Hospital Medicine

Use of stronger antibiotics increases in US hospitals

Use of stronger antibiotics increases in US hospitals

By

Although the overall use of antibiotics in US hospitals is unchanged, use of broad spectrum agents has increased significantly.

Vital sign instability at hospital discharge linked to increased mortality risk

Vital sign instability at hospital discharge linked to increased mortality risk

By

Nearly 17% of patients exhibiting one unstable vital sign at hospital discharge were readmitted or died within 30 days.

ICU care is frequently overused and may not improve hospital mortality

ICU care is frequently overused and may not improve hospital mortality

By

Hospital mortality rates do not improve in institutions that frequently use ICU care for patients.

Inpatient mortality, length of stay decreasing for COPD patients, but financial burden increasing

Inpatient mortality, length of stay decreasing for COPD patients, but financial burden increasing

By

For patients hospitalized with COPD, mortality and length of stay have decreased while financial burden has increased.

Managing aspergillosis: updated guidelines from IDSA

Managing aspergillosis: updated guidelines from IDSA

By

New guidelines for the treatment and management of aspergillosis have been published by the Infectious Diseases Society of America.

New opioid use common post-hospital discharge among Medicare beneficiaries

New opioid use common post-hospital discharge among Medicare beneficiaries

By

After an acute hospitalization, many Medicare beneficiaries submit pharmacy claims for opioid prescriptions.

Overcrowding in the emergency department

Overcrowding in the emergency department

By

Emergency department clinicians are faced with a number of challenges as ED's become more crowded.

Short-term STICU patients often admitted for brief ventilator management

Short-term STICU patients often admitted for brief ventilator management

By

Almost one-quarter of patients admitted to the STICU short term are there for <4 hours of ventilator management.

Effective strategies to prescribe opioids, provide pain relief in hospital settings urgently needed

Effective strategies to prescribe opioids, provide pain relief in hospital settings urgently needed

By

Clinicians in hospital settings need strategies in place to safely provide opioid pain relief to hospitalized patients.

Hospitalizations due to opioid abuse, dependence increasing significantly

Hospitalizations due to opioid abuse, dependence increasing significantly

By

Since 2002, the number of hospitalizations due to opioid abuse and dependence has increased by 72%.

Nonurgent patients routinely receive urgent care in emergency departments

Nonurgent patients routinely receive urgent care in emergency departments

By

Triage practices in EDs are essential to providing patient care.

Supportive-care visits while hospitalized linked to fewer adverse outcomes

Supportive-care visits while hospitalized linked to fewer adverse outcomes

Visited patients were also more likely to access community health services.

Wrist pain after a fall: a simple fracture?

Wrist pain after a fall: a simple fracture?

After a fall on an outstretched hand, wrist injuries are common, but ligament tears should also be considered in adults.

Prenatal steroids reduce respiratory complications in late preterm infants

Prenatal steroids reduce respiratory complications in late preterm infants

By

Administering steroids to pregnant women likely to give birth before 37 weeks can reduce infants' risk of respiratory complications.

House calls from PAs reduce hospital readmissions after cardiac surgery

House calls from PAs reduce hospital readmissions after cardiac surgery

By

After adult cardiac surgery, patients are less likely to be readmitted to the hospital if they receive house calls from PAs.

Holiday healing in the emergency department

Holiday healing in the emergency department

By

The patient flow may slow down during the holidays, but some people come to the emergency department for more than just physical reasons.

Avoiding hypoglycemia in a hospitalized patient with diabetes and increased physical activity

Avoiding hypoglycemia in a hospitalized patient with diabetes and increased physical activity

By

While undergoing physical therapy after a stroke, a patient with type 1 diabetes has a hypoglycemia-related stroke.

Medication errors, adverse drug reactions occur in half of surgeries

Medication errors, adverse drug reactions occur in half of surgeries

By

About 5% of medication administrations during the perioperative period include errors or adverse drug events.

A new method for closing skin tears in elderly patients

A new method for closing skin tears in elderly patients

By

Using a combination of sutures and Steri-Strips can help close skin tears in elderly patients with fragile skin.

Basal insulin for surgical diabetic patients

Basal insulin for surgical diabetic patients

Basal insulin, with or without nutritional correction, is the best approach to manage blood glucose in noncritically ill surgical patients.

New vaccines help reduce respiratory, diarrhea-related hospitalizations

New vaccines help reduce respiratory, diarrhea-related hospitalizations

The introduction of pneumococcal conjugate and rotavirus vaccines has helped to reduce hospitalizations from respiratory infections and diarrhea.

A perioperative approach
 for pediatric asthma


A perioperative approach
 for pediatric asthma


Pediatrics patients with asthma who have to undergo surgery are at risk for complications.

Assessing dyspnea severity can improve cardiopulmonary care

Assessing dyspnea severity can improve cardiopulmonary care

The majority of hospitalists agree that routine dyspnea severity assessment would improve patient care.

Health insurance should cover primary care inpatient consultations, says AAFP

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

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

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

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

Preventing acute kidney injury

By

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

Primary care bundle aims to reduce ED, hospital readmissions

Primary care bundle aims to reduce ED, hospital readmissions

By

Health 360 is designed to be applied by an interprofessional collaborative care team and facilitated by nurse practitioners.

Quitting smoking improved pressure sore healing in patients with spinal cord injuries

Quitting smoking improved pressure sore healing in patients with spinal cord injuries

By

Quitting smoking improved spinal cord injury quality of life.

Sign Up for Free e-newsletters