Clinical

Short Takes


 

Condition Help: A patient- and family-initiated rapid response system

Implementation of a patient/family-initiated rapid response system at an academic, urban medical center resulted in 367 calls over 3½ years with 83.4% of them being for “nonsafety” issues and 11.4% being for “safety” issues.

Citation: Elizabeth L. Eden, MD, Laurie L. Rack, DNP, RN, Ling-Wan Chen, MS, Bump GM, Condition Help: A patient- and family-initiated rapid response system. J Hosp Med. 2017;3;157-161. doi: 10.12788/jhm.2697.

Association between U.S. norepinephrine shortage and mortality among patients with septic shock

Dr. Jacob Imber, assistant professor in the division of hospital medicine at the University of New Mexico
Dr. Jacob Imber
A retrospective cohort study of 26 U.S. hospitals affected by the 2011 norepinephrine shortage demonstrated that phenylephrine was the most frequently used alternative and in-hospital mortality for patients admitted with septic shock rose from 35.9% to 39.6%.

Citation: Vail E, Gershengorn HB, Hua M, Walkey AJ, Rubenfeld G, Wunsch H. Association Between US Norepinephrine Shortage and Mortality Among Patients With Septic Shock. JAMA. 2017;317(14):1433-1442. doi: 10.1001/jama.2017.2841

Patient mortality during unannounced accreditation surveys at U.S. hospitals

An evaluation of quasi-randomized Medicare admissions at 1,984 hospitals demonstrated that 30-day mortality decreased by 0.18% in all hospitals and 0.48% at major teaching hospitals during The Joint Commission survey periods; both changes were greater than could be attributed to chance alone when compared to other, similar time periods.

Citation: Barnett ML, Olenski AR, Jena AB. Patient Mortality During Unannounced Accreditation Surveys at US Hospitals. JAMA Intern Med. 2017;177(5):693-700. doi: 10.1001/jamainternmed.2016.9685

Association between a virtual glucose management service and glycemic control in hospitalized adult patients

Institution of a virtual glucose management system resulted in a 39% decrease in hyperglycemic patients and a 36% decrease in hypoglycemic patients per 100 patient-days at three major teaching hospitals.

Citation: Rushakoff RJ, Sullivan MM, MacMaster HW, Shah AD, Rajkomar A, Glidden DV, et al. Association Between a Virtual Glucose Management Service and Glycemic Control in Hospitalized Adult Patients: An Observational Study. Ann Intern Med. 2017;166:621-627. doi: 10.7326/M16-1413

Dr. Imber is assistant professor in the division of hospital medicine at the University of New Mexico.

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