November 15, 2023

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Finding a better way to handle inpatient substance use

Many addiction medicine clinicians don't know whether their institutions have policies for responding to suspected substance use during a hospitalization, and those that do often disagree with them.

Surgical devices, ventilators, dialysis machines recalled

The FDA also approved first-time generics for spironolactone oral suspension and calcium gluconate, among other actions.

Hospital medicine programs strategize responses to growth in clinical workload

Interviews with hospital medicine leaders from academic medical centers that experienced clinical growth in the past five years found that they are dealing with mismatches in supply and demand for teaching and clinical care roles.

Transition service reduced readmissions in young adults with chronic childhood-onset disease

Patients diagnosed with a chronic disease in childhood who received care in the med-peds line had a 33% lower relative risk of hospital readmission after 30 days.

No significant difference in outcomes with liberal, restrictive transfusion in acute MI

In a randomized trial of patients with acute myocardial infarction (MI) and anemia, a hemoglobin cutoff below 10 g/dL for transfusion was associated with an insignificant reduction in risk of MI or death at 30 days versus a cutoff of 7 or 8 g/dL.

Off-label dosing of DOACs at discharge common in afib patients

More than 10% of patients hospitalized with afib receive a direct-acting oral anticoagulant (DOAC) at less or more than the recommended dose at discharge, according to data from the Get With The Guidelines-Atrial Fibrillation registry.