November 9, 2022
Researching rapid response
Rapid response teams didn't affect inpatient mortality in a new study. An expert explains what that could mean for their future.
Hospitalist encounters of the third kind
A first-year medical student reflects on a week of hospital medicine.
Resident handoff quality, adverse event rate improved after I-PASS implementation
Across 32 hospitals, major and minor handoff-related reported adverse events fell by nearly 50% following implementation of the verbal and written handoff communication improvement program in general pediatric and internal medicine units.
Physician gestalt safer but less efficient than prediction models for diagnosing bacteremia
In patients with suspected infection, physicians estimating on their own had fewer false negatives, but two validated prediction models more accurately identified the group of patients who could go without blood cultures because they did not have bacteremia, a Japanese study found.
ESKD patients more likely to survive procedures when dialysis done closer to surgery
The 90-day mortality rate after a surgical procedure was 5.2% in Medicare patients with end-stage kidney disease (ESKD) who last underwent dialysis three days prior to surgery, compared to 4.7% with dialysis two days prior and 4.2% with it one day prior, a retrospective study found.
Better outcomes after IHCA with lidocaine than amiodarone, study finds
In patients with ventricular tachycardia or ventricular fibrillation in-hospital cardiac arrest (IHCA) refractory to CPR and defibrillation, use of lidocaine was associated with better 90-day survival and neurological function than amiodarone, according to the retrospective cohort study.