Audio
Depletive Fluid Management Strategy During Weaning from Mechanical Ventilation Can Lower VAP Rates
December 19, 2014
Clinical question: What is the benefit associated with a depletive fluid management strategy on ventilator-associated complication (VAC) and ventilator-associated pneumonia (VAP) during weaning from mechanical ventilation? Background: VAP is common in the ICU.
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Antibiotic Therapy Guidelines for Pediatric Pneumonia Helpful, Not Hurtful
December 19, 2014
Hospitalists need not fear negative consequences when prescribing guideline-recommended antibiotic therapy for children hospitalized with community-acquired pneumonia (CAP), according to a recent study conducted at Cincinnati Children’s Hospital Medical Center (CCHMC). "Guideline-recommended ther
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Oncology, Surgical Hospitalists Most Common as Subspecialties Gain Followers
December 16, 2014
The recent rise of specialty hospitalists, particularly in the surgery and oncology fields, has benefitted hospitals and patients alike.
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Hospitalist Management Giant Emerges as Sound Physicians, Cogent Healthcare Merge
December 16, 2014
Sound Physicians' recent acquisition of Cogent Healthcare creates the largest hospitalist management group in the country, which may or may not be a good thing, one hospitalist expert notes. The deal, which closed last month, creates a company with more than 1,750 hospitalists in 180 hospitals na
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Hospitalist Vivek Murthy, 37, Confirmed as U.S. Surgeon General
December 16, 2014
[caption id="attachment_7434" align="alignright" width="150"] Dr. Vivek Murthy, hospitalist at Brigham and Women's Hospital in Boston, was confirmed Monday as the youngest U.S. Surgeon General ever.
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No Survival Benefit With Early Goal-Directed Therapy for Septic Shock
December 10, 2014
Clinical question For patients presenting with early septic shock, does early goal-directed therapy reduce mortality? Bottom line As compared with usual resuscitation care, early goal-directed therapy (EGDT) using central venous monitoring does not improve mortality in patients presenting t
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Lower Transfusion Threshold for Sepsis Equals Fewer Transfusions, No Effect on Mortality
December 10, 2014
Clinical question Does a lower transfusion threshold for critically ill patients with septic shock affect outcomes? Bottom line Using a lower threshold for transfusion for patients with septic shock in the intensive care unit (ICU) decreases the number of transfusions received without affec
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Audio
LISTEN NOW: Bob Wachter discusses ACOs, managed care, and his new book
December 4, 2014
Bob Wachter, MD, MHM, chief of the division of hospital medicine at the University of California at San Francisco, talks about Accountable Care Organizations, trends in managed care, his new book, and why hospitalists need to think, at times, like Machiavelli. [audio mp3="http://www.the-hospitali
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69%: hospitals with perfect hand-hygiene compliance
December 3, 2014
69%: the percentage of hospitals that had perfect compliance with the Leapfrog Group employer coalition’s safe practices for hand hygiene in its 2013 annual quality survey of 1,437 U.S.
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$167 billion: hospital payments forfeited for choosing not to expand Medicaid
December 3, 2014
$167 billion: Amount of federal Medicaid reimbursement payments that hospitals will forego between 2013 and 2022 in states that have opted not to expand their state programs under the 2010 Affordable Care Act. For every $1 a state spends on expanding Medicaid, $13.41 in federal funding flows into
