Updated Recommendations, Levels of Care Categorized for Pediatric ICUs
Three levels of care include community-based, tertiary, and quaternary or specialized PICUs.
Hospital Medicine Information Center
Survival Poor for Elderly Admitted to Long-Term Acute Care Setting
Among older Medicare beneficiaries admitted to LTAC, more than one-third died in an inpatient setting.
Analyzing Hospital Utilization Following the 1966, 2014 Health Insurance Coverage Expansions
Researchers sought to determine whether the implementation of Medicare and Medicaid in 1966 and the Patient Protection and Affordable Care Act of 2014 affected hospital use.
Out-of-Network Billing Common for Privately Insured Patients Receiving In-Network Care
Little is known about the frequency and financial repercussions of out-of-network billing, despite frequent news in the media about surprise medical bills.
Intensifying BP Meds at Hospital Discharge May Harm Elderly
Risk for readmissions and adverse effects higher, no long-term benefit for BP control or cardiac risk.
Cleaning Bundle Cost-Effective for Preventing Hospital-Associated Infection
Implementation of an environmental cleaning bundle in Australia was associated with a decrease in infectious caused by S aureus and vancomycin-resistant enterococci.
Cancer Diagnosis Linked to Less Aggressive Treatment for Cardiac Arrest in Hospitalized Patients
The results of a retrospective study published in Resuscitation suggest that post-resuscitation interventions are less aggressive following in-hospital cardiac arrest for patients with cancer compared with individuals without a history of cancer. Although there is evidence that the clinical outcomes of patients experiencing in-hospital cardiac arrest, as well as of patients with cancer in general,…
Nurse-Led Quality Initiative Cuts Hypoglycemia in ICU Patients
Percentage of patients experiencing hypoglycemia decreased for those without, with diabetes.
At-Home Support Helps Stroke Patients Adjust After Hospitalization
Home-based support network includes social work case managers and online resources.
Poor Pneumonia Outcomes Tied to Overuse of Broad-Spectrum Antibiotics
Poor outcomes include higher mortality, longer hospital stay, and greater risk for C difficile infection.
Opioids Used More Often in Hospitals in US vs Other Countries
Patients’ perceptions of pain, pain medication may affect prescribing practices.
Hospital Readmissions Associated With Neighborhood Disadvantage
In this observational study, investigators analyzed the relationship between the independent contributions of a patient’s neighborhood and its local hospital’s service area and risk for 30-day readmission.
Protocolized Sepsis Care Lowers Sepsis Mortality in NY State
Compared with control states, decrease in sepsis mortality greater after implementation of regulations.
In-Hospital Maternal Mortality Down in Pregnancies With Lupus
Mortality decrease greater in systemic lupus erythematosus pregnancies than in non-SLE pregnancies.
Shorter ICU Rotations Cut Physician Burnout
Increased job fulfillment, decreased burnout seen for critical care physicians working 7-day rotations.
Nutrition-Focused Program at Home Health Agency Beneficial
Nutrition-focused quality improvement program can reduce rates of hospitalization, health care use.
Better UTI Monitoring Needed After Hospital Admission in Adults
Many healthcare-associated, community-onset urinary tract infections develop after being discharged.
Sharing Clinical Notes Engages Ob-Gyn Patients
Patients report positive feedback and provide clinically meaningful corrections.
Racial Segregation and Inequality in Neonatal Intensive Care Units
Study finds that Asian infants received care at higher-quality NICUs than white infants, and black infants received care at lower-quality NICUs than white infants.
ICU Care for STEMI Associated With Improved Mortality Rates
Findings seen in patients who could have been treated in either the ICU or non-ICU unit.
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