September 2018

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IV drug shortages present challenges, opportunities

Hospitals contend with shortages of IV opioids and parenteral solutions, but find silver lining of improved opioid prescribing practices.

Does door-to-diuretic time matter?

Heart failure experts explain conflicting research about significance of speedy delivery of diuretics in an exacerbation.

Heed the indicators of in-hospital cardiac arrest

The key to reducing deaths from in-hospital cardiac arrest may be preventing them from occurring.

Screening for C. diff on admission

A surgical service found screening for carriers reduced hospital-acquired Clostridium difficile.

The transgender inpatient

Transgender and gender-nonbinary people face significant barriers to gender-affirming and high-quality health care.

Diagnosing diagnosis difficulties

Researchers identified themes of diagnosis by observing medical residents on rounds.

Acute tubular necrosis

Review how to diagnose and document this common cause of acute kidney injury.

New warnings for fluoroquinolones

Details on the latest recalls, warnings, and approvals.

Stubble trouble

A reader reports an unusual finding.

Drug shortages and a focus on the heart

This issue reports on recent shortages of IV opioids and saline, door-to-diuretic time, and in-hospital cardiac arrest.

Care management, attending supervision, and more

Summaries from ACP Hospitalist Weekly.

LTAC use, med adherence after MI, and more

Summaries from ACP Hospitalist Weekly.

A collection of individual cases

Hemoglobin SC disease, “cotton fever,” esophageal hemorrhage, and more.