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acp-hosp0908

DVT prophylaxis in stroke, antiplatelets in stroke, anticoagulant in stroke with atrial fibrillation, tPA considered in stroke, dysphagia screen in stroke, rehab considered in stroke, advance care plan, VAP prevention (head ... and a critical care specialist at Abbott Northwestern Hospital in. Minneapolis.
https://acphospitalist.acponline.org/archives/2009/08/acph-200908-measure_t1.pdf
27 Jul 2009

The most basic therapy: food

Nutrition support experts want you to think of food as a drug. Not in the negative sense of addiction, but positively as a therapy that’s critical to helping hospitalized patients get better.
https://acphospitalist.acponline.org/archives/2009/08/nutrition.htm
15 Aug 2009

Letter from the Editor

Although nutrition is one of the most basic human needs, it’s often overlooked in the hospital. Studies have shown that, on average, enteral feeding meets only 50% of patients’ nutritional requirements, and it’s not uncommon for substantial caloric deficits to accumulate in the first week after hospital admission, experts say.
https://acphospitalist.acponline.org/archives/2009/08/lfe.htm
15 Aug 2009

Measure of the month: Prevention of catheter-related bloodstream infections

In accordance with a law passed by Congress late in 2006, physicians and other eligible professionals are able to receive bonus payments of a percentage (increased to 2%) of their total allowed Medicare charges, subject to a cap, by submitting information for defined quality measures.
https://acphospitalist.acponline.org/archives/2009/08/measure.htm
15 Aug 2009

Spontaneous awakening trials: How to increase adherence in the ICU

Research is one thing, and practice quite another. It’s been nine years since a New England Journal of Medicine study showed ICU patients recover more quickly when their sedation medication is routinely stopped. It’s been over a year and a half since a Lancet study found that combining this practice, called spontaneous awakening trials, with spontaneous breathing trials further decreased patients’ time on mechanical ventilation and in the ICU. Yet a sizable number of hospitals still don’t do it.
https://acphospitalist.acponline.org/archives/2009/09/sedation.htm
15 Sep 2009

Letter from the Editor

Studies have shown that critically ill patients who are given “sedation vacationsâ€ï¿½ consisting of spontaneous awakening trials (SATs) and spontaneous breathing trials spend less time on the ventilator and less time in the ICU overall. But many hospitals don’t follow written policy on performing SATs, and a large proportion don’t use SATs in the majority of their patients.
https://acphospitalist.acponline.org/archives/2009/09/lfe.htm
15 Sep 2009

Journal watch: recent studies of note

Recent studies about pressure stocking use after stroke, hospital-acquired pneumonia, and other topics.
https://acphospitalist.acponline.org/archives/2009/09/jw.htm
15 Sep 2009

MKSAP: Sedation and ventilation

The following cases and commentary, which address sedation and ventilation, are excerpted from ACP’s Medical Knowledge Self-Assessment Program (MKSAP14).
https://acphospitalist.acponline.org/archives/2009/09/test.htm
15 Sep 2009

How trustworthy is automated noninvasive blood pressure monitoring?

Most vital signs are now obtained using automated techniques. We put a lot of stock in these numbers. Just how accurate are they?.
https://acphospitalist.acponline.org/archives/2009/10/traps.htm
15 Oct 2009

In the News

Varied times to debrillation after in-hospital cardiac arrest, and more.
https://acphospitalist.acponline.org/archives/2009/10/itn.htm
15 Oct 2009

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