October 2011

InnovationQuality

By the Numbers: $4,000

According to a new study in American Economic Journal: Applied Economics by MIT economist Joseph Doyle, a $4,000 increase in per-patient hospital expenditures equates to a 1.4% decrease in mortality rates. Doyle studied 37,000 hospitalized patients in Florida who entered through the ED from 1996 to 2003. However, he focused on those visiting from other… [Read More]

Annual MeetingInnovationQI InitiativesQualityRIV

Transferring “Boarders” Could Save Millions

A pilot project that transferred “boarded” patients from one hospital’s ED to an inpatient bed at another nearby hospital in the same health system suggests that the concept could save hospitals millions. “Improvement in Emergency Department Treatment Capacity: A Health System Integration Approach” was the subject of an oral presentation at HM11 in Dallas. Lead… [Read More]

ClinicalPatient CarePatient SafetyQI InitiativesQuality

High-Performing Hospitals Invest in QI Infrastructure

A new study evaluating outcomes for hospitals participating in the American Heart Association’s Get with the Guidelines program found no correlation between high performance on adhering to measures and care standards for acute myocardial infarction and for heart failure despite overlap between the sets of care processes (J Am Coll Cardio. 2011;58:637-644). A total of… [Read More]

InnovationPatient SafetyQI InitiativesQualityTransitions of Care

Joint Commission Launches Certification for Hospital Palliative Care

A new Joint Commission program offering advanced certification for hospital-based palliative-care services is accepting applications and conducting daylong surveys through the end of this month. As with the Joint Commission’s reviews of other specialty services (e.g. primary stroke centers), certification is narrower in scope, with service-specific evaluation of care and outcomes, than a full accreditation… [Read More]

AcademicCareer DevEducationLeadership

Academic Hospitalists Gear Up for Learning

The challenges of academic HM are different from other sectors of the specialty. Academic hospitalists, division chiefs, and administrators at academic teaching hospitals contend with the pressure of receiving grants, presenting at grand rounds, and reserving time for research and educational projects. While it can be overwhelming, especially for academic hospitalists early in their careers,… [Read More]

Annual MeetingCareer DevRIVSociety Pages

HM12 Research and Award Submissions Deadline Nears

Hospitalists interested in promoting their research still have time to submit applications for SHM’s Research, Innovation, and Clinical Vignettes (RIV) competition. RIV abstracts will be presented at HM12 in San Diego. SHM also is accepting nominations for its annual awards program, which honors hospitalists who demonstrate excellence in clinical work, teaching, scholarly research, and service… [Read More]

ClinicalLiterature ReviewsPatient Care

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

Physician reviews of HM-related research, including PCI vs. CABG for left main coronary artery disease, CABG vs. medical therapy in severe LV dysfunction, linezolid vs. glycopeptides for nosocomial pneumonia, biomarkers to differentiate pneumonia from obstructive lung disease

ClinicalKey Clinical QuestionsPatient Care

What is the best approach to treat an upper-extremity DVT?

Key Points: UEDVT risk factors include central venous catheters, malignancy, thoracic outlet syndrome or other anatomic abnormalities, previous DVT, “effort-related” activities, and hypercoagulable states; A significantly increased mortality rate exists among people diagnosed with UEDVT; UEDVT should be treated similarly to LEDVT: UFH or LMWH followed by warfarin for at least three months; The ACCP recommends against the routine use of thrombolytics, angioplasty, stent placement, or surgery. Still, some patients may benefit from these approaches, so each patient should be considered individually.