Hospital Medicine

Wrong-patient orders are more likely in NICU vs non-NICU pediatric units

Wrong-patient orders are more likely in NICU vs non-NICU pediatric units

Implementation of a combined ID re-entry intervention and distinct naming convention greatly reduced the risk.

Working with multiple attending physicians in the emergency department

Working with multiple attending physicians in the emergency department

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Working with a large number of attending physicians can be one of the biggest difficulties of being an advanced practice provider.

First-year residents will be able to work 24-hour shifts

First-year residents will be able to work 24-hour shifts

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The ACGME announces that residency programs can increase shift hours for first-year residents from 16 to 24 hours.

Case Study in Urgent Care: Leg edema and shortness of breath

Case Study in Urgent Care: Leg edema and shortness of breath

A 44-year-old man presents to an urgent care clinic with leg edema and shortness of breath.

When the PA becomes the patient

When the PA becomes the patient

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A physician assistant's stay in the hospital provides a new perspective of a patient's experience in the emergency department.

Peroxide ingestion as a "natural cure" can be fatal

Peroxide ingestion as a "natural cure" can be fatal

Symptomatic high-concentration peroxide exposures had a high incidence of associated embolic events.

Death rate high in elderly within 7 days of discharge from emergency department

Death rate high in elderly within 7 days of discharge from emergency department

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More than 10,000 Medicare beneficiaries die each year within 7 days of being discharged from emergency departments.

Mortality rate lower in US patients treated by foreign-educated internists

Mortality rate lower in US patients treated by foreign-educated internists

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Researchers observed a somewhat lower mortality among patients treated by international graduates.

Use of stronger antibiotics increases in US hospitals

Use of stronger antibiotics increases in US hospitals

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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

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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

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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

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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

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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

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

Overcrowding in the emergency department

Overcrowding in the emergency department

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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

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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.

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