Article
Use of Amiodarone with Apixaban or Rivaroxaban Increases Risk for Bleeding-related Hospitalizations
- Ashley Fang, DO, FACP;
- Eric Schumacher, DO, MBA, FACP, SFHM
March 1, 2024
Clinical question: Does the use of amiodarone in patients with atrial fibrillation increase the risk for bleeding-related hospitalizations when used with apixaban or rivaroxaban? Background:...
Article
Initial Aggressive Diuresis in Patients Hospitalized with Acute HF
- Angela Fielder, MD;
- Vignesh Doraiswamy, MD
March 1, 2024
Clinical question: For patients admitted with acute heart failure, is early and aggressive diuresis associated with improved dyspnea without an associated worsening in renal function? Background:...
Article
Periprocedural Management of Patients with AF Receiving a DOAC Undergoing a Digestive Endoscopy
- Allison Rossetti, MD, FACP;
- Daniel McFarlane, MD, SFHM
March 1, 2024
Clinical question: How long should patients with atrial fibrillation (AF) on a direct oral anticoagulant (DOAC) hold anticoagulation when undergoing endoscopy? Background: Given limited direct...
Article
DOACs Versus LMWH and Recurrent VTE in Patients with Cancer
- Lucas McKnight, MD;
- Matt Emery, MD
March 1, 2024
Clinical question: Are direct oral anticoagulants (DOACs) acceptable compared to low-molecular-weight heparin (LMWH) for preventing venous thromboembolism (VTE) with a safe bleeding risk in cancer...
Article
Opioids Confer Risk without Improved Pain Control
- Eric Nolan, MD, FHM;
- Kristen Lewis, MD, FHM
March 1, 2024
Clinical question: How effective and safe are opioids for the treatment of acute, non-specific low back and neck pain? Background: Despite the lack of evidence of the effectiveness of opioids for...
Article
Reducing Use of NPO After Midnight for Inpatient Diagnostic and Therapeutic Procedures
- Chirag Patel, MD;
- Jaimie Patel, MD
March 1, 2024
Clinical question: Can an interprofessional quality improvement team reduce the use of nil per os (NPO) after midnight orders prior to inpatient diagnostic and therapeutic procedures requiring...
Article
Aspirin Thromboprophylaxis is Non-inferior to LMWH for Prevention of Death and Pulmonary Embolism after Orthopedic Trauma
- Charles Redman, MD;
- Claire Sevov, MD, FHM
March 1, 2024
Clinical question: Is aspirin as effective as low-molecular-weight heparin (LMWH) for thromboprophylaxis in patients with orthopedic trauma? Background: Studies have outlined the benefits of...
Article
Integrating NPs and PAs into Your Hospital Medicine Program
- Bridget McGrath, MPAS, PA-C, SFHM;
- Kasey Bowden, MSN, FNP, AGACNP, ACNP, FH;
- Kristin Lindaman, MMS, PA-C;
- Margaret Cecil, APRN, MSN, AGACNP-C, ANP-C;
- Marisha Burden, MD, MBA, FACP, SFHM;
- Mohsin Mirza, MBBS
March 1, 2024
The field of hospital medicine is continuously evolving to meet the demands of rising patient numbers and complexity. As a result, nurse practitioners (NPs) and physician assistants or physician...
Article
Celebrating National Hospitalist Day 2024
March 1, 2024
Many of us spend more time at work than at home, making it easy to become consumed by our jobs. When we describe ourselves, we often mention our profession first. However, we know there’s much more...
Article
How Can Hospitalists Help Reduce Harmful In-hospital Patient Falls?
March 1, 2024
An estimated 700,000 to 1,000,000 falls occur in hospitalized patients in this country every year, with one-quarter to one-third of the falls leading to injuries. At least 10% of those are serious...