Hospital Medicine

Missed General Practice Appointments Linked To Increased Morbidity, Mortality

Missed General Practice Appointments Linked To Increased Morbidity, Mortality

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For patients with both physical and mental health-related long-term conditions, missing healthcare appointments is associated with an increased risk of multimorbidity.

GI Illness, Hospitalization Increase, Symptom Reports Decrease Among Older Adults

GI Illness, Hospitalization Increase, Symptom Reports Decrease Among Older Adults

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The number of enteric infection symptom reports was found to decrease with age, although older adults tend to have more severe illness and require hospitalization.

Pain Management Following Reduced Routine Opioid Use After Cesarean Delivery

Pain Management Following Reduced Routine Opioid Use After Cesarean Delivery

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Eliminating routine oral opioid prescription following cesarean delivery may reduce opioid consumption without jeopardizing pain control or patient satisfaction.

Expanding Pharmacist Practice Scope Could Reduce ED Overcrowding

Expanding Pharmacist Practice Scope Could Reduce ED Overcrowding

Benefits could be seen for frequent complaints like cough, dermatitis, and inflammation of ear, nose, throat.

Adverse Birth Outcomes Up for Women With H1N1 Flu in ICU

Adverse Birth Outcomes Up for Women With H1N1 Flu in ICU

Pregnant women admitted to ICU with flu more likely to deliver preterm infants, low birth-weight infants.

Croup Symptoms, Hospital Readmissions Reduced With Glucocorticoids

Croup Symptoms, Hospital Readmissions Reduced With Glucocorticoids

Children with croup who were given glucocorticoids had reduced symptoms at 2 through 24 hours.

Flu Vaccination Safe for Hospitalized Patients

Flu Vaccination Safe for Hospitalized Patients

With vaccination, risks reduced for readmission, outpatient visits, fever, clinical evaluations for infection.

Nursing Intervention Promotes Better Sleep for Inpatients

Nursing Intervention Promotes Better Sleep for Inpatients

Nighttime room entries reduced in unit where nurses received coaching, integrated SIESTA.

Flu Vaccine Cuts Flu-Related Hospitalization in COPD Patients

Flu Vaccine Cuts Flu-Related Hospitalization in COPD Patients

Flu-positive patients have higher crude mortality and critical illness vs flu-negative patients.

Racial Disparities May Have Widened After Hospital Readmissions Reduction Program Implementation

Racial Disparities May Have Widened After Hospital Readmissions Reduction Program Implementation

Racial disparities may be widening within safety-net hospitals for non-HRRP-targeted conditions.

In-Hospital Morbidity, Mortality Up With Flu in Heart Failure

In-Hospital Morbidity, Mortality Up With Flu in Heart Failure

Higher incidence seen for in-hospital mortality, acute respiratory failure, acute kidney injury.

Many Adults in 50s, Early 60s Worried About Health Insurance

Many Adults in 50s, Early 60s Worried About Health Insurance

More than one-quarter have little or no confidence they can afford health insurance over the next year.

Structured Family-Centered Peds Rounds Improve Patient Safety

Structured Family-Centered Peds Rounds Improve Patient Safety

Forty percent decrease seen in harmful errors; decrease also in nonpreventable adverse events.

Coping With Challenges When Working the Holidays

Coping With Challenges When Working the Holidays

For many physicians, working during the holiday season is simply part of the job.

Hospitalizations Increase for Homeless From 2007 to 2013

Hospitalizations Increase for Homeless From 2007 to 2013

From 2007 to 2013, hospitalizations among homeless individuals increased and were most frequently for mental illness and substance use disorder.

Stethoscopes in ICU Show High Levels of Bacterial Contamination

Stethoscopes in ICU Show High Levels of Bacterial Contamination

Highest levels of contamination on practitioner stethoscopes, those in patient rooms.

The Future Of Robot Physicians: Is Artificial Intelligence Poised to Take Over Medicine?

The Future Of Robot Physicians: Is Artificial Intelligence Poised to Take Over Medicine?

By 2030, robots will likely replace 800 million workers. Will physicians make the cut?

Hospital Discharge During Holiday Season Considered Novel Risk for Readmission, Death

Hospital Discharge During Holiday Season Considered Novel Risk for Readmission, Death

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The "Christmas Effect" has been linked to increased risks in patients discharged from the hospital during the December holiday season.

Lack of Peds Preventive Care Ups Unplanned Hospital Admissions

Lack of Peds Preventive Care Ups Unplanned Hospital Admissions

Infants and children lacking vaccinations, development checks more likely to be admitted.

Care for Chronic Kidney Disease Varies Across VA Facilities

Care for Chronic Kidney Disease Varies Across VA Facilities

Findings observed for veterans with diabetes and concomitant chronic kidney disease.

Higher-Volume Hospitals Have Better Laryngectomy Outcomes

Higher-Volume Hospitals Have Better Laryngectomy Outcomes

Reduced morbidity associated with a minimum hospital volume threshold of 6 cases/year.

Patients Hospitalized for COPD Rarely Receive Pulmonary Rehab

Patients Hospitalized for COPD Rarely Receive Pulmonary Rehab

Elderly, those living 10 miles from facility, those with lower SES less likely to receive pulmonary rehab.

Insurance Coverage for Adult Obesity Care Increasing

Insurance Coverage for Adult Obesity Care Increasing

Findings among Medicaid, state employee health insurance programs in 2009 to 2017.

Harms Identified With Nonoperative Management of Appendicitis

Harms Identified With Nonoperative Management of Appendicitis

Higher likelihood of readmission, developing abscess; more follow-up needed in year after admission.

Online Patient Reviews of EDs and Urgent Care Centers Inform Care Delivery

Online Patient Reviews of EDs and Urgent Care Centers Inform Care Delivery

Publicly available online ratings of emergency departments and urgent care centers provide important insights for health systems.

Poor Experience With PCP Linked to Hospitalization in CKD

Poor Experience With PCP Linked to Hospitalization in CKD

Risk of hospitalization up for Hispanic patients with lower scores on Ambulatory Care Experiences Survey.

Simple Clinical Assessment in ED Best for Predicting Mortality

Simple Clinical Assessment in ED Best for Predicting Mortality

Agreement between formalized triage assessment and simple clinical assessment was poor.

CDC: Many Children With Heart Conditions Have Special Needs

CDC: Many Children With Heart Conditions Have Special Needs

One in 77 US children reportedly had heart conditions in 2016, with special needs in 60%.

Timing of Pushing Does Not Impact Spontaneous Vaginal Delivery

Timing of Pushing Does Not Impact Spontaneous Vaginal Delivery

Rate of spontaneous vaginal delivery similar for immediate pushing or waiting for 60 minutes.

One-Third of Older Adults Die After Emergency Intubation

One-Third of Older Adults Die After Emergency Intubation

Twenty-four percent of adults aged 65 years who undergo intubation in ED are discharged home.

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