News
Clarifying the Roles of Hospitalist and PCP
May 31, 2016
Editor’s note: “Everything We Say and Do” is an informational series developed by SHM’s Patient Experience Committee to provide readers with thoughtful and actionable communication tactics that have great potential to positively impact patients’ experience of care.
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News
Disinfection Caps Reduce CLABSI, BCC in Hematology-Oncology Patients
May 30, 2016
Clinical question: Does the use of disinfection caps on catheter hubs on central venous catheters (CVCs) reduce central-line-associated bloodstream infection (CLABSI) and blood culture contamination (BCC) in hematology-oncology patients? Background: CVCs have facilitated the administration of che
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News
Isopropyl Alcohol Nasal Inhalation Effective Treatment for ED Nausea
May 30, 2016
Clinical question: Does inhaled isopropyl alcohol alleviate nausea as compared to inhaled saline solution among patients presenting to the ED with a chief complaint of nausea? Background: Nausea and vomiting account for 4.8 million ED visits each year; however, antiemetics have not shown superior
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News
Public Opinion about Healthcare Reform Becomes More Positive
May 29, 2016
The Affordable Care Act has been law for six years, and during that time, 20 million uninsured nonelderly Americans have been able to acquire health insurance.
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News
Chronic Kidney Disease Risk with Proton Pump Inhibitors
May 27, 2016
Clinical question: What is the association between proton pump inhibitor (PPI) use and incident chronic kidney disease (CKD)? Background: Medication use may play a potential role in the increasing prevalence of CKD.
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News
Updated CHEST Guidelines for Antithrombotic Therapy of VTE
May 23, 2016
Clinical question: What are the current recommendations for antithrombotic therapy in various venous thromboembolism (VTE) scenarios? Background: VTE is commonly encountered with a multitude of therapeutic options.
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News
Tamsulosin Can Be Used as Expulsive Therapy for Some Ureteric Stones
May 23, 2016
Clinical question: Is tamsulosin efficacious as an expulsive therapy for distal ureter stones ≤10 mm in diameter? Background: Ureteric calculi are a common reason for hospital admission, and use of medical expulsive therapy during observation periods for small caliber stones has gained much atten
News
Early Follow-up Can Reduce Readmission Rates
May 22, 2016
Heart failure patients who had early follow-up (within seven days of discharge) with general medicine or cardiology providers had a lower risk of being readmitted to the hospital within 30 days, according to a study from Kaiser Permanente published in the journal Medical Care. “We found that foll
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News
Dr. Hospitalist: Improper, Aggressive Billing Raises Ethical, Legal Concerns
May 21, 2016
Dear Dr. Hospitalist: I am a seasoned hospitalist at a large academic medical center in the Northeast and have recently become more bothered by how our group is being coerced to aggressively bill for our services.
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News
Prevalence, Characteristics of Physicians Prone to Malpractice Claims
May 20, 2016
Clinical question: Do claim-prone physicians account for a substantial share of all paid malpractice claims? Background: Many studies have compared physicians who have multiple malpractice claims against them with colleagues who have few or no claims against them and have identified systemic diff
