Search results for "goals of care"
Automated alert increased documented goals-of-care conversations
Emailing primary hospital team members about their older or seriously ill patients' current code status with suggested language about goals of care had a particularly large effect on whether these conversations occurred with patients of minoritized race or ethnicity, a trial found.
https://acphospitalist.acponline.org/archives/2023/05/31/automated-alert-increased-documented-goals-of-care-conversations.htm
31 May 2023
Goals of care
The family confirmed that she was indeed a full code because she did not want to die of COVID.
https://acphospitalist.acponline.org/archives/2020/11/goals-of-care.htm
15 Nov 2020
Hospitalists lack knowledge about handling dysphagia in dementia, survey finds
When hospitalists were asked whether dysphagia diets improve quality of life for patients with dementia, a third agreed, a third disagreed, and a third had no opinion. The surveyed clinicians also did not routinely discuss goals of care for patients with dysphagia and dementia.
https://acphospitalist.acponline.org/archives/2025/02/12/hospitalists-lack-knowledge-about-handling-dysphagia-in-dementia-survey-finds.htm
12 Feb 2025
Goal-concordant care frequently not provided for sepsis patients, even when documented
In a retrospective study, 60% of patients who had survived sepsis did not have goals of care assessed before hospital discharge, and among those who did, 32% did not receive goal-concordant care.
https://acphospitalist.acponline.org/weekly/archives/2021/10/27/3.htm
27 Oct 2021
Surviving Sepsis Campaign releases updated guidelines for hospitalized adults
Topics covered among the 93 recommendations include screening and early treatment of sepsis, hemodynamic management, ventilation, additional therapies, and long-term outcomes and goals of care. Changes include which sepsis risk scores are recommended.
https://acphospitalist.acponline.org/weekly/archives/2021/10/20/2.htm
20 Oct 2021
Advice on the most difficult conversation
Hospitalists often find reasons to avoid asking patients about goals of care.
https://acphospitalist.acponline.org/archives/2013/10/qa.htm
15 Oct 2013
Have scope—will travel
You never know what will get a patient to open up.
https://acphospitalist.acponline.org/archives/2025/04/02/free/have-scope-will-travel.htm
2 Apr 2025
Guidance issued on providing high-value, low-carbon care
The Canadian Society of Internal Medicine and Choosing Wisely Canada recently released eight recommendations for climate-friendly care aimed at general internal medicine physicians.
https://acphospitalist.acponline.org/archives/2025/03/12/guidance-issued-on-providing-high-value-low-carbon-care.htm
12 Mar 2025
Expediting ED-to-hospice transitions
A program doubled the percentage of appropriate patients who transitioned to hospice within 96 hours of presenting to the ED, improving alignment with goals for end-of-life care.
https://acphospitalist.acponline.org/archives/2024/10/09/expediting-ed-to-hospice-transitions.htm
9 Oct 2024
ACC updates guidance on inpatient heart failure management
Greater emphasis on initiation of guideline-directed medical therapies and incorporation of palliative care are among the changes the American College of Cardiology (ACC) made in its updated consensus decision pathway.
https://acphospitalist.acponline.org/archives/2024/08/14/acc-updates-guidance-on-inpatient-heart-failure-management.htm
14 Aug 2024
AHA offers guidance on palliative pharmacotherapy for cardiovascular disease
A scientific statement from the American Heart Association (AHA) calls for use of guideline-directed and evidence-based palliative therapies in end-stage heart failure, pulmonary arterial hypertension, coronary heart disease, and other cardiac conditions.
https://acphospitalist.acponline.org/archives/2024/07/10/aha-offers-guidance-on-palliative-pharmacotherapy-for-cardiovascular-disease.htm
10 Jul 2024
Advanced dementia and respiratory failure
A case highlights the importance of addressing prognosis before making care decisions.
https://acphospitalist.acponline.org/archives/2024/01/31/free/advanced-dementia-and-respiratory-failure.htm
31 Jan 2024
Virtual rounds after transfers to SNF identified errors in discharge summaries
Hospitalists at two academic hospitals met weekly with clinicians from skilled nursing facilities (SNFs) to discuss patients who had recently been handed off, and they found errors in nearly a quarter of discharge summaries.
https://acphospitalist.acponline.org/archives/2023/10/11/virtual-rounds-after-transfers-to-snf-identified-errors-in-discharge-summaries.htm
11 Oct 2023
Hospitalist comanagement at cancer hospital reduced length of stay
Oncologists who worked on a team with hospitalists also reported less stress and a better ability to manage competing responsibilities than those staffing a traditional oncology service, a single-center study found.
https://acphospitalist.acponline.org/archives/2023/03/15/hospitalist-comanagement-at-cancer-hospital-reduced-length-of-stay.htm
15 Mar 2023
AHA issues scientific statement on ACS in older patients
The American Heart Association (AHA) provided recommended strategies for managing acute coronary syndrome (ACS) in patients ages 75 years and older.
https://acphospitalist.acponline.org/archives/2022/12/21/free/aha-issues-scientific-statement-on-acs-in-older-patients.htm
21 Dec 2022
Electronic tool for ICU-to-ward discharge linked to timely, complete discharge summaries
A Canadian study of adult patients discharged from the ICU to a hospital ward found that the proportion of those with timely and complete discharge summaries increased from 10.8% to 71.1% after implementation of a structured electronic discharge summary tool.
https://acphospitalist.acponline.org/archives/2022/08/24/electronic-tool-for-icu-to-ward-discharge-linked-to-timely-complete-discharge-summaries.htm
24 Aug 2022
Experts recommend criteria for referring heart failure patients to palliative care
The 25 criteria selected by a group of international experts were divided into six categories: advanced/refractory heart failure, comorbidities, and complications; advanced therapies; hospital utilization; prognosis; symptom burden/distress; and decision making/social support.
https://acphospitalist.acponline.org/archives/2022/07/20/experts-recommend-criteria-for-referring-heart-failure-patients-to-palliative-care.htm
20 Jul 2022
Advance care planning assessed, therapeutic heparin debated in recent COVID-19 articles
Along with an analysis of the pre-existing conditions of patients who died of COVID-19 and a point/counterpoint on use of heparin in ward patients, the latest inpatient COVID-19 research included negative trials of losartan and a potential monoclonal antibody.
https://acphospitalist.acponline.org/archives/2022/03/23/free/advance-care-planning-assessed-therapeutic-heparin-debated-in-recent-covid-19-articles.htm
23 Mar 2022
New American Heart Association framework for referring patients to advanced HF centers
The first step is to identify whether the patient has clinical signs and symptoms consistent with advanced heart failure (HF), including recurrent hospitalizations, and the second is to assess the likelihood of benefit from referral to an advanced HF center.
https://acphospitalist.acponline.org/weekly/archives/2021/09/22/4.htm
22 Sep 2021
How and why to prognosticate
Hospitalists should try to help patients understand the prognosis of their illnesses.
https://acphospitalist.acponline.org/archives/2021/07/how-and-why-to-prognosticate.htm
15 Jul 2021