Hospital Medicine News Archive

Health insurance should cover primary care inpatient consultations, says AAFP

Health insurance companies should considering paying PCP for inpatient consulting services.

Hospital patients with HIV often die from non-AIDS causes

HIV patients undergoing ART often die from non-AIDS infections and cardiovascular disease.

Top five unnecessary medical procedures for newborns

Experts reached a consensus on the top five unnecessary medical treatments and tests for newborns.

Primary care physicians can help bridge hospital transition gaps

Care coordination can help hospital patients transition from inpatient to outpatient-only care.

Preventing acute kidney injury

Monitoring kidney function in hospitalized patients can help prevent acute kidney injury.

Clostridium difficile infections most prevalent in Northeast

C. difficile costs as much as $4.8 billion in estimated extra health care costs per year.

Antibiotic shortages may catch providers off guard

Many of the drug shortages were of broad-spectrum antibiotics.

Nurse-physician collaboration cuts ICU infection rates

Units with more nursing hours per patient-day had a 0.42 decrease in the rate of bloodstream infections.

Use metric dosing for kids' medications

New recommendations are designed to prevent caregivers from accidentally measuring out 10 times the prescribed dose.

Elderly at risk one year post-hospitalization

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.

Hospital-acquired infections rates are falling

Decreases were seen in central-line associated bloodstream infections and surgical-site infections.

Nearly 50% of hospitalized kids exposed to potentially dangerous drug combos

Opioids such as morphine and oxycodone were drugs most often involved in potentially dangerous drug interactions.

Formalized programs help lower antibiotic prescribing rates

Hospitals that implemented a formalized antibiotic stewardship program saw an overall reduction in antibiotic use.

Educate parents on child safety after falls at home

Fall-prevention advice may help reduce the risk of injuries at home amongst toddlers.

Avoid these five emergency department tests

The American College of Emergency Physicians has issued another list of five tests and procedures that should be questioned before use.

Hand dryers may be unsuitable in health-care settings

Compared with paper towels, jet air and warm air dryers in public restrooms had higher bacteria levels.

Medication errors occur every 8 minutes in kids

Though 94% of those mistakes didn't require medical treatment, 25 led to deaths and about 1,900 critical care admissions.

Half of hospitalized Americans are prescribed antibiotics

Of the patients, 79.5% received antibiotics to treat infections, and 19.0% received them to reduce the risk of infection during surgeries.

HIV-positive patients at higher risk of spinal fusion-related complications

Compared with HIV-negative patients, study participants with HIV infection had significantly higher rates of complications.

Ultrasound accurate in confirming carpal tunnel syndrome

Compared with electrodiagnostic testing, ultrasound was more accurate in diagnosing carpal tunnel syndrome.

Drug-resistant CRE increasing in southeastern U.S. hospitals

Greater use of broad-spectrum antibiotics, increased transmission from long-term acute care facilities associated with increases in carbapenem-resistant Enterobacteriaceae.

Email program reduced drug-resistance in ICUs

Disseminating information about the previous week's bundle of infection-control interventions reduced acquisition rates of drug-resistant bacteria in ICUs.

Nitroglycerin shortage hits EDs

Baxter and the FDA taking action to ease shortage of first line therapy for heart attack patients.

Blood transfusions adversely affect PCI outcomes

Transfusion receipt linked to adverse cardiovascular events, regardless of bleeding complications.

C. diff spores common on HCWs' hands

About a quarter had contaminated hands, suggesting an important mode of Clostridium difficile transmission in hospital settings.

Majority of hospital patients get opioids

Severe opioid-related adverse event up at hospitals with higher opioid prescribing.

FDA: Topical antiseptics pose infection risk

The FDA is calling for labeling and packaging changes for certain topical antiseptic product to reduce the risk of infection.

No overall benefit with universal gown, glove use

No one-size fits all approach to infection control, but universal precautions may be useful in certain high-risk settings.

Ice pops culprit in false-positive aspergillosis test

Certain food additives, such as sodium gluconate, may cause false-positive galactomannan test results.

Medication misuse costs US $200 billion annually

Problems like medication nonadherence by patients leads to greater healthcare costs.

Rapid person-to-person transmission seen in SARS-like virus

A study of a cluster of patients infected with novel coronavirus indicates fast rate of transmission between persons.

Experts recommend 10 patient safety strategies for healthcare providers

An expert panel is strongly encouraging the immediate adoption of evidence-based strategies to reduce infections and improve patient safety.

Antimicrobial washcloths reduce ICU infections

Using chlorhexidine washcloths reduced ICU patients' risk for acquiring drug resistant organisms and bloodstream infections.

Overdose rescue training cuts opioid-related deaths

A state-sponsored program focusing on opioid overdose education and nasal naloxone distribution effectively reduced opioid-related overdose deaths in Massachusetts.

Chlorhexidine baths cut bacteremia in PICU

Bathing critically ill pediatric patients in chlorhexidine gluconate daily reduced the incidence of bacteremia by more than 35%.

CDC: Novel norovirus replacing former dominant strain

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.

Improved staffing cuts Medicare patient readmissions

Nurses' work environment and staffing levels affect readmission rates for heart failure, MI and pneumonia.

Nurse burnout linked to higher health-care associated infections

Low staffing levels and nurse burnout correlated with increased health-care associated infections in Pennsylvania hospitals.

Infant breathing device recalled

The FDA has issued a Class I recall for CareFusion's AirLife™ Infant Breathing Circuit.

Telehealth intervention lowers hospital admissions

A telehealth intervention for chronic health conditions improved emergency admission rates and lowered mortality in hospitals in England compared with usual care.

CMS nonpayment policy works for preventing targeted infections

Despite the overall positive impact, some hospitals are spending less time on infections not targeted in the CMS rule.

For major trauma, helicopter transport improves survival

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.

Cyanocobalamin Injection 1,000 mcg/mL vials recalled

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.

Pay-for-performance model does not improve mortality

A Medicare demonstration program incorporating a pay-for-performance model did not improve 30-day or six year hospital mortality.

Injectable anticoagulant recalled

Eagle Pharmaceuticals has issued a voluntary recall of four lots of Argatroban Injection 50mg/50mL (1mg/1mL) due to a potential for visible particulates.

FDA approves respiratory distress drug for infants

Surfaxin (lucinactant) is indicated for the prevention of respiratory distress syndrome, a breathing disorder that affects premature infants.

Noroviruses leading cause of hospital infections

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.

Pediatric dosing errors common with IV acetaminophen

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.

Leg ulcers heal faster with maggot therapy

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.

Antibiotic tracking system introduced in hospitals

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.

U.S. Rx opioid overdose deaths triple over decade

Drug overdose deaths involving prescription opioid painkillers now surpasses those involving heroin and cocaine combined, the CDC reports.

Sepsis drug withdrawn from market

Eli Lilly announced that it is pulling drotrecogin alfa (Xigris) from all markets after a major clinical trial failed to show a survival benefit among patients taking the drug.

Heart failure admissions decline in U.S.

U.S. heart failure (HF) hospitalizations decreased by 29.5% during the past decade, data from a fee-for-service Medicare claims analysis conducted from 1998 to 2008 indicate.

Hospital uniforms may be reservoirs for infection

More than half of clinician uniforms sampled from a large hospital tested positive for harmful pathogens, including MRSA.

More than 5,000 children fall from windows annually

Boys and children aged 4 years and younger are at highest risk for window fall-related injuries, and more than 82.8% of cases with documented information involved a window with a screen.

CT deemed best test for adult appendicitis

Acute appendicitis can be difficult to diagnose because its symptoms mirror those of other illnesses. Preoperative CT has been used increasingly to diagnose suspected cases since the introduction of multidetector CT.

Errors seen in 12% of computerized Rxs

Omitting information remains a common error in electronic prescribing systems, accounting for more than half of all mistakes.

Sunlight can help kids avoid asthma

Summertime may become even more youth-friendly with the recent discovery that the vitamin D produced from sun exposure plays a role in protecting against childhood asthma.

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