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Hospitals Not Utilizing More Observation Services to Avoid Readmission Penalties: Study
June 7, 2016
Concern that the Hospital Readmissions Reduction Program (HRRP) has led to more observation stays in an effort by hospitals to avoid readmission penalties can be put to rest. A study published in late February in the New England Journal of Medicine shows that while readmission rates dropped drama
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QUIZ: What Is Next Step for Diagnosing Cavitary Lesion with No Improvement after Serial Chest X-Rays, Antibiotics?
June 6, 2016
[WpProQuiz 9] [WpProQuiz_toplist 9]
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News
Troponin Leak Portends Poorer Outcomes in Congestive Heart Disease Hospitalizations
June 6, 2016
Clinical question: What is the association between detectable cardiac troponin (cTn) levels and outcomes in persons hospitalized with acute decompensated heart failure (ADHF)? Background: There are millions of ADHF hospitalizations per year, and all-cause mortality and readmission rates are high.
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New Guidelines for Cardiovascular Imaging in Chest Pain
June 6, 2016
Clinical question: Which cardiovascular imaging modalities can augment triage of ED patients with chest pain? Background: Because absolute event rates for patients with chest pain and normal initial ECG findings are not low enough to drive discharge triage decisions, and findings that patients wi
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Hospitalist Quality Improvement Initiative Reduces Inpatient Laboratory Costs
June 5, 2016
Clinical question: Will a multifaceted quality improvement initiative targeted at hospitalists reduce inpatient laboratory costs? Background: Routine inpatient laboratory testing is a well-recognized area of healthcare waste and was highlighted by the American Board of Internal Medicine Choosing
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Discharge Planning Reduces Length of Stay in Elderly Patients Admitted with Medical Illnesses
June 5, 2016
Clinical question: Does discharge planning improve length of stay and reduce readmission rates compared to usual care? Background: Discharge planning is accomplished to varying degrees for patients admitted to an acute-care hospital.
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Improve Quality, Patient Safety with SHM’s Online Toolkits and Implementation Guides
June 4, 2016
SHM’s implementation toolkits provide hospitalists with the resources they need to lead quality improvement projects on a variety of clinical topics, including a new toolkit on venous thromboembolism (VTE) released in May.
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Join SHM, JHM on Twitter for #JHMChat on Monday, July 11
June 4, 2016
The Society of Hospital Medicine and the Journal of Hospital Medicine (JHM) are excited to announce the fourth installment in our #JHMChat Twitter chat series, which brings the latest hospital medicine research from JHM to Twitter and the bedside.
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Long-Term Mortality Benefits With Coronary Artery Bypass Grafting for Ischemic Cardiomyopathy
June 3, 2016
Clinical question: Does coronary artery bypass grafting added to medical therapy decrease mortality in patients with coronary artery disease and systolic heart failure? Bottom line: Coronary artery bypass grafting (CABG) plus medical therapy decreases mortality as compared with medical therapy al
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Stent Retriever Therapy Added to tPA Effective for Treating Acute Ischemic Stroke
June 3, 2016
Clinical question: Does the use of stent retrievers in conjunction with tissue plasminogen activator improve outcomes in patients with acute ischemic stroke? Bottom line: The use of stent retriever devices in addition to tissue plasminogen activator (tPA) in patients with anterior circulation acu
