by Getty Images
Success Story | FREE
Most ACP Hospitalist content is available exclusively to ACP Members. This article is free to the public.

Intermediate care unit helped surgical, COVID-19 patients

An intermediate care unit with a maximum census of six created over 1,000 available ICU bed-days over 12 months.

Embedded risk assessment tool increased appropriateness of VTE prophylaxis

Physicians used the optional tool embedded in their order set on only 24% of general medical patients, but the rate of appropriate venous thromboembolism (VTE) prophylaxis nonetheless increased from 43.1% to 48.8%.

Presence of behavioral health condition didn't affect smoking quit rates during hospitalization

Similar rates of tobacco use were seen between inpatients with behavioral health conditions and controls postdischarge. However, after six months, patients with a behavioral health condition were less likely to report abstinence.

Study explores survival rates and duration of CPR for in-hospital cardiac arrest

Of all the patients who received CPR for in-hospital cardiac arrest, 67% had a return of spontaneous circulation, which occurred at a median of seven minutes following the start of chest compressions, a retrospective study found.

Timing of stroke treatment, preventive therapies presented at stroke meeting

Mostly disappointing results on transfers for thrombectomy, delayed use of thrombolysis plus thrombectomy or tenecteplase, and anticoagulation for secondary prevention after cryptogenic stroke were reported at the International Stroke Conference.

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

High stakes: Considerations about cannabis

More Americans are taking cannabis, complicating inpatient care. Understanding patients' use patterns and history is key to mitigating risks during a hospital stay.

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Genetic test for opioid disorder risk approved

The new test is to be used prior to patients' first exposure to oral opioids for the treatment of acute pain. Other recent FDA actions include a recall of overly potent IV drugs.


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