Search results for "Procedures"
Stewardship program improved perioperative opioid prescribing
A project in a safety-net health system reduced use of hydrocodone-acetaminophen for surgical patients and increased prescribing of acetaminophen, ibuprofen, and oxycodone to them without increasing overall opioid use or returns to the ED.
https://acphospitalist.acponline.org/archives/2022/12/21/stewardship-program-improved-perioperative-opioid-prescribing.htm
21 Dec 2022
Evidence supporting perioperative management of anticoagulants remains limited
A systematic review and meta-analysis of studies addressing perioperative management of antithrombotic therapy, developed for a clinical practice guideline by the American College of Chest Physicians, found that data were sparse overall.
https://acphospitalist.acponline.org/archives/2022/12/07/evidence-supporting-perioperative-management-of-anticoagulants-remains-limited.htm
7 Dec 2022
Tracheostomy tube shortage
The FDA alerted clinicians about the need to reuse tracheostomy tubes and to caution patients about decreased effectiveness of pre-exposure prophylaxis against COVID-19, among other recent actions.
https://acphospitalist.acponline.org/archives/2022/11/16/tracheostomy-tube-shortage.htm
16 Nov 2022
ESKD patients more likely to survive procedures when dialysis done closer to surgery
The 90-day mortality rate after a surgical procedure was 5.2% in Medicare patients with end-stage kidney disease (ESKD) who last underwent dialysis three days prior to surgery, compared to 4.7% with dialysis two days prior and 4.2% with it one day prior, a retrospective study found.
https://acphospitalist.acponline.org/archives/2022/11/09/eskd-patients-more-likely-to-survive-procedures-when-dialysis-done-closer-to-surgery.htm
9 Nov 2022
Moving on from readmissions
Some experts are saying it's time for hospitals and payers to shift their focus from preventing readmissions to pursuing other quality objectives.
https://acphospitalist.acponline.org/archives/2022/10/26/moving-on-from-readmissions.htm
26 Oct 2022
Hospitalist service successfully performed bone marrow aspiration and biopsies
A hospitalist procedure service at a tertiary care center provided 432 bone marrow aspiration and biopsies in 2016 to 2021, only 46 of which were unsuccessful and required referral for CT guidance.
https://acphospitalist.acponline.org/archives/2022/10/26/free/hospitalist-service-successfully-performed-bone-marrow-aspiration-and-biopsies.htm
26 Oct 2022
Nearly 1 in 7 community-living Medicare patients died within year after major surgery
Mortality rates after major surgery were 28% among patients who were frail and 33% among those with dementia, a prospective longitudinal cohort study of Medicare fee-for-service beneficiaries found.
https://acphospitalist.acponline.org/archives/2022/10/26/nearly-1-in-7-community-living-medicare-patients-died-within-year-after-major-surgery.htm
26 Oct 2022
Prescribing democracy
Physicians have historically voted less than average, but some are working to increase voter engagement among their hospital colleagues and patients.
https://acphospitalist.acponline.org/archives/2022/10/19/prescribing-democracy.htm
19 Oct 2022
BiPAP masks recalled for magnetic interference
The FDA reported safety concerns with masks for some bilevel positive airway pressure (BiPAP) machines and approved the first generic version of a popular diabetes drug, among other recent actions.
https://acphospitalist.acponline.org/archives/2022/10/12/bipap-masks-recalled-for-magnetic-interference.htm
12 Oct 2022
Catheters and other plumbing problems
A urologist offered his tips for hospitalists on catheter placement and additional urological issues in a recent lecture.
https://acphospitalist.acponline.org/archives/2022/10/05/catheters-and-other-plumbing-problems.htm
5 Oct 2022