Clinical

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Room for Improvement in Identifying, Treating Sepsis

Despite huge strides in the treatment of heart failure, pneumonia and myocardial infarction, hospitals have a long way to go in improving care for patients with sepsis, say the authors of a recent commentary published online in JAMA. In a related study published in July in JAMA, sepsis was found to contribute to one in… [Read More]

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Primary-Care Physicians Weigh in on Quality of Care Transitions

A new study on transitions of care gives hospitalists a view from the other side. Published recently online in the Journal of Hospital Medicine, the authors surveyed 22 primary-care physician leaders in California-based post-discharge clinics and asked them about ways to improve care transitions. Physicians’ responses focused on several areas that need work, most notably… [Read More]

Tips, Tools to Control Diabetes, Hyperglycemia in Hospitalized Patients

Controlling diabetes in the hospital is one of the most predominant challenges hospitalists face. In addition to the condition’s increased prevalence among the general population, patients with diabetes are commonly admitted to the hospital multiple times. And the treatment of diabetes can make the treatment of other conditions more difficult. In fact, a 2014 study… [Read More]

Antibiotic Prophylaxis Might Prevent Recurrent UTIs

Reviewed by Pediatric Editor Mark Shen, MD, medical director of hospital medicine at Dell Children’s Medical Center, Austin, Texas. Clinical question: Does antibiotic prophylaxis prevent future episodes of urinary tract infections? Background: Recurrent urinary tract infections (UTI) in children might be associated with renal scarring and subsequent clinical consequences associated with long-term morbidity. Historically, antibiotic… [Read More]