Hospital Medicine News Archive
Researchers developed a protocol to demonstrate the efficacy of rivaroxaban in lowering the risk of venous thromboembolism among orthopedic joint surgery patients.
Researchers say that minorities and uninsured patients are the most affected.
The therapy may be cost-effective for patients with a predicted 1-year VTE risk of 17.5% or more.
Patients treated by older physicians have higher mortality than those cared for by younger physicians
Researchers found that patients treated by older physicians had higher 30-day mortality than those cared for by younger physicians, despite similar patient characteristics.
Results showed that mean induction times, analyzed in 170 patients, were 12.87 days in the HIV-infected patients and 11.19 days in the HIV-uninfected patients.
Surgical pulmonary embolectomy for peripheral distribution of thrombus demonstrated positive outcomes in patients with either CPE or PPE.
A 53-year-old woman presents to the emergency room for right upper extremity deep vein thrombosis after rib resection and subclavian vein stent placement.
Short-term oral corticosteroid use associated with increased risk for sepsis, venous thromboembolism
Approximately 1 in 5 American adults use corticosteroids in the short term, which is associated with an increased risk for sepsis, venous thromboembolism, and fracture.
Implementation of a combined ID re-entry intervention and distinct naming convention greatly reduced the risk.
The ACGME announces that residency programs can increase shift hours for first-year residents from 16 to 24 hours.
Symptomatic high-concentration peroxide exposures had a high incidence of associated embolic events.
More than 10,000 Medicare beneficiaries die each year within 7 days of being discharged from emergency departments.
Researchers observed a somewhat lower mortality among patients treated by international graduates.
Researchers sought to determine the risk of venous thromboembolism associated with use of testosterone treatment.
The reduction in thromboembolism was attenuated after accounting for competing death events.
Although the overall use of antibiotics in US hospitals is unchanged, use of broad spectrum agents has increased significantly.
Nearly 17% of patients exhibiting one unstable vital sign at hospital discharge were readmitted or died within 30 days.
Hospital mortality rates do not improve in institutions that frequently use ICU care for patients.
For patients hospitalized with COPD, mortality and length of stay have decreased while financial burden has increased.
New guidelines for the treatment and management of aspergillosis have been published by the Infectious Diseases Society of America.
After an acute hospitalization, many Medicare beneficiaries submit pharmacy claims for opioid prescriptions.
Almost one-quarter of patients admitted to the STICU short term are there for <4 hours of ventilator management.
Clinicians in hospital settings need strategies in place to safely provide opioid pain relief to hospitalized patients.
Since 2002, the number of hospitalizations due to opioid abuse and dependence has increased by 72%.
Triage practices in EDs are essential to providing patient care.
Visited patients were also more likely to access community health services.
Administering steroids to pregnant women likely to give birth before 37 weeks can reduce infants' risk of respiratory complications.
After adult cardiac surgery, patients are less likely to be readmitted to the hospital if they receive house calls from PAs.
About 5% of medication administrations during the perioperative period include errors or adverse drug events.
The introduction of pneumococcal conjugate and rotavirus vaccines has helped to reduce hospitalizations from respiratory infections and diarrhea.
The majority of hospitalists agree that routine dyspnea severity assessment would improve patient care.
Health insurance companies should considering paying PCP for inpatient consulting services.
HIV patients undergoing ART often die from non-AIDS infections and cardiovascular disease.
Experts reached a consensus on the top five unnecessary medical treatments and tests for newborns.
Care coordination can help hospital patients transition from inpatient to outpatient-only care.
Monitoring kidney function in hospitalized patients can help prevent acute kidney injury.
Health 360 is designed to be applied by an interprofessional collaborative care team and facilitated by nurse practitioners.
Quitting smoking improved spinal cord injury quality of life.
Adults hospitalized with pneumonia benefit from the addition of corticosteroids to antibiotic treatment.
Post-discharge phone calls have the potential to improve compliance with and understanding of hospital discharge instructions.
C. difficile costs as much as $4.8 billion in estimated extra health care costs per year.
Many of the drug shortages were of broad-spectrum antibiotics.
Units with more nursing hours per patient-day had a 0.42 decrease in the rate of bloodstream infections.
New recommendations are designed to prevent caregivers from accidentally measuring out 10 times the prescribed dose.
Within one year of being discharged from the hospital for heart failure, 67.4% of patients enrolled in the study were readmitted to the hospital and 35.8% died.
Decreases were seen in central-line associated bloodstream infections and surgical-site infections.
There was no difference overall in the incidence with different statins, but high-dose atorvastatin was associated with increased hospitalization.
Opioids such as morphine and oxycodone were drugs most often involved in potentially dangerous drug interactions.
Hospitals that implemented a formalized antibiotic stewardship program saw an overall reduction in antibiotic use.
Fall-prevention advice may help reduce the risk of injuries at home amongst toddlers.
The American College of Emergency Physicians has issued another list of five tests and procedures that should be questioned before use.
Compared with paper towels, jet air and warm air dryers in public restrooms had higher bacteria levels.
Though 94% of those mistakes didn't require medical treatment, 25 led to deaths and about 1,900 critical care admissions.
Fatal anaphylaxis caused by medications, food, and unspecified allergens was significantly associated with race and older age.
Of the patients, 79.5% received antibiotics to treat infections, and 19.0% received them to reduce the risk of infection during surgeries.
Compared with HIV-negative patients, study participants with HIV infection had significantly higher rates of complications.
Compared with electrodiagnostic testing, ultrasound was more accurate in diagnosing carpal tunnel syndrome.
New York Law School publishes an update on the state of medical malpractice information in the United States.
Greater use of broad-spectrum antibiotics, increased transmission from long-term acute care facilities associated with increases in carbapenem-resistant Enterobacteriaceae.
Better care coordination may help reduce patient complications and length of stay.
Introducing a single full-time orthopedic trained PA in the hospital setting benefited patients undergoing total knee arthroplasty.
Disseminating information about the previous week's bundle of infection-control interventions reduced acquisition rates of drug-resistant bacteria in ICUs.
Baxter and the FDA taking action to ease shortage of first line therapy for heart attack patients.
Transfusion receipt linked to adverse cardiovascular events, regardless of bleeding complications.
About a quarter had contaminated hands, suggesting an important mode of Clostridium difficile transmission in hospital settings.
Adopting standardized communication procedures during this crucial time may help reduce errors.
Severe opioid-related adverse event up at hospitals with higher opioid prescribing.
The FDA is calling for labeling and packaging changes for certain topical antiseptic product to reduce the risk of infection.
No one-size fits all approach to infection control, but universal precautions may be useful in certain high-risk settings.
Certain food additives, such as sodium gluconate, may cause false-positive galactomannan test results.
Problems like medication nonadherence by patients leads to greater healthcare costs.
A study of a cluster of patients infected with novel coronavirus indicates fast rate of transmission between persons.
The state's hospitals received the highest proportion of "A" Hospital Safety Scores at 80%.
An expert panel is strongly encouraging the immediate adoption of evidence-based strategies to reduce infections and improve patient safety.
Using chlorhexidine washcloths reduced ICU patients' risk for acquiring drug resistant organisms and bloodstream infections.
A state-sponsored program focusing on opioid overdose education and nasal naloxone distribution effectively reduced opioid-related overdose deaths in Massachusetts.
Bathing critically ill pediatric patients in chlorhexidine gluconate daily reduced the incidence of bacteremia by more than 35%.
Health care providers should remain vigilant to the potential for increased norovirus activity in the ongoing season related to the emergent GII.4 Sydney strain.
Nurses' work environment and staffing levels affect readmission rates for heart failure, MI and pneumonia.
Children hospitalized with chronic medical conditions are more likely to be affected by medical errors than those who are hospitalized but don't have a chronic condition.
More than one in four patients included in a metaanalysis had at least one missed diagnosis at the time of death in an intensive care unit.
Low staffing levels and nurse burnout correlated with increased health-care associated infections in Pennsylvania hospitals.
Many hospitals scored fewer than 50 points on the 100-point hospital safety scale, which rated facilities based on their performance in six categories.
The FDA has issued a Class I recall for CareFusion's AirLife™ Infant Breathing Circuit.
A telehealth intervention for chronic health conditions improved emergency admission rates and lowered mortality in hospitals in England compared with usual care.
Employing professional translators for non-English speaking patients in hospital emergency departments (EDs) reduces miscommunication and errors, study results suggest.
Seven healthcare systems in Massachusetts will formally pilot a project that will attempt to resolve medical liability issues without malpractice trials.
Despite the overall positive impact, some hospitals are spending less time on infections not targeted in the CMS rule.
Patients with major trauma who were transported to level I or II trauma centers via helicopter had better odds of surviving compared with those transported by ground services.
American Regent has issued a nationwide voluntary recall of three lots of Cyanocobalamin Injection 1,000mcg/mL (1mL vial), because cracks can form in them bottom and sides of some vials.
A Medicare demonstration program incorporating a pay-for-performance model did not improve 30-day or six year hospital mortality.
Eagle Pharmaceuticals has issued a voluntary recall of four lots of Argatroban Injection 50mg/50mL (1mg/1mL) due to a potential for visible particulates.
Thirty of the nation's 50 lowest-scoring hospitals on patient safety are located in New York City and adjoining communities in West Chester, Long Island and New Jersey.
Surfaxin (lucinactant) is indicated for the prevention of respiratory distress syndrome, a breathing disorder that affects premature infants.
Norovirus outbreaks predominated in behavioral health and rehabilitation/long-term care facilities, whereas bacterial infections were more likely to occur in medical and surgical units.
Calculating IV acetaminophen doses in milligrams and administering the 10 mg/mL solution in milliliters without adjusting the volume may contribute to an average ten-fold overdose in young children.
A jury in Wyoming recently ruled in favor of Louis Prager, a 51-year-old field worker, awarding him and his wife a record-breaking $9 million in damages after an ED physician at a regional hospital did not order neck X-rays or CT scans after an accident.
Clinicians sometimes use their smart phones and tablet computers for personal matters — checking social networking websites, news and even airfare prices while on the job — in a phenomenon termed "distracted doctoring."
Wound debridement is significantly faster with maggot therapy during the first week of treatment compared with conventional debridement, but differences were no longer significant after fifteen days, study data indicate.
The CDC has launched a new electronic system that will enable hospitals to track antibiotic use and compare performance with other hospitals in efforts to curb growing rates of antibiotic drug resistance.