News
Inpatient Navigators Reduce Length of Stay without Increasing Readmissions
December 1, 2015
Clinical question: Does a patient navigator (PN) who facilitates communication between patients and providers impact hospital length of stay (LOS) and readmissions? Background: Increasing complexity of hospitalization challenges the safety of care transitions.
News
Guide Helps Hospitalists Choose Most Appropriate Catheter for Patients
November 30, 2015
The Michigan Appropriateness Guide for Intravenous Catheters (MAGIC) is a new resource designed to help clinicians select the safest and most appropriate peripherally inserted central catheter (PICC) for individual patients. “How do you decide which catheter is best for your patient?
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News
Institute of Medicine Report Examines Medical Misdiagnoses
November 30, 2015
In the latest report in its series on quality and patient safety in healthcare, the Institute of Medicine addresses the challenge of errors in medical diagnoses. Authors of the IOM’s “Improving Diagnosis in Health Care” report cite problems in communication and limitations in electronic health re
News
Quality Improvement Initiative Targets Sepsis
November 30, 2015
A quality improvement (QI) initiative at University Hospital in Salt Lake City aims to save lives and cut hospital costs by reducing inpatient sepsis mortality. Program co-leaders, hospitalists Devin Horton, MD, and Kencee Graves, MD, of University Hospital, launched the initiative as a pilot pro
News
ICD-10 Under ACP Scrutiny
November 19, 2015
NEW YORK - While the new International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) codes offer greater diagnostic precision, their implementation will require training of clinicians, coders, and other staff to minimize payment denials or delays from both public and
Audio
Listen Now: Society of Hospital Medicine’s Student Hospitalists Discuss Future of Specialty
November 13, 2015
Two medical students who participated in SHM's inaugural Student Hospitalist program, Mimi Zander, now a second year student at Touro College of Osteopathic Medicine in New York City, and Frank Zadravecz, a second year student at the University of Illinois College of Medicine at Chicago, share their
News
Can Low-Risk Patients with VTE Be Discharged from ED on Rivaroxabon?
November 4, 2015
Clinical question: Can a low-risk patient newly diagnosed with VTE in the ED be immediately discharged home on a direct factor Xa inhibitor? Background: Studies have shown that rivaroxaban incurs a risk of 2.1% in VTE recurrence and of 9.4% in clinically relevant major and non-major bleeding (in
News
ED Lung Ultrasound Useful for Differentiating Cardiogenic from Noncardiogenic Dyspnea
November 4, 2015
Clinical question: Is lung ultrasound a useful tool for helping to diagnose acute decompensated heart failure (ADHF)? Background: Lung ultrasound is an emerging bedside tool that has been promoted to help evaluate lung water content to help clinicians differentiate ADHF from other causes of dyspn
News
When Should Hospitalists Order Continuous Cardiac Monitoring?
November 4, 2015
Case Two patients on continuous cardiac monitoring (CCM) are admitted to the hospital. One is a 56-year-old man with hemodynamically stable sepsis secondary to pneumonia. There is no sign of arrhythmia on initial evaluation.
News
Which Hospitalist Should Bill for Inpatient Stays with Multiple Providers?
November 4, 2015
[caption id="attachment_8354" align="alignleft" width="100"] amane kaneko[/caption] During a facility stay, a patient could be attended to by more than one hospitalist.
