Clinical

No Survival Benefit With Early Goal-Directed Therapy for Septic Shock

Clinical question For patients presenting with early septic shock, does early goal-directed therapy reduce mortality? Bottom line As compared with usual resuscitation care, early goal-directed therapy (EGDT) using central venous monitoring does not improve mortality in patients presenting to the emergency department with septic shock. Reference ARISE Investigators; ANZICS Clinical Trials Group, Peake SL, et… [Read More]

Lower Transfusion Threshold for Sepsis Equals Fewer Transfusions, No Effect on Mortality

Clinical question Does a lower transfusion threshold for critically ill patients with septic shock affect outcomes? Bottom line Using a lower threshold for transfusion for patients with septic shock in the intensive care unit (ICU) decreases the number of transfusions received without affecting mortality. Reference Holst LB, Haase N, Wetterslev J, et al. Lower versus… [Read More]

69%: hospitals with perfect hand-hygiene compliance

69%: the percentage of hospitals that had perfect compliance with the Leapfrog Group employer coalition’s safe practices for hand hygiene in its 2013 annual quality survey of 1,437 U.S. hospitals. The CDC estimates 2 million patients annually acquire hospital-acquired infections (HAIs), often spread by contaminated hands of healthcare workers. Urban hospitals performed better than rural… [Read More]

10 Things Oncologists Think Hospitalists Need to Know

Things you need to know An occasional series providing specialty-specific advice for hospitalists from experts in the field. COMING UP: 10 Things Endocrinologists Want HM to Know Archived: @the-hospitalist.org 10 Things Infectious Disease 12 Things Cardiology 12 Things Nephrology 12 Things Billing & Coding Cancer patients can be some of the most complicated and high-stakes… [Read More]