August 6, 2025
Platelet parsimony
Recommendations on the use of platelets in lumbar puncture, central venous catheter placement, and other procedures have changed. The lead author of new guidelines explains.
Say, do you remember?
The MOTYB test can mean more than you'd expect.
New hospitalist hires mostly come from residency, onboarding poses challenges
In a recent survey of academic hospitalist program directors, 47% reported having hired five to nine hospitalist physicians in the past academic year, while 30% had 10 to 19 new hires and 10% more than 20. Most reported that less than a quarter of the new hires had previous experience as hospitalists.
Urinalysis-based cutoff reduced UTI antibiotic use, nudges and decision support did not
When three hospitals implemented efforts to reduce overdiagnosis and overtreatment of urinary tract infections (UTIs), only the one that made urine cultures conditional on the presence of pyuria successfully reduced days of antibiotic therapy, a pre-post study found.
Naloxone, opioid coprescribing increased with clinical decision support tool
After an alert was embedded in the electronic health record, naloxone was more often prescribed to patients getting a high-risk opioid prescription at discharge from a Colorado health system, a pre-post study found.
Family-support nurse in ICU increased communication, emotional support
Family members randomized to have a nurse focused on them during an ICU stay had a small but statistically significant improvement in their overall satisfaction and a larger improvements in their ratings of communication, a multicenter Swiss trial found.
Take a quiz about the July 30 issue!
Every week, ACP Hospitalist posts a question about the previous week's issue. See how well you remember what you've read compared to other readers.