Hospital Infection Control Can Prevent COVID-19 Transmission
No nosocomial transmission of COVID-19 seen in Hong Kong hospital using infection control measures.
Hospital Medicine Information Center
Vitamin C, Hydrocortisone, Thiamine Not Superior to Hydrocortisone Alone for Septic Shock
For patients with septic shock, treatment with intravenous vitamin C, hydrocortisone, and thiamine did not significantly improve the duration of survival and free of vasopressor administration over 7 days.
Quality Improvement in NICU May Cut Morbidity in Preemies
Practice changes linked to increase in survival without major morbidity for infants born at 23 to 32 weeks.
Who Wins in Salary-Only Physician Compensation Plans?
A new study demonstrates the efficacy of a structured physician compensation model in achieving equitable pay for all employees, although the underrepresentation of women in leadership positions and the higher-paying specialties warrants further investigation.
Hospital-Based Palliative Care Reduces End-of-Life ICU Stays
Implementation of hospital-based palliative care service was associated with a 10% reduction in ICU use, lowering healthcare costs and improving quality of death for terminal patients.
Burden of Clostridioides difficile Infection in the United States Grows
Researchers sought to identify the incidence of hospital-acquired Clostridioides difficile infection and its associated length of stay in the United States.
Enterovirus A71 Outbreak in Children Identified in Colorado Hospital
Neurological findings of myoclonus, ataxia, weakness, and autonomic instability differentiate EV-A71.
Identifying Differences in Rural, Urban Use of Postacute Care
Researchers sought to examine differences in the frequency, type, and duration of postacute care use among rural and urban Medicare beneficiaries.
Nurse Certification May Promote Evidence-Based Practice in ICU
Nurses certified in critical care also have higher perceived value of evidence-based practices.
Psychological Safety at Work Tied to Hospital Infection Prevention
Work culture of high psychological safety reported in about 38% of acute care hospitals.
One in 10 Hospital Patients May Carry C Difficile at Admission
Asymptomatic carriers of C difficile at significant risk for progression to symptomatic infection.
Outcomes Worse for Rural Residents With Chronic Conditions
Higher preventable hospitalization and mortality rates partly due to reduced access to specialists.
Postoperative Infection With Risk for Long-Term Infection and Mortality
Data published in JAMA Surgery showed that patients with 30-day postoperative infection had a 3.2-fold higher risk for 1-year infection and a 1.9-fold higher risk for mortality compared with those with no infections.
What Factors Should Clinicians Focus on to Prevent Psychiatric Hospital Readmissions in Youth?
The root cause of readmission was illness-related in 73.2% of cases, while environment of care/family factors and systems of care factors each accounted for 13.4% of cases.
Pneumonia Hospital Readmission Is Common With Various Comorbidities
Thirty-day readmission following hospitalization for pneumonia is common in patients with underlying comorbidities such as COPD, kidney and heart diseases, and dementia.
More Hospital Days Seen With Antipsychotic Use in Alzheimer Disease
Number of hospital days up by more than 50% in AD patients initiating antipsychotic medication.
Risk for Suicide Increased After Hospital Discharge for Self-Harm
Authors say there is need for early follow-up care and attention to risk reduction strategies.
CDC: Drugs Involved in Overdose Deaths Varied Regionally in 2017
The drugs most frequently involved in drug overdose deaths in 2017 varied regionally in the United States.
Study Finds Screening for Social Needs Lacking in Hospitals and Practices
Social needs — including food, housing, utilities, transportation — and exposure to interpersonal violence are well known to be linked to health outcomes. In fact, up to 90% of health outcomes are a result of social, behavioral, and economic factors.1 However, few hospitals or practices screen patients comprehensively for the aforementioned factors that affect health…
Consensus on Recommendations for End-of-Life Pain Management for the Critically Ill in the ICU
The majority of existing clinical guidelines and consensus statements on pain management at the end of life in the intensive care unit agree on a set of recommendations that include the use of high doses of opioid.
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