December 2010

ClinicalInnovationPatient CareQI InitiativesQuality

Infection-prevention professionals, hospital officials suggest steps to simplify and streamline HAI tracking system

Infection-prevention leaders and state hospital association representatives participated in regional meetings sponsored across the country during the summer of 2009 by the U.S. Department of Health and Human Services (HHS) and suggested ways that the Centers for Disease Control and Prevention’s (CDC) National Healthcare Safety Network (NHSN)—a leading federal system for tracking healthcare-associated infections (HAIs)—could… [Read More]

Career DevEarly CareerEducationHospitalists on the MoveSociety Pages

A New Look at Family Medicine Hospitalists

A new survey spearheaded by SHM’s Family Medicine Task Force gives the first glimpse into the demographics, settings, and scopes of practice of this growing HM segment. The research found that hospitalists trained in family medicine are experienced physicians who likely work directly for their hospital. More than half (51%) completed residency training more than… [Read More]

ClinicalIn the LiteratureKey Clinical GuidelinesKey Clinical QuestionsPatient Care

In the Literature: HM-Related Research You Need to Know

Physician reviews of recent HM-related literature, including continuous insulin infusion in non-ICU patients, outcomes of patients leaving against medical advice, effects of high- vs. low-dose PPIs for peptic ulcer, and medication errors in older patients

ClinicalKey Clinical GuidelinesKey Clinical QuestionsPatient Care

Are Stress-Dose Steroids Indicated in Patients with Adrenal Insufficiency Hospitalized with Noncritical, Nonsurgical Illness?

For hospitalized adults with adrenal insufficiency, the expert recommendation is to double or triple the usual outpatient dose of glucocorticoid; however, data to support this is limited, and each patient should be assessed carefully and monitored to determine the optimal dose adjustment.