News
PHM15: New Quality Measures for Children with Medical Complexity
July 24, 2015
Pediatric Hospital Medicine 2015's keynote speaker, Rita Mangione-Smith, MD, MPH, reviewed quality measures being developed for medically complex patients by the Center of Excellence on Quality of Care Measures for Children with Complex Needs (COE4CCN).
News
High-Flow Oxygen Therapy No Worse Than Noninvasive Ventilation, May Reduce Mortality
July 21, 2015
Clinical question: Does high-flow oxygen therapy result in a decreased rate of intubation for patients with nonhypercapnic acute hypoxemic respiratory failure? Bottom line: In this underpowered study, the use of high-flow oxygen therapy did not significantly reduce the rate of intubation as compa
News
Patient Navigators Reduce Readmission Rates for High-Risk Older Patients
July 21, 2015
Clinical question: Does the use of a patient navigator to guide hospitalized patients through the health care system reduce 30-day readmission rates? Bottom line: The use of a community health worker acting as a patient navigator (PN), both during hospitalization and after discharge, to assist pa
News
Fecal Microbiotia Transplantation in Treatment of Recurrent Clostridium difficile Infection
July 14, 2015
Clinical question: Does fecal microbiotia transplantation (FMT) effectively treat patients with recurrent Clostridium difficile infection (CDI)? Background: Patients with initial CDI have increased rates of recurrence (15%–30%), with variable success noted in treatment of recurrent disease.
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Hospitalists Can Help Reduce “July Spike” in Hospital-Acquired Complications
July 14, 2015
The number of inpatient hospital-acquired complications (HACs) typically spikes in July, but hospitalists can be instrumental in reducing this annual uptick, according to the lead author of a study on the "July effect" in hospital admissions. Researcher Timothy Wen, MPH, a medical student at the
News
Intensive Glucose Control in Type 2 Diabetes Mellitus Reduces CV Events, but Not Mortality, After 10 Years
July 14, 2015
Clinical question: Are there long-term benefits to more intensive glycemic control in patients with type 2 diabetes mellitus? Bottom line: After approximately 10 years of follow-up, this study found 1 fewer cardiovascular event per 116 person-years among a group of patients (97% men) randomized t
News
CMS Proposes Changes to Two-Midnight Rule
July 14, 2015
On July 1, 2015, the Centers for Medicare and Medicaid Services (CMS) announced proposed changes to its controversial two-midnight rule.
News
Avoid Trimethoprim-Sulfamethoxazole for Severe MRSA Infections
July 9, 2015
Clinical question: Is trimethoprim-sulfamethoxazole equivalent to vancomycin for the treatment of severe infections caused by methicillin-resistant Staphyloccus aureus? Bottom line: Trimethoprim-sulfamethoxazole (TMP-SMX) did not achieve noninferiority as compared with vancomycin for the treatmen
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Audio
Listen Now: Teaching Value-Based Care: A Med-Ed Perspective
July 8, 2015
Value-based healthcare has to start from the beginning of training to become foundational to medical practice. In this interview, Dr. Wade Iams, Dr. Christopher Moriates, and Dr.
Audio
LISTEN NOW: Hospitalist, Edwin Lopez, PA-C, on Post-Acute Care in the U.S. Health System
July 7, 2015
Edwin Lopez, PA-C, of St. Elizabeth Hospital in Enumclaw, Wash., offers his views on post-acute care in the U.S.
