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News
Value of Ultra-Brief Cognitive Assessments in Predicting Negative Hospital Outcomes
December 28, 2015
Clinical question: What is the value of ultra-brief cognitive assessments in predicting hospital outcomes? Background: Cognitive assessment tools can be used to predict patient outcomes in the hospital setting.
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News
ACP Guidelines for Evaluation of Suspected Pulmonary Embolism
December 25, 2015
Clinical question: What are best practices for evaluating patients with suspected acute pulmonary embolism (PE)? Background: Use of CT in the evaluation of PE has increased across all clinical settings without improving mortality.
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News
Early Palliative Care Can Save Money
December 25, 2015
Clinical question: Does time to consult after admission change the effect palliative care consultation has on cost of care? Background: Studies have shown that early palliative care involvement improves quality of life and survival among cancer patients while reducing the cost of care.
News
Changes to Healthcare that Hospitalists Should Expect in 2016
December 24, 2015
On the heels of last year’s repeal of the sustainable growth rate (SGR) formula, 2016 promises to be a year of significant changes for the healthcare system.
News
New SHM Members – January 2016
December 24, 2015
S. Godfrey, Alabama W. Mohamed, MD, Alabama S. Paladugu, MBBS, Alabama E. Razzouk, Alabama S. Bommena, MD, Arizona L. Ledbetter, NP, Arizona R. Nambusi, MD, Arkansas S. Asarch, California J. Barber, California M. Bikhchandani, California B. Boesch, DO, California C. Brown, California A.
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News
Parental Perceptions of Nighttime Communication Are Strong Predictors of Patient Experience
December 23, 2015
Clinical question: How does parental perception of overnight pediatric inpatient care affect the overall patient experience? Background: Restrictions on resident duty hours have become progressively more stringent as attention to the effects of resident fatigue on patient safety has increased.
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Opinion
Concerns Grow as Top Clinicians Choose Nonclinical Roles
December 22, 2015
On a spring day a couple of years ago, I met with some internal medicine residents in a “Healthcare Systems Immersion” elective.
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News
Hospitalists Can Lend Expertise, Join SHM’s Campaign to Improve Antibiotic Stewardship
December 22, 2015
The CDC estimates that drug-resistant bacteria cause approximately 23,000 deaths and about two million illnesses each year in the U.S.1 Such unfavorable statistics encouraged the White House to convene a forum on antibiotic resistance in June 2015.
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News
Effectiveness of Antipsychotics in Treatment of Delirium
December 21, 2015
Clinical questions: Are antipsychotics for the treatment of delirium safe and effective? Does efficacy differ between ICU and non-ICU settings? Does efficacy differ between first- and second-generation antipsychotics (SGA)? Background: Delirium is common in hospitalized patients.
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News
Predictors for Surgical Management of Small Bowel Obstruction
December 18, 2015
Clinical question: Are there clinical or computerized tomography (CT) findings that identify which patients will need early surgical management in adhesive small bowel obstruction (ASBO)? Background: Previous studies determined adverse outcomes resulting from delayed surgery in patients with
