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Most medicine residents don't know costs of tests or treatments, survey finds

Only about a quarter of internal medicine residents know where to find estimated costs of tests and treatments and a similar proportion share that information with patients, a recent survey found.
https://acphospitalist.acponline.org/weekly/archives/2015/07/01/2.htm
1 Jul 2015

Septic ICU patients had high rate of VTE despite prophylaxis

More than a third of ICU patients with severe sepsis or septic shock had a venous thromboembolism (VTE) despite receiving recommended thromboprophylaxis, a recent study found.
https://acphospitalist.acponline.org/weekly/archives/2015/07/01/1.htm
1 Jul 2015

Perioperative bridging didn't reduce clot risk in afib patients taking warfarin

For patients taking warfarin for atrial fibrillation, perioperative bridging with low-molecular-weight heparin provided no benefit over placebo, a new study found.
https://acphospitalist.acponline.org/weekly/archives/2015/06/24/2.htm
24 Jun 2015

U.S. clinicians should be prepared to detect, manage MERS, health agencies say

Clinicians and health departments throughout the U.S. should be prepared to detect and manage cases of Middle East respiratory syndrome coronavirus (MERS-CoV), the CDC recently warned.
https://acphospitalist.acponline.org/weekly/archives/2015/06/24/1.htm
24 Jun 2015

Guidelines did not influence physicians to order fewer preoperative tests

Guidelines on routine preoperative testing were associated with reduced ordering of routine electrocardiogram testing but not of plain radiography, hematocrit, urinalysis, or cardiac stress testing, a study found.
https://acphospitalist.acponline.org/weekly/archives/2015/06/17/2.htm
17 Jun 2015

VTE prophylaxis in colorectal surgery patients increases over time, but VTE rates remain unchanged, study finds

Prophylaxis against venous thromboembolism (VTE) increased significantly among colorectal surgery patients, but their rate of VTE occurrence did not change, a study found.
https://acphospitalist.acponline.org/weekly/archives/2015/06/17/1.htm
17 Jun 2015

Targeted perioperative intervention lowers rates of complex S. aureus SSIs, study shows

A perioperative bundled intervention, including screening and decolonizing, was associated with a modest, statistically significant decrease in complex Staphylococcus aureus surgical site infections (SSIs) in patients undergoing hip or knee arthroplasties, a study found.
https://acphospitalist.acponline.org/weekly/archives/2015/06/10/2.htm
10 Jun 2015

Guidelines released on management of spontaneous intracerebral hemorrhage

The American Heart Association/American Stroke Association released updated guidelines last week on management of spontaneous intracerebral hemorrhage (ICH).
https://acphospitalist.acponline.org/weekly/archives/2015/06/10/1.htm
10 Jun 2015

Optimal duration of antiplatelet therapy after drug-eluting stent remains unclear, study finds

A systematic review and meta-analysis found that the benefit of shorter versus longer dual-antiplatelet therapy after placement of a drug-eluting stent (DES) is unclear.
https://acphospitalist.acponline.org/weekly/archives/2015/06/03/2.htm
3 Jun 2015

Benefit from perioperative beta-blockers in noncardiac surgery may depend on risk factors, study finds

Patients undergoing noncardiac surgery who have multiple cardiac risk factors appear to benefit from perioperative beta-blocker use, but those with fewer risk factors may not, according to a new study.
https://acphospitalist.acponline.org/weekly/archives/2015/06/03/1.htm
3 Jun 2015

Hospital initiative bolsters weekend services, staff and decreases length of stay

One New York medical center's intervention, which increased weekend services and staffing, successfully reduced average length of stay and increased the number of weekend discharges, according to a recent study.
https://acphospitalist.acponline.org/weekly/archives/2015/05/20/2.htm
20 May 2015

Low-risk chest pain patients unlikely to have cardiac events during hospitalization

Patients who were admitted for chest pain but had negative serial biomarker results had very few adverse cardiac events during hospitalization, a study found.
https://acphospitalist.acponline.org/weekly/archives/2015/05/20/1.htm
20 May 2015

Fecal transplants for recurrent C. diff may resolve symptoms with few adverse events

Low-strength evidence shows fecal microbiota transplantation (FMT) effectively treats recurrent Clostridium difficile infections (CDIs), with few short-term adverse events, a review found.
https://acphospitalist.acponline.org/weekly/archives/2015/05/13/2.htm
13 May 2015

Treatment slower for in-hospital strokes than community-onset ones

Patients who had strokes while already in the hospital waited longer for treatment and had worse outcomes than those whose strokes occurred outside the hospital, a recent study found.
https://acphospitalist.acponline.org/weekly/archives/2015/05/13/1.htm
13 May 2015

SHEA issues guidance on contact precautions for hospital visitors

The Society for Healthcare Epidemiology of America (SHEA) recently released expert guidance on isolation precautions for hospital visitors.
https://acphospitalist.acponline.org/weekly/archives/2015/04/22/2.htm
22 Apr 2015

ACP President: SGR repeal “extraordinary and historic”

On April 16, President Obama signed a bill repealing Medicare's sustainable growth rate (SGR) formula and transitioning to a new value-based payment system.
https://acphospitalist.acponline.org/weekly/archives/2015/04/22/1.htm
22 Apr 2015

Cognitive function after cardiac arrest similar with different temperature strategies

Cardiac arrest patients treated to a target temperature of 33 °C or 36 °C had similar long-term cognitive function, with almost two-thirds of survivors reporting a complete mental recovery, a recent study found.
https://acphospitalist.acponline.org/weekly/archives/2015/04/15/2.htm
15 Apr 2015

Guideline offers recommendations to prevent acute COPD exacerbations

An evidence-based guideline from the American College of Chest Physicians and Canadian Thoracic Society offers recommendations on preventing exacerbations in patients with chronic obstructive pulmonary disease (COPD).
https://acphospitalist.acponline.org/weekly/archives/2015/04/15/1.htm
15 Apr 2015

Hospital-acquired conditions have a July effect, analysis finds

Inpatients were significantly more likely to develop a hospital-acquired condition if they were admitted during the month of July, a new study found.
https://acphospitalist.acponline.org/weekly/archives/2015/04/08/2.htm
8 Apr 2015

Beta-lactam monotherapy for CAP associated with similar mortality as broader strategies

Patients admitted with community-acquired pneumonia (CAP) and treated with an empirical strategy of beta-lactam monotherapy had similar outcomes as those treated with broader-spectrum strategies, a new study found.
https://acphospitalist.acponline.org/weekly/archives/2015/04/08/1.htm
8 Apr 2015

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