News
Individualized Patient Care Plans Impact Utilization, Costs
July 6, 2015
Clinical question: Does developing individualized care plans in the inpatient setting reduce unnecessary ED visits, hospital readmissions, and hospital costs for frequent users of hospital services? Background: High utilizers of healthcare services are recognized as medically and psychosocially c
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Revised Guideline for Adult Bacterial Meningitis Improves Treatment, Outcome
July 6, 2015
Clinical question: Did revision of guidelines recommending computerized tomography (CT) scan before lumbar puncture (LP) reduce delayed treatment of acute bacterial meningitis (ABM)? Background: Guidelines were introduced in Sweden in 2004 identifying patients at risk for LP-induced brain herniat
News
Multifaceted Intervention to Decrease Frequency of Common Labs
July 6, 2015
Clinical question: Can a multifaceted intervention decrease the frequency of unnecessary labs? Background: Implementation of a multifaceted QI intervention within a large, community-based hospitalist group to decrease ordering of common labs. Study design: QI project. Setting: Large, commun
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When Do Patient-Reported Outcome Measures Inform Readmission Risk?
July 6, 2015
Clinical question: Among patients discharged from the hospital, how do patient-reported outcome (PRO) measures change after discharge, and can they predict readmission or ED visit? Background: Variables to predict 30-day rehospitalizations of discharged general medical patients have been looked i
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PRONE Score Can Track Medicolegal Complaints
July 6, 2015
Clinical question: Is there a standardized way to identify doctors at high risk of incurring repeated medicolegal events? Background: Medicolegal agencies react to episodes of substandard care rather than intervening to prevent them due to lack of robust prediction tools at the individual practit
Audio
LISTEN NOW: Gastroenterologist, Robert Coben, MD, on GI Bleeds, Colon Cancer
July 2, 2015
ROBERT COBEN, MD, Program director of the gastroenterology fellowship program at Thomas Jefferson University Hospital in Philadelphia, discusses GI bleeds and colon cancer. [audio mp3="http://www.the-hospitalist.org/wp-content/uploads/2015/07/Coben_Top10Gastro_FINAL_051515.mp3"][/audio]
Audio
LISTEN NOW: Gastroenterologist, John Pandolfino, MD, on Best Practices for Colonoscopies, Treating C. diff Infections
July 2, 2015
John Pandolfino, MD, chief of gastroenterology and hepatology at Northwestern University’s Feinberg School of Medicine in Chicago, talks about best practices for colonoscopies and treating C.
News
Novel Rapid Response Team Can Decrease Non-ICU Cardiopulmonary Arrests, Mortality
July 1, 2015
Clinical question: Can novel configured rapid response teams (RRTs) improve non-ICU cardiopulmonary arrest (CPA) and overall hospital mortality rate? Background: RRTs are primarily executed in hospital settings to avert non-ICU CPA through early detection and intervention.
News
Stroke Centers More Common Where Laws Encourage Them
June 26, 2015
State laws have played a big part in boosting the number of hospitals where specialized stroke care is available, a new study shows. During the study, the increase in the number of hospitals certified as primary stroke centers was more than twice as high in states with stroke legislation as in st
News
New Tool Improves Harm Detection for Pediatric Inpatients
June 18, 2015
The newly developed Pediatric All-Cause Harm Measurement Tool (PACHMT) improved detection of harms in pediatric inpatients in a recent pilot study. Using the tool, researchers found a rate of 40 harms per 100 patients admitted, and at least one harm in nearly a quarter of the children in the stud